Genital Warts: Treatment, Prevention, and Care Tips

I have developed warts?

A little over a week ago, I noticed a small growth in my genital area, and then my period started, so I didn't see a doctor.
However, one or two more growths appeared.
Today, after my period ended, I went to see a gynecologist.
He said I might have genital warts and prescribed me oral medication and topical ointment.
He mentioned that if it doesn't improve in a few days or gets worse, I would need to go to the hospital for a procedure to remove the growths using electrocautery.
I would like to ask about the cost of electrocautery and what I should pay attention to.

Also, I usually just rinse my genital area with water when I shower and do not use soap.
I wash my underwear with soap before putting them in the washing machine.
Is this acceptable? Do I need to buy special products for cleaning my genital area? What should I be more cautious about to prevent the recurrence of genital warts? I have only had one boyfriend for over two years, and he is also very clean.
Our first time was together, and our sexual life has been normal, so why did I get genital warts? I have a personal habit of not wearing underwear at home; could this be related?
Is electrocautery a permanent solution? Will the doctor prescribe me an ointment to apply? Since I am still a student, I cannot let my family know about this issue.
Thank you; I apologize for having so many detailed questions.

Qiu, 10~19 year old female. Ask Date: 2007/07/24

Dr. Li Guanghan reply Obstetrics and Gynecology

Hello! Genital warts are primarily sexually transmitted, but there is also a possibility of transmission through shared toilets or towels, although the risk is lower.
Genital warts can be treated with electrosurgery or topical ointments; the former is more painful but provides immediate results, while the latter takes several weeks but is gentler and offers a more comprehensive treatment.
During the treatment process, new lesions may appear at any time, which is not a recurrence but rather the manifestation of previously dormant viruses in the skin.
It is important to avoid transmitting the virus to others until fully healed, and after recovery, to prevent re-infection from others.

Reply Date: 2007/07/24

More Info

Genital warts, also known as condylomata acuminata, are a common sexually transmitted infection caused by certain strains of the human papillomavirus (HPV). Understanding the treatment, prevention, and care tips for genital warts is crucial for managing the condition effectively and minimizing the risk of recurrence.

Treatment Options
1. Topical Treatments: Your doctor may prescribe topical medications such as imiquimod (Aldara) or podofilox (Condylox) that you apply directly to the warts. These medications help stimulate the immune system or destroy the wart tissue.

2. Cryotherapy: This involves freezing the warts with liquid nitrogen. It is a common and effective method, but multiple sessions may be required.

3. Electrosurgery: As your doctor mentioned, electrosurgery involves using electrical currents to burn off the warts. This method is effective but may require local anesthesia. The cost can vary widely depending on the healthcare facility, but it typically ranges from $200 to $1,000 per session.

4. Laser Treatment: For larger or more persistent warts, laser treatment may be recommended. This is usually more expensive and may require multiple sessions.

5. Surgical Removal: In some cases, surgical excision may be necessary, especially if the warts are extensive or resistant to other treatments.

Prevention Tips
1. Vaccination: The HPV vaccine (Gardasil or Cervarix) can protect against the most common strains of HPV that cause genital warts and cervical cancer. It is recommended for both males and females, ideally before the onset of sexual activity.

2. Safe Sex Practices: Using condoms can reduce the risk of HPV transmission, although they do not provide complete protection since HPV can infect areas not covered by a condom.

3. Regular Check-ups: Regular gynecological exams can help in early detection and management of any abnormalities.

4. Avoiding Irritation: Avoid using harsh soaps or douches in the genital area, as these can irritate the skin and potentially exacerbate the condition.

Care Tips
1. Hygiene: It’s good that you are washing your genital area with water. However, using a mild soap specifically designed for sensitive areas can help maintain hygiene without causing irritation. Avoid using heavily scented products.

2. Laundry Practices: Washing your underwear with soap before putting them in the washing machine is a good practice. Ensure that your underwear is made of breathable materials like cotton to reduce moisture buildup.

3. Avoiding Irritation: If you have a habit of not wearing underwear at home, ensure that you are in a clean environment. While this habit itself may not directly cause genital warts, maintaining good hygiene is essential.

4. Monitoring Symptoms: Keep an eye on any changes in your condition. If the warts increase in size or number, or if you experience discomfort, return to your healthcare provider for further evaluation.

Addressing Concerns
It’s understandable to have concerns about how you contracted genital warts, especially if you have been in a monogamous relationship. HPV can remain dormant for years, and it is possible for one partner to be asymptomatic while still carrying the virus.
Regarding your question about whether electrosurgery can provide a permanent solution, while it can effectively remove visible warts, it does not eliminate the HPV virus from your body. Therefore, there is a possibility of recurrence. Your doctor may prescribe topical treatments to apply after the procedure to help prevent new warts from forming.

Lastly, it’s important to have open communication with your healthcare provider about your concerns and treatment options. They can provide you with the best advice tailored to your situation, including any necessary follow-up treatments or lifestyle modifications to reduce the risk of recurrence.

In conclusion, while genital warts can be distressing, they are manageable with the right treatment and preventive measures. Always consult your healthcare provider for personalized advice and treatment options.

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