Genital Warts: Treatment, Prescription, and Pharmacy Options - Urology

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Genital warts


I would like to ask the doctor if genital warts are considered a type of chronic prescription.
The lesions disappeared in less than three weeks after I applied the medication.
Do I still need to continue using the medication? Can I directly obtain the medication from the pharmacy, or do I need to see a doctor again? Are there medications for treating genital warts available at both pharmacies and hospitals?

Kristin, 10~19 year old female. Ask Date: 2024/02/25

Dr. Du Shixi reply Urology


Hello: The surrounding skin should be observed for a period of time.
If there are no symptoms, you can refrain from applying anything; if there are symptoms, you should seek medical attention again.
Genital warts are not treated with chronic prescriptions; you can inquire at pharmacies, but not all pharmacies carry them.
Most hospitals have them, but not every type of ointment will be available.
Wishing you good health.

Reply Date: 2024/02/25

More Info


Genital warts, caused by certain strains of the human papillomavirus (HPV), are a common sexually transmitted infection. They can manifest as small, flesh-colored or gray swellings in the genital area, and in some cases, they can appear in clusters resembling a cauliflower. Understanding the treatment options, prescription requirements, and pharmacy availability is crucial for effective management of this condition.


Treatment Options for Genital Warts
1. Topical Treatments:
- Imiquimod (Aldara): This is an immune response modifier that helps the body fight the HPV infection. It is applied directly to the warts.

- Podofilox (Condylox): This is a topical solution that destroys wart tissue.

- Sinecatechins (Veregen): This is a green tea extract that can also be applied to the warts.

2. Procedural Treatments:
- Cryotherapy: This involves freezing the warts with liquid nitrogen.

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

- Laser Treatment: This is used for larger or more resistant warts.

- Surgical Excision: In some cases, warts may need to be surgically removed.


Prescription and Pharmacy Options
Genital warts are typically treated with prescription medications, especially for topical treatments like Imiquimod and Sinecatechins. While some over-the-counter treatments exist, they are generally less effective than prescription options.
If you have already started treatment and the warts have disappeared within three weeks, it is essential to consult your healthcare provider before discontinuing the medication. Even if the visible warts are gone, the underlying HPV infection may still be present, and stopping treatment prematurely could lead to a recurrence. Your healthcare provider may recommend continuing treatment for a specified duration to ensure the virus is adequately managed.


Accessing Medication
Regarding your question about obtaining medication, while some topical treatments may be available over the counter, most effective treatments for genital warts require a prescription. It is advisable to visit your healthcare provider for a proper evaluation and prescription. They can also provide guidance on the best treatment plan tailored to your specific situation.


Availability in Pharmacies and Hospitals
Most pharmacies carry common treatments for genital warts, but the availability of specific prescription medications may vary. Hospitals typically have access to a broader range of treatments and can provide comprehensive care, including procedural options if necessary.
In summary, while genital warts can sometimes resolve on their own, it is crucial to follow a treatment plan as directed by a healthcare professional. This ensures that the HPV infection is managed effectively and reduces the risk of recurrence. Always consult with your healthcare provider regarding the best course of action and whether you should continue treatment or seek further evaluation.

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