HPV Warts: My Anxiety and Treatment Concerns - Dermatology

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Viral warts... I'm feeling very depressed?


Last Tuesday, I noticed a small black dot on my palm, resembling a mole, not exceeding 0.1 cm, about the size of a mechanical pencil lead, located at the webbing of my hand.
During the examination, the doctor scraped off some thickened skin from the area and mentioned it could be a viral wart.
However, due to its small size, she wasn't entirely sure and recommended cryotherapy.
T_T She said this is a common condition, and after researching online, I discovered it might be HPV...
isn't that the virus associated with genital warts? Although there are different strains, I feel very anxious.
I previously consulted an online doctor who advised me to be cautious while bathing to avoid transmission, which has made me very worried.
I went back to the clinic to ask the doctor again, but she seemed impatient with me...
Here are my questions:
1.
The on-site doctor said it doesn't feel like a wart, and that there is no risk of transmission within two weeks after cryotherapy.
Is this statement correct?
2.
After the cryotherapy, the wound hasn't changed much; it’s just a bit red and hasn't peeled (the first doctor scraped it before freezing, which may have caused some skin to break).
Was the cryotherapy effective? The doctor used a thick cotton swab to freeze it three times, each time for several seconds, at least five seconds for sure.
3.
The doctor also mentioned that a woman’s genital area needs to have an open wound for transmission to occur...
But isn't the vaginal opening near the labia considered a sensitive area? I’ve been careful to wash with a different hand.
Also, I’ve had diarrhea for several days, which might have caused some irritation around my anus! Am I doomed? I feel like I might have infected the skin around my anus!
4.
Are genital warts always associated with HPV? Do I need a biopsy to determine if it’s a viral wart or genital warts, or are viral warts in the genital area simply referred to as genital warts? If my anus got infected by my hand, would that also be considered genital warts? T_T (I hope not).
5.
Initially, I thought the black dot was due to an injury from bumping into a wooden cabinet while cleaning at home.
I assumed it was a foreign object and ignored it until I became worried and sought medical attention six months later.
If it’s not a foreign object but a virus, could there be HPV in my home?
6.
The doctor said it’s not a sexually transmitted infection, and online sources indicate that HPV on the hand is a different strain.
However, could that pencil-lead-sized dot be the type associated with genital warts, like types 6 or 11 (I can’t quite remember)? I haven’t had sexual intercourse for two years, nor have I been swimming or to a sauna...
Is it possible to contract that virus without any apparent reason?
Currently, I’m applying medication to my anus and keep feeling a spot that makes me feel like I’m about to break down.
Did I have this before? I’m so sad! Am I doomed? Doctor, please help me!

Ah Hua, 30~39 year old female. Ask Date: 2015/08/29

Dr. Li Yufen reply Dermatology


Hello: Regarding viral warts, you can refer to Dr.
Lin Chi-bin's article at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=52.
I hope you can avoid excessive worry and cooperate with your dermatologist's treatment.
Thank you!

Reply Date: 2015/08/29

More Info


It sounds like you are experiencing a lot of anxiety and concern regarding your recent health issues, particularly related to HPV and potential warts. Let's address your questions and provide some clarity on the situation.

1. Understanding HPV and Warts: Human Papillomavirus (HPV) is indeed a common virus, with many different strains. Some strains can cause warts, while others are associated with higher risks of cancer. The small black spot you described could potentially be a wart, but it is important to remember that not all skin lesions are HPV-related. The fact that your doctor suggested cryotherapy (freezing treatment) indicates that they suspect it might be a wart, but they also mentioned that it might not be.
2. Cryotherapy Effectiveness: Cryotherapy is a common treatment for warts, and it can take some time for the treated area to heal and for the wart to disappear. If you have not noticed significant changes in the appearance of the lesion, it may take a few weeks for the full effect to be visible. It’s important to follow up with your doctor if you have concerns about whether the treatment was effective.

3. Transmission Concerns: HPV can be transmitted through skin-to-skin contact, and while it is less likely to be transmitted when there are no visible warts or lesions, it is still possible. The doctor’s statement that there is no risk of transmission two weeks after cryotherapy is generally accurate, as the treated area should be healing and not shedding the virus. However, if you have any open wounds or broken skin, it is wise to be cautious.

4. Genital Warts and HPV Types: Genital warts are indeed caused by certain types of HPV, primarily types 6 and 11, which are considered low-risk for cancer. If you have warts in the genital area, they are often referred to as genital warts, but they are still HPV-related. If you are concerned about the possibility of having genital warts, it may be beneficial to consult a healthcare provider for a thorough examination.

5. Home Environment and HPV: HPV is not typically transmitted through surfaces or objects in the home. It is primarily spread through direct skin-to-skin contact. Therefore, it is unlikely that your home environment would harbor the virus in a way that would pose a risk to you or others.

6. Anxiety and Mental Health: It’s completely understandable to feel anxious about health concerns, especially when it comes to something as complex as HPV. It may be helpful to talk to a mental health professional about your feelings. They can provide strategies to manage anxiety and help you cope with your concerns.

7. Follow-Up Care: If you continue to have symptoms or if your anxiety worsens, it’s important to seek further medical advice. Regular check-ups and open communication with your healthcare provider can help alleviate concerns and ensure that any potential issues are addressed promptly.

In conclusion, while HPV can be concerning, it is important to remember that many people live with the virus without significant health issues. Regular monitoring, treatment as necessary, and maintaining open communication with your healthcare provider can help you manage your health effectively. If you have further questions or concerns, don’t hesitate to reach out to a healthcare professional for guidance.

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