Genital Warts: Treatment, Risks, and Precautions

Moming has developed warts?

Hello: About a month ago, I discovered a small growth near my anus, and I thought it was hemorrhoids.
However, yesterday I received a notification about an abnormal Pap smear result and went back for a follow-up.
After the internal examination, I asked the doctor about a hard area below the vaginal opening, and the doctor said it was genital warts.
She prescribed me a medication called Wartrol (http://www.24drs.com.tw/Daily/article_friendly.asp?x_no=339&page=17), which was developed in February 2003.
I have a few questions:
1.
Is the efficacy of this medication relatively lower?
2.
How long does it typically take to treat genital warts?
3.
What is the likelihood of transmitting the virus to a child during vaginal delivery in the future? Are there any methods for a complete cure?
4.
My boyfriend does not have genital warts, but the doctor still recommended he see a doctor.
How should he approach the urologist?
5.
My boyfriend has a problem with phimosis.
Does having phimosis increase the risk of transmitting genital warts? (He mentioned that sometimes he feels a strong odor.)
6.
Are there any lifestyle precautions to take after being diagnosed with genital warts? For example, do I need to handle my underwear differently? Should I avoid swimming pools, hot springs, or baths?
7.
I understand that even after the genital warts are gone, there is still a six-month follow-up period.
Does this mean that sexual activity is prohibited during these six months?
Thank you for your help!

Michelle, 20~29 year old female. Ask Date: 2004/01/29

Dr. Chen Xiuyi reply Urology

Hello! Genital warts are commonly found in women around the vaginal opening, perineum, around the anus, and the cervix.
The incubation period for genital warts is approximately one week after exposure, but some individuals may not show symptoms for several months.
Imiquimod cream has been available for some time, but it is less commonly used due to lack of coverage by health insurance.
Generally, if genital warts are present in the vagina, vaginal delivery is not recommended.
Men can also develop genital warts, so it is best for both partners to seek medical evaluation to prevent mutual infection.
During the follow-up period, it is advisable to use condoms, and it is recommended to handle underwear separately.
Avoiding baths and swimming is also suggested.
Sincerely, Dr.
Hsiu-Yi Chen, Director of the Urology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2004/01/29

More Info

Genital warts, also known as condylomata acuminata, are caused by certain strains of the human papillomavirus (HPV). They are typically soft, fleshy growths that can appear on the genital area, including the vulva, vagina, cervix, and anus. Understanding the treatment options, risks, and precautions associated with genital warts is crucial for effective management and prevention of transmission.

1. Treatment Options: The medication you mentioned, "化疣敵乳膏" (likely referring to a topical treatment for warts), is one of several options available for treating genital warts. Other common treatments include:
- Topical agents: These include imiquimod (Aldara), podofilox (Condylox), and sinecatechins (Veregen). These medications help to stimulate the immune system or directly destroy the wart tissue.

- Cryotherapy: This involves freezing the warts with liquid nitrogen, which causes them to fall off.

- Electrosurgery: This method uses electrical currents to burn off the warts.

- Laser therapy: This is used for larger or more extensive warts.

- Surgical removal: In some cases, warts may need to be surgically excised.

The effectiveness of treatments can vary based on the individual and the extent of the warts. Some treatments may require multiple sessions for optimal results.

2. Duration of Treatment: The time it takes to treat genital warts can vary widely. Some warts may resolve within a few weeks with treatment, while others may take several months. Regular follow-up with your healthcare provider is essential to monitor progress.

3. Transmission During Pregnancy: The risk of transmitting HPV to a baby during vaginal delivery is low, but it is possible. If a mother has active genital warts at the time of delivery, there is a risk that the baby could develop respiratory papillomatosis, a condition where warts grow in the throat. Discussing delivery options with your healthcare provider is important if you are pregnant and have genital warts.

4. Partner's Health: It is advisable for your boyfriend to see a healthcare provider, even if he does not have visible warts. He should mention any concerns he has, including the presence of any unusual symptoms or changes in his genital area. A urologist can provide a thorough examination and discuss preventive measures.

5. Phimosis and Risk: Phimosis, or the inability to retract the foreskin, can potentially increase the risk of HPV transmission due to difficulty in maintaining hygiene. It is important for your boyfriend to discuss this issue with a healthcare provider, as proper hygiene and potential treatment options can help reduce risks.

6. Lifestyle Precautions: After being diagnosed with genital warts, it is important to maintain good hygiene. You should wash the affected area gently and avoid sharing personal items like towels. While swimming pools and hot tubs are generally safe, it is advisable to avoid them if you have visible warts to prevent potential transmission. Wearing breathable cotton underwear can help keep the area dry and reduce irritation.

7. Follow-Up and Sexual Activity: It is true that even after treatment, follow-up is necessary to ensure that the warts do not return. The six-month follow-up period is a common recommendation, but it does not necessarily mean that sexual activity must be completely avoided. However, it is wise to practice safe sex, including the use of condoms, to reduce the risk of transmission to partners, even if warts are not visible.

In conclusion, managing genital warts involves a combination of treatment, monitoring, and communication with healthcare providers. It is essential to follow medical advice, maintain open discussions with partners, and take precautions to minimize the risk of transmission. If you have further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized guidance.

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