Does Being Diagnosed with Warts Change Treatment Options? - Obstetrics and Gynecology

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Does having cauliflower (genital warts) affect the treatment approach?


Last week, I visited a gynecologist at a small clinic, and the doctor diagnosed me with genital warts.
At that time, I was only given a pack of topical medication (out-of-pocket) and a three-day supply of medication.
When I went to the Veterans General Hospital this Tuesday, the doctor advised me to return next week for an HPV test to confirm whether it is indeed genital warts (since I have a recurrence of eczema, I was only given medication for that).
I would like to know if the treatment methods would differ regardless of whether it is genital warts or not, or if they would still only recommend cauterization? I am certain that I want to receive the three doses of the vaccine, so I would like to skip the testing step, especially since the most urgent issue to address is the uncertain lesions (I am currently unemployed and want to avoid unnecessary expenses).

Chun, 20~29 year old female. Ask Date: 2012/04/20

Dr. Dong Yuhong reply Obstetrics and Gynecology


Hello: The timing of your two consultations was different, and you were also on medication during that period, so the physician may observe different conditions during the examination.
Disease treatment is provided based on a clear diagnosis to ensure appropriate care.
If you have concerns regarding costs, you should inform your attending physician.
They should discuss the necessity and possible options for relevant diagnoses and treatments with you, allowing you to understand which expenses would be most beneficial for your current situation.
Thank you!

Reply Date: 2012/04/20

More Info


When it comes to the diagnosis and treatment of warts, particularly genital warts (also known as condylomata acuminata), the treatment options can indeed vary based on the specific diagnosis and the underlying cause. Genital warts are caused by certain strains of the human papillomavirus (HPV), and while they are often benign, they can lead to discomfort and may have implications for sexual health.

If you have been diagnosed with warts, the treatment options typically include topical treatments, cryotherapy (freezing), laser therapy, or surgical removal. The choice of treatment may depend on several factors, including the size, number, and location of the warts, as well as your overall health and preferences. For instance, topical treatments like imiquimod or podofilox can be effective for smaller warts, while larger or more extensive warts may require more invasive procedures like cryotherapy or laser treatment.

In your case, it seems that the initial assessment by the gynecologist led to a prescription for a topical medication, which may have been aimed at managing symptoms or reducing inflammation, especially given your mention of eczema. The follow-up appointment and HPV testing are crucial steps in confirming the diagnosis and determining the most appropriate treatment plan. HPV testing can help identify the specific strain of the virus, which can inform the treatment approach and assess the risk of potential complications, including the risk of cervical cancer associated with high-risk HPV strains.

It's understandable that you want to expedite the process, especially if you are experiencing discomfort and are concerned about the financial implications of additional tests. However, skipping the HPV testing may not be advisable, as it provides valuable information that could influence your treatment options. If the tests confirm the presence of high-risk HPV strains, your healthcare provider may recommend more intensive monitoring and possibly additional interventions.

Regarding the HPV vaccine, it is a proactive measure that can significantly reduce the risk of developing genital warts and certain types of cancers associated with HPV. The vaccine is most effective when administered before the onset of sexual activity, but it can still provide benefits even after exposure to the virus. If you are considering getting vaccinated, it is a good idea to discuss this with your healthcare provider, who can guide you on the appropriate timing and dosage.

In summary, while the treatment for warts may include similar modalities regardless of the specific diagnosis, confirming the presence of HPV through testing is essential for tailoring the treatment plan and ensuring comprehensive care. It is advisable to follow through with the recommended HPV testing and discuss your concerns with your healthcare provider, who can help you navigate the treatment options while considering your financial situation and health needs.

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