Warts During Pregnancy: Concerns and Treatment Options - Dermatology

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Wart issues?


Hello: I am currently 34 weeks pregnant and have recently discovered that I have a wart.
I went to the hospital, and the doctor said it is a wart and that it is contagious.
I would like to ask the doctor: (1) Will it be too late to seek treatment after I finish my postpartum confinement? (2) If I seek treatment now, will it affect the fetus? (For example, there are customs that say it may affect the spirit of the fetus, etc.) (3) What should I pay attention to in order to prevent it from spreading? (4) Is there a way to completely cure it? (5) Why do warts occur? Thank you for your response.

Xiao Mei, 30~39 year old female. Ask Date: 2007/07/02

Dr. Hong Zhengsheng reply Dermatology


Hello: "Finding a trusted dermatologist for consultation" is the best advice for you.
I apologize that based on your written description, I cannot ascertain your specific condition.
Answers found online can only speculate based on the description and experience, and cannot provide accurate diagnosis and treatment like an in-person consultation.
I recommend that when you notice the symptoms described, you should promptly visit a public hospital in your city or county and consult with a dermatologist.
Our physicians are very willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your question.
"Taiwan e-Hospital" cares about your health.
Below is some medical information regarding "warts" for your reference.
Warts (Verruca)
Provided by the Taiwan Dermatological Association
1.
What are warts?
Warts are benign skin growths caused by infection with filterable viruses.
They are transmitted through contact to the skin surface or mucous membranes, with an average incubation period of four months.
These filterable viruses belong to the "human papillomavirus" (HPV).
The clinical manifestations of warts depend on their location.
2.
What types of warts are there?
1.
Common warts: In Taiwanese Hokkien, they are called "fish scale thorns," but they are not caused by being pricked while cleaning fish scales.
They appear as rough, hard papules, either solitary or multiple, commonly found on fingers and around the nails.

2.
Plantar warts: Typically located on the soles of the feet, they have a smoother surface but can be deeper.

3.
Flat warts: These are small, flat papules that commonly occur on the face, often in multiple numbers and sometimes arranged in a linear pattern.
Some may disappear within weeks, while others can persist for several years.

4.
Genital warts: These appear on the genital area or around the anus and can grow to resemble cauliflower, hence the colloquial term "cauliflower." They are usually softer and less thick-skinned.
3.
Who can get warts?
Some individuals may develop warts due to small cuts on the skin, while others may not.
Just as some people are more prone to catching colds, there is not always a specific reason.
However, individuals with weakened immune systems are more susceptible to wart viruses.
4.
Why do warts occur?
Warts are likely transmitted from person to person, sometimes not through direct contact but via objects such as racquets, floors, towels, doorknobs, and computer mice.
After exposure to the virus, it often takes several months for warts to become visible.
Genital warts are relatively more contagious, so special precautions are necessary.
It is advisable to avoid touching the affected area with your hands and to use separate towels to prevent spreading the infection to others.

Reply Date: 2007/07/02

More Info


Warts, or verrucae, are benign epithelial tumors caused by the human papillomavirus (HPV). They can appear during pregnancy due to hormonal changes and a weakened immune system. Understanding the implications of warts during pregnancy is crucial for both maternal and fetal health. Here are the answers to your questions regarding warts during pregnancy:
1. Is it too late to treat warts after giving birth?
Generally, it is not too late to treat warts after childbirth. However, if the warts are causing discomfort or if there is a concern about their spread, it may be beneficial to seek treatment sooner rather than later. Many healthcare providers recommend waiting until after delivery to treat warts, especially if they are not causing significant issues. This is primarily due to the limited treatment options available during pregnancy and the potential risks associated with certain treatments.

2. Will treating warts now affect the fetus?
The treatment of warts during pregnancy should be approached cautiously. Many common treatments, such as cryotherapy (freezing), topical salicylic acid, or laser therapy, are generally considered safe during pregnancy, but it is essential to discuss these options with your healthcare provider. There is no substantial evidence to suggest that treating warts during pregnancy will harm the fetus. However, traditional beliefs about "affecting the fetal spirit" are cultural and not based on scientific evidence. It is always best to consult with your obstetrician or dermatologist to weigh the risks and benefits of any treatment.

3. What precautions can I take to prevent warts from spreading?
To prevent the spread of warts, it is advisable to maintain good hygiene practices. Avoid touching or picking at the warts, as this can lead to further spread. Keep the affected area clean and dry, and consider using a barrier, such as a bandage, to cover the warts if they are in a location that may come into contact with other skin or surfaces. Additionally, avoid sharing personal items like towels or razors, as HPV can spread through direct contact.

4. Is there a way to cure warts completely?
While there are effective treatments for warts, there is no guaranteed "cure" that will prevent them from returning. Treatments aim to remove the wart, but because HPV can remain dormant in the skin, warts can recur. Common treatments include cryotherapy, laser therapy, and topical medications. It's essential to discuss these options with your healthcare provider to determine the best approach based on your specific situation.

5. Why do warts develop?
Warts develop due to an infection with HPV, which can enter the skin through small cuts or abrasions. During pregnancy, hormonal changes can lead to an increased susceptibility to HPV infections, and the immune system's response may be altered, allowing warts to develop or existing warts to become more prominent. Stress, skin friction, and other factors can also contribute to the development of warts.

In summary, while warts can be a concern during pregnancy, they are generally benign and can be managed effectively. It is essential to consult with your healthcare provider to discuss the best treatment options and to ensure that any approach taken is safe for both you and your baby. Maintaining good hygiene and being aware of the factors that contribute to wart development can help manage this condition during pregnancy.

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