Recurrence of Genital Warts: When to Seek Medical Advice - Urology

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Questions about cauliflower recurrence?


I would like to ask the doctor, if I haven't had a recurrence of warts for over a month, does that mean there is no problem, or should I continue to monitor? (However, my sleep schedule is very irregular, and I have insomnia symptoms, sometimes not sleeping until dawn.) Would you recommend getting vaccinated in this case? Also, I noticed a painful bump on the tip of my tongue yesterday; could it possibly be a wart? (I haven't had oral sex for a year.) If I need to see a doctor for an examination, which specialty should I consult?

Mei, 20~29 year old female. Ask Date: 2015/11/16

Dr. Xu Weikai reply Urology


Hello: It's been a little over a month, and most of the symptoms can be considered healed.
Note: A very small number of cases may exceed one year.
For lesions on the tongue, it is recommended to seek medical examination.
You may consult an otolaryngologist or an oral surgeon.
Regarding vaccination, you can inquire at nearby medical institutions.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online 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: 2015/11/16

More Info


When it comes to genital warts, also known as condylomata acuminata, caused by the human papillomavirus (HPV), understanding the recurrence and when to seek medical advice is crucial for managing your health. Genital warts can be a persistent issue, and while it is encouraging that you have not experienced a recurrence for over a month, it is important to remain vigilant.

Recurrence of Genital Warts:
Genital warts can recur even after successful treatment. The HPV virus can remain dormant in the body, and various factors such as stress, a weakened immune system, or hormonal changes can trigger a recurrence. Therefore, while a month without symptoms is a positive sign, it does not guarantee that the virus is completely eradicated. Continuous observation is recommended, especially if you experience any new symptoms.

When to Seek Medical Advice:
You should seek medical advice if you notice any new growths or changes in your genital area, such as the painful bump you mentioned on your tongue. While it is unlikely that this is directly related to genital warts, any new or unusual growths should be evaluated by a healthcare professional. Symptoms such as pain, bleeding, or changes in existing warts should also prompt a visit to the doctor.

Sleep Patterns and Immune Function:
Your mention of unstable sleep patterns and insomnia is noteworthy. Sleep is vital for maintaining a healthy immune system, which plays a crucial role in controlling viral infections, including HPV. If you are experiencing significant sleep disturbances, addressing these issues may help improve your overall health and potentially reduce the risk of recurrence.

Vaccination:
Regarding vaccination, the HPV vaccine is highly effective in preventing certain strains of the virus that cause genital warts and cervical cancer. If you have not been vaccinated and are eligible, it is advisable to discuss this with your healthcare provider. The vaccine is most effective when given before the onset of sexual activity, but it can still provide benefits even if you have already been exposed to some strains of HPV.

Consulting a Specialist:
For the painful bump on your tongue, it is best to consult an ear, nose, and throat (ENT) specialist or a dermatologist. They can perform a thorough examination and determine whether the bump is related to HPV or another condition. If it is indeed a wart or another type of lesion, they can provide appropriate treatment options.

In summary, while the absence of genital warts for over a month is a positive sign, continued observation is essential. Seek medical advice for any new symptoms, consider discussing the HPV vaccine with your healthcare provider, and address any underlying health issues such as sleep disturbances. Regular check-ups with a healthcare professional can help manage your condition effectively and provide peace of mind.

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