Cauliflower Warts: Treatment and Safety Concerns

Q: Cauliflower Warts: Treatment and Safety Concerns

Bhutan： The condition commonly referred to as "cauliflower" is actually genital warts, which is a disease of the mucous membranes caused by a virus. <br>Typically, treatment can be achieved through the application of topical medications or through procedures such as cryotherapy.

Cauliflower and Home Care

Hello Doctor, I am a patient with condyloma.
A few months ago, I was being treated at the CDC in Taipei.
Currently, there are no visible white lesions, as I have been applying a topical solution (podo).
However, the medication often affects surrounding skin, leaving a black spot about 1-2mm in circumference at the affected area that hasn't disappeared.

1.
Is that a normal residual mark (scar)? Can I use LedaMed to eliminate it?
2.
If there are no visible lesions, does that mean I am currently safe, but the virus may still be present in my body?
3.
My wife was infected about a month ago; she likely contracted it earlier but showed symptoms later than I did.
She has a few small growths about 1mm in size.
The doctor prescribed LedaMed, and after using it for over a month, why haven't the growths disappeared? However, they haven't increased in number either.

4.
Winter is here, and we have a habit of taking hot baths together in a tub.
Although we wash thoroughly before getting in, could we potentially reinfect each other through individual or shared bathing?
5.
Is there a risk that our child could become infected from the hot water?
Thank you, Doctor, for your patient responses.

Bu Dan, 40~49 year old female. Ask Date: 2005/12/04

Dr. Xu Weikai reply Urology

Bhutan: The condition commonly referred to as "cauliflower" is actually genital warts, which is a disease of the mucous membranes caused by a virus.
Typically, treatment can be achieved through the application of topical medications or through procedures such as cryotherapy.
Sometimes, the virus can remain dormant in the body and may reactivate at an appropriate time.
Therefore, it is crucial to seek medical attention immediately if lesions are present.
Generally, if there are no symptoms for over three months, it can be considered healed.
The chances of reinfection or contact transmission are relatively high, so it is recommended to wash clothing separately and even to use warm water for cleaning.
Regarding the risk of infection from shared bathwater, it is generally considered low.
However, the edges of bathtubs and sinks can serve as good mediums for transmission.
Reports have indicated that even mice in internet cafes can be sources of infection.
In fact, while genital warts are relatively easy to treat, they are not easily cured, making them one of the more bothersome sexually transmitted infections.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Dr.
Hsu Wei-Kai.

Reply Date: 2005/12/04

More Info

Cauliflower warts, medically known as genital warts or condylomata acuminata, are caused by certain strains of the human papillomavirus (HPV). These warts can be a source of concern not only due to their appearance but also because of their potential to recur and the implications they may have for sexual health. Your questions touch on several important aspects regarding treatment, safety, and the nature of the virus itself.

1. Residual Black Spot: The black spot you mentioned, measuring about 1-2mm, could be a residual scar from the treatment. It is not uncommon for treated areas to leave behind some pigmentation or scarring, especially after the application of topical treatments like podophyllin. These treatments can sometimes cause irritation or damage to surrounding skin, leading to discoloration. Using a product like "Lederme" (assuming this is a topical treatment for skin issues) may help improve the appearance of the scar, but it is essential to consult with your dermatologist before applying any new treatments to ensure they are safe for the affected area.

2. Safety and Virus Presence: The absence of visible warts does not necessarily mean that the HPV virus is no longer present in your body. HPV can remain dormant in the skin cells, and while you may not see any active lesions, the virus can still be present. Regular follow-ups with your healthcare provider are crucial to monitor for any recurrence of warts or other symptoms. Additionally, practicing safe sex can help reduce the risk of transmission to partners.

3. Your Wife's Condition: It is not uncommon for genital warts to take time to respond to treatment. If your wife has been using "Lederme" for over a month without significant improvement, it may be beneficial for her to revisit her healthcare provider. They can assess the situation and possibly recommend alternative treatments or a different approach. The fact that her warts have not increased in number is a positive sign, but ongoing monitoring is essential.

4. Bathing Practices: Sharing a bath can pose a risk of spreading HPV, especially if one partner has active warts. While the virus does not survive long outside the body, it is still advisable to avoid sharing baths or hot tubs until both partners are clear of warts. Maintaining good hygiene practices, such as thoroughly washing the affected areas and ensuring that any lesions are covered, can help minimize the risk of transmission.

5. Children and Infection: HPV is primarily transmitted through direct skin-to-skin contact, particularly during sexual activity. It is unlikely for children to contract HPV from hot water or shared bathing practices. However, it is always wise to maintain a clean environment and practice good hygiene to prevent any potential transmission of infections.

In conclusion, while the visible signs of cauliflower warts may be diminished, it is essential to remain vigilant about monitoring for any recurrence and to maintain open communication with your healthcare provider. They can provide tailored advice and treatment options based on your specific circumstances. Additionally, practicing safe hygiene and sexual practices will help protect both you and your partner from potential reinfection or transmission.

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