Anal Warts: Causes, Treatments, and Concerns - Urology

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Anal warts, commonly referred to as condylomata acuminata, are caused by the human papillomavirus (HPV), a sexually transmitted infection. While it is often associated with sexual activity, it is important to note that HPV can be transmitted through skin-to-skin contact, not just through sexual intercourse. This means that even individuals who do not identify as part of the LGBTQ+ community can develop anal warts if they have been exposed to the virus.
The presence of anal warts can be concerning, especially if they are new or have not resolved on their own. It is understandable to feel anxious about the diagnosis, particularly if you have a history of warts. HPV is known for its ability to persist in the body and can sometimes lead to the development of new warts or the recurrence of existing ones. The virus can indeed mutate, which may affect the presentation of the warts, but the primary concern remains the same: the need for effective treatment.

In terms of treatment options, there are several available. Topical treatments, such as imiquimod or podofilox, are often used to help reduce the size and number of warts. However, you mentioned using a product called "化疣敵" (which I assume is a topical wart treatment) with limited success. If the warts are not responding to topical treatments, more invasive options may be necessary.
Laser treatment is a common and effective method for removing anal warts. It works by using focused light to destroy the wart tissue. If you are considering this option, it is advisable to consult a specialist in dermatology or a colorectal surgeon. In your case, since you mentioned wanting to go to Hsinchu Veterans Hospital, you should make an appointment with the dermatology department or the colorectal surgery department.
Regarding hospitalization, laser treatment for anal warts is typically performed on an outpatient basis, meaning you would not need to stay overnight in the hospital. As for health insurance coverage, it is best to check with your specific insurance provider to understand what portion of the treatment costs will be covered. Generally, outpatient procedures may have varying levels of coverage depending on the policy.

As for your work with meropenem, it is an antibiotic used to treat a variety of bacterial infections. While it does not directly affect the treatment of HPV or anal warts, it is always good practice to inform your healthcare provider about any medications you are taking. This ensures that they can consider potential interactions and tailor your treatment plan accordingly.

In summary, anal warts are caused by HPV and can occur in anyone, regardless of sexual orientation. If topical treatments are ineffective, laser therapy is a viable option. Consult with a dermatologist or colorectal surgeon at Hsinchu Veterans Hospital for further evaluation and treatment. Make sure to discuss your current medications, including meropenem, with your healthcare provider to ensure a comprehensive treatment approach.