Cauliflower Warts: Treatment and Care Tips - Urology

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Cauliflower (Condylomata Acuminata)


On March 12, after seeing the doctor, I was diagnosed with genital warts and was prescribed Meijiajian and Savi cream, along with oral medication.
The doctor advised me to alternate between the two creams and to apply them after using the restroom.
Should I seek a second opinion from another doctor? After applying Savi, I experienced significant stinging.

J, 20~29 year old female. Ask Date: 2024/03/13

Dr. Sun Hongshun reply Urology


Hello J: A slight tingling sensation is normal, but if you experience pain that is unrelenting and worsening, it is advisable to seek medical attention again.

Reply Date: 2024/03/13

More Info


Cauliflower warts, medically known as genital warts, are caused by certain strains of the human papillomavirus (HPV). They can be uncomfortable and may require various treatment options, depending on the severity and location of the warts. In your case, it seems you have been prescribed medications such as Meijiajian (likely referring to a topical treatment) and Saiwei cream (possibly referring to a different topical agent), along with oral medications.
When dealing with genital warts, it's essential to follow your healthcare provider's instructions carefully. The treatments you mentioned, including topical applications, are common methods for managing warts. However, the sensation of stinging or burning you experience after applying Saiwei cream may be a normal reaction, especially if the skin is sensitive or if the warts are inflamed.
Here are some tips for managing your condition and alleviating discomfort during the treatment process:
1. Follow the Treatment Schedule: It’s crucial to adhere to the prescribed schedule for applying the creams. If you are instructed to alternate between the two medications, ensure you do so to maximize their effectiveness while minimizing irritation.

2. Pain Management: If the pain or discomfort is significant, over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort. However, consult your doctor before starting any medication to ensure it’s appropriate for your situation.

3. Gentle Hygiene Practices: After using the restroom, gently clean the area with mild soap and water, avoiding harsh soaps or scrubs that could irritate the skin further. Pat the area dry with a soft towel instead of rubbing it.

4. Avoid Irritants: During treatment, avoid using scented products, lotions, or any other potential irritants in the genital area. This includes avoiding tight clothing that may cause friction.

5. Monitor for Side Effects: Keep an eye on the treated area for any signs of severe irritation, increased redness, swelling, or discharge that appears unusual (like pus). If you notice these symptoms, contact your healthcare provider promptly.

6. Consult Your Doctor: If the pain persists or worsens, or if you have concerns about the effectiveness of the treatment, it may be beneficial to seek a second opinion or consult another healthcare provider. They can assess your condition and suggest alternative treatments if necessary.

7. Consider Follow-Up Appointments: Regular follow-ups with your healthcare provider are essential to monitor the progress of your treatment and make any necessary adjustments. If you feel that your current treatment plan is not effective or is causing excessive discomfort, discussing this with your doctor is important.

8. Lifestyle Considerations: Maintaining a healthy lifestyle can support your immune system, which is crucial in managing HPV infections. This includes a balanced diet, regular exercise, adequate sleep, and stress management.

In conclusion, while managing cauliflower warts can be uncomfortable, following your treatment plan and taking steps to care for the affected area can help alleviate pain and promote healing. Always communicate openly with your healthcare provider about your symptoms and any concerns you may have regarding your treatment.

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