Genital Warts: Symptoms, Treatment, and Prevention

Q: Genital Warts: Symptoms, Treatment, and Prevention

HH： Hello. 1. It is possible. If the immune system is strong, the changes may be minimal. 2. First, confirm the diagnosis. 3. Prevention can only be established after confirming the diagnosis. 4. Genital warts can be completely cured. 5. <b

Is it really cauliflower?

Hello Dr.
Hsu,
About seven months ago, I noticed two irregular small bumps on the front of my penis and one on the back (approximately 0.2 to 0.3 mm).
Initially, I thought they were pimples and tried to squeeze them, but this only caused bleeding, and each time I squeezed, they seemed to enlarge, eventually resembling grains of rice (color: dark).
The other two bumps, I did not touch and they have remained the same size (0.2 to 0.3 mm) for seven months.
Since I was abroad at the time, I didn’t know how to seek medical help.
Recently, I returned to Taiwan and consulted a urologist.
Since there are only three bumps and they have not enlarged, the doctor suggested they might be warts and performed electrosurgery.
Both my girlfriend and I have not engaged in any high-risk sexual behavior; we are both in a monogamous relationship.
(I understand there might be other routes of infection, although the probability is low, but perhaps I am just that unlucky.)
1.
I would like to ask if it is possible to have only one small wart that lasts for six months without any changes if it is indeed warts?
2.
Since I am unsure, what should I be particularly aware of?
3.
I am very concerned about transmitting anything to my girlfriend (who currently has no symptoms, and I have already stopped sexual activity with her) or my family.
What precautions should I take? Are there specific lifestyle, dietary, or daily living considerations I should be aware of?
4.
The doctor only prescribed me a wound ointment, and the wound has already scabbed over.
Is there any medication I should take or any topical treatments I should buy? I have read online that warts cannot be completely eradicated.
5.
My girlfriend is 27 years old.
If she gets the HPV vaccine, will it be effective? Would you recommend she get vaccinated? I am a 29-year-old male; can I also receive the vaccine?
Thank you for your response, Dr.
Hsu.

HH, 20~29 year old female. Ask Date: 2015/07/17

Dr. Xu Weikai reply Urology

HH: Hello.
1.
It is possible.
If the immune system is strong, the changes may be minimal.
2.
First, confirm the diagnosis.
3.
Prevention can only be established after confirming the diagnosis.
4.
Genital warts can be completely cured.
5.
Whether women need to receive the vaccine can be discussed with a gynecologist.
It is generally recommended to get vaccinated before engaging in sexual activity.
For men, vaccination can prevent certain HPV infections.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, it is still important to seek medical care at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/07/17

More Info

Genital warts, also known as condylomata acuminata, are caused by certain strains of the human papillomavirus (HPV). They are typically characterized by small, flesh-colored or gray growths that can appear on the genital area, including the penis, vulva, and anus. In your case, the irregular small growths you described on your penis could indeed be genital warts, especially given their persistence and the fact that they have not changed significantly over time.

1. Duration and Appearance of Warts: It is possible for genital warts to remain small and unchanged for an extended period, such as six months. The HPV virus can behave differently in different individuals, leading to variations in the appearance and growth rate of warts. Some people may develop warts that grow rapidly, while others may have small, stable lesions. The fact that you have not experienced significant changes in size or number is not uncommon.

2. Precautions and Awareness: Since you are concerned about transmission, it is wise to take precautions. Genital warts are contagious, and while they are primarily transmitted through sexual contact, they can also be spread through skin-to-skin contact in the genital area. It is essential to communicate openly with your partner about your condition. Since you have already stopped sexual activity, this is a responsible step. You should also consider discussing the situation with your girlfriend, as she may want to be evaluated for any potential signs of HPV.

3. Preventing Transmission: To prevent spreading the virus to your girlfriend or family members, maintain good hygiene practices. Avoid sharing towels, razors, or any personal items that may come into contact with the affected area. Regular handwashing is also crucial. While HPV is primarily transmitted through sexual contact, being cautious can help minimize any risk.

4. Treatment and Medication: The treatment for genital warts can vary. Since your doctor has already performed electrosurgery, this is a common method for removing warts. After the procedure, it is essential to follow your doctor's aftercare instructions. If the area is healing well and has formed a scab, that is a positive sign. You may not need additional medications unless your doctor prescribes topical treatments like imiquimod or podofilox, which can help in managing warts. Always consult your healthcare provider before starting any new treatment.

5. HPV Vaccination: Regarding the HPV vaccine, it is highly effective in preventing certain strains of HPV that cause genital warts and cervical cancer. Your girlfriend, being 27 years old, may still benefit from vaccination, as it can provide protection against strains she may not have been exposed to yet. The vaccine is most effective when given before the onset of sexual activity, but it can still be beneficial for those who are sexually active. As for you, while the vaccine is primarily recommended for females, males can also receive it to protect against genital warts and other HPV-related conditions. It is advisable for both of you to discuss vaccination with your healthcare provider to determine the best course of action.

In summary, while genital warts can be concerning, they are manageable with proper treatment and precautions. Open communication with your partner, maintaining hygiene, and considering vaccination are all important steps in managing your health and preventing transmission. If you have further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and support.

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