Addressing Genital Warts and Post-Procedure Care in Gynecology - Obstetrics and Gynecology

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Hello Doctor: Why are there warts in the anal area even without anal intercourse? Three days after the electrosurgery, there are new small growths near the vaginal opening; can I switch to applying ointment? During the electrosurgery for the warts, I also had electrosurgery for cervical erosion.
My period just started today; is it safe to use tampons? I will be traveling abroad for two months in early August; what should I do if the warts reappear? I kindly request your response, thank you.

Binghuan 1, 30~39 year old female. Ask Date: 2015/07/18

Dr. Yang Wangjun reply Obstetrics and Gynecology


Hello: (1) Warts are caused by human papillomavirus (HPV) infection, particularly types six and eleven.
It primarily infects the epithelial cells of the skin and mucous membranes, mainly transmitted through sexual contact, but contact transmission is also possible.
If you touch the affected area and then touch the anus, there is a risk of infection.
(2) Typically, new infection sites may not be fully visible to the naked eye, so after electrosurgery, new lesions may still appear.
It usually requires several treatments to achieve complete resolution.
Topical treatments are also available; currently, medications such as Wavtec and Aldara can be applied.
(3) After electrosurgery for cervical erosion, the cervical epithelial cells will regenerate, which takes about 2 to 3 months.
During this time, it is best to avoid touching the cervix to prevent hindering cell regeneration.
It is recommended to use sanitary pads instead of tampons.
Thank you for your message!

Reply Date: 2015/07/18

More Info


Addressing genital warts and post-procedure care in gynecology is a multifaceted issue that requires careful consideration of both medical and personal aspects. Genital warts, caused by certain strains of the human papillomavirus (HPV), can appear in various areas, including the genital region and the anal area, even without anal intercourse. This can be attributed to the virus's ability to spread through skin-to-skin contact, which can occur during sexual activity or even through non-sexual means.

After undergoing a procedure such as electrosurgery to remove genital warts, it is crucial to follow your healthcare provider's post-operative care instructions closely. The appearance of new small growths near the vaginal opening after the procedure may be concerning, and it is essential to consult your doctor before applying any topical treatments. While some topical medications can be effective for treating warts, your healthcare provider will best advise you based on your specific situation and the nature of the new growths.

Regarding the use of tampons during menstruation after such procedures, it is generally advisable to avoid inserting anything into the vagina, including tampons, for a period of time as recommended by your healthcare provider. This is to prevent any potential irritation or infection in the healing tissues. If you have just had a procedure done and your period coincides with this time, using pads instead of tampons is usually the safer choice until you receive clearance from your doctor.

If you are planning to travel abroad and are concerned about the possibility of genital warts reappearing, it is wise to have a plan in place. First, ensure that you have a follow-up appointment scheduled with your healthcare provider before your trip. They can assess your condition and provide you with any necessary prescriptions or advice on how to manage potential flare-ups while you are away. Additionally, maintaining good hygiene and avoiding any irritants in the genital area can help minimize the risk of recurrence.

In terms of long-term care and prevention, consider discussing the HPV vaccine with your healthcare provider if you have not already received it. The vaccine can help protect against the strains of HPV that cause genital warts and certain types of cancer. Regular check-ups and screenings, such as Pap smears, are also essential for monitoring your cervical health, especially after any procedures involving the cervix.

In summary, addressing genital warts and post-procedure care involves a combination of medical treatment, personal hygiene, and preventive measures. Always consult your healthcare provider for personalized advice and follow their recommendations closely to ensure a smooth recovery and minimize the risk of recurrence.

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