Effective Treatments for Anal Warts: What You Need to Know - Dermatology

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Anal warts, also known as condylomata acuminata, are caused by the human papillomavirus (HPV). They can appear as small, flesh-colored or gray growths in the anal area and can vary in size. If you are experiencing anal warts that are approximately 1 to 2 centimeters in size, it is important to seek appropriate medical treatment. Here’s what you need to know about effective treatments and where to seek care.


Treatment Options for Anal Warts
1. Topical Treatments:
- Podophyllin: A resin derived from the Podophyllum plant, podophyllin is applied directly to the warts. It works by destroying the wart tissue. This treatment is usually performed in a healthcare setting.

- Imiquimod (Aldara): This is a topical cream that stimulates the immune system to fight the HPV infection. It is applied at home but requires a prescription.

- Trichloroacetic Acid (TCA): This chemical is applied to the warts to destroy them. It is usually applied by a healthcare professional.

2. Cryotherapy: This involves freezing the warts with liquid nitrogen. It is a common and effective method for removing warts and can be performed in an outpatient setting.

3. Electrosurgery: This technique uses electrical currents to burn off the warts. It is effective for larger warts and can be performed in a clinic.

4. Laser Treatment: For extensive or resistant warts, laser therapy may be used. This method is effective but may require multiple sessions.

5. Surgical Excision: In some cases, particularly if the warts are large or persistent, surgical removal may be necessary. This can be done under local anesthesia in an outpatient setting.


Where to Seek Treatment
For anal warts, you should consider visiting a specialist in either Dermatology or Colorectal Surgery. Both specialties are equipped to diagnose and treat anal warts effectively. In your case, since you mentioned the Hsinchu Municipal Hospital, you can make an appointment with the dermatology department, as they often handle skin-related issues, including warts.


Follow-Up Care
After treatment, it is important to follow up with your healthcare provider to ensure that the warts have been completely removed and to discuss any further treatment if necessary. Additionally, since HPV can remain in the body even after the warts are treated, regular check-ups may be recommended.


Additional Considerations
- HPV Vaccination: If you have not been vaccinated against HPV, consider discussing the HPV vaccine with your healthcare provider. The vaccine can help prevent the types of HPV that cause most anal warts and other HPV-related diseases.

- Safe Practices: To reduce the risk of spreading HPV, practice safe sex and consider discussing your condition with sexual partners.


Conclusion
Anal warts can be effectively treated with various methods, and it is essential to consult a healthcare provider for a proper diagnosis and treatment plan. If you are currently using over-the-counter treatments like "化疣敵" (a common wart treatment), it may not be sufficient for anal warts, and professional medical intervention is advisable. Make an appointment with a dermatologist or colorectal surgeon at Hsinchu Municipal Hospital to discuss your symptoms and treatment options.