Your Options: When to See a Gynecologist for Warts

Which specialty should I see?

I don't know why I developed warts, but as soon as I noticed them, I went to see a urologist.
The doctor prescribed me a topical ointment to apply, but it has been almost two months and there has been no improvement.
What should I do?

mickey, 30~39 year old female. Ask Date: 2009/10/08

Dr. Li Guanghan reply Obstetrics and Gynecology

Dear Sir/Madam,
It is recommended that you return for a follow-up appointment.
Your physician will assess whether a change in medication or electrocautery treatment is necessary.
May God bless you.
Dr.
Li Guang-Han, Department of Obstetrics and Gynecology, Hsinchu Hospital, Ministry of Health and Welfare.

Reply Date: 2009/10/08

More Info

When it comes to dealing with warts, particularly genital warts, it's essential to understand the nature of the condition and the appropriate steps to take for effective treatment. Genital warts are caused by certain strains of the human papillomavirus (HPV), which is a sexually transmitted infection. While some warts may resolve on their own, others can persist and require medical intervention.

Given that you've already seen a urologist and have been using a topical medication for nearly two months without improvement, it may be time to consider a few important steps. First, it's crucial to follow up with a healthcare provider who specializes in gynecological or dermatological issues, particularly if the warts are located in the genital area. A gynecologist or a dermatologist can provide a more comprehensive evaluation and may offer alternative treatment options that could be more effective.

There are several treatment modalities for genital warts, including:
1. Topical Treatments: While you've already been prescribed a topical medication, there are other options available, such as imiquimod (Aldara) or podofilox (Condylox), which may be more effective depending on the specifics of your case.

2. Cryotherapy: This involves freezing the warts with liquid nitrogen, which can be effective in destroying the wart tissue.

3. Electrosurgery: This technique uses electrical currents to burn off the warts.

4. Laser Treatment: For larger or more persistent warts, laser therapy may be an option.

5. Surgical Removal: In some cases, warts may need to be surgically excised.

It's also important to discuss your overall health and any other symptoms you may be experiencing with your gynecologist. They will be able to assess whether the warts are indeed caused by HPV and if there are any underlying issues that need to be addressed.

Additionally, if you are sexually active, it's essential to communicate with your partner(s) about the presence of genital warts, as HPV can be transmitted through sexual contact. Using barrier methods, such as condoms, can help reduce the risk of transmission, although they do not provide complete protection against HPV.

Lastly, consider getting vaccinated against HPV if you haven't already. The HPV vaccine is effective in preventing the strains of the virus that most commonly cause genital warts and certain types of cancer. It's recommended for both males and females, ideally before they become sexually active.

In summary, if your current treatment is not yielding results, it is advisable to see a gynecologist for a thorough evaluation and to discuss alternative treatment options. Early intervention can help manage the condition effectively and reduce the risk of complications. Remember, you are not alone in this, and seeking specialized care is a proactive step towards better health.

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