Genital Warts: Prevention, Treatment, and Safety Tips - Urology

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Genital warts


Hello Doctor, my boyfriend discovered he had anal warts (condylomata acuminata) in mid-January.
Prior to that, we only had one instance of unprotected sexual intercourse; all other encounters were with condoms.
After each sexual encounter, we immediately washed our bodies, especially the genital area, using body wash for cleaning.
To date, I have not shown any symptoms.

1.
Does cleaning after each sexual encounter effectively reduce the risk of infection?
2.
Are there vaccines available for me to receive, or which department should I visit for preventive treatment?
3.
My boyfriend had surgery two weeks ago (electrosurgery); is it appropriate for him to soak in a hot spring?
Thank you, Doctor, for taking the time to answer my questions!

Niming, 20~29 year old female. Ask Date: 2016/02/11

Dr. Xu Weikai reply Urology


Anonymous: Hello.
1.
Cleaning procedures can effectively reduce the risk of infection.
2.
Vaccination is available.
Each hospital has different protocols for providing vaccines; some may limit it to departments like Family Medicine or Obstetrics and Gynecology, while others may allow all departments to administer them.
3.
The assessment depends on the healing status of the wound and whether it has fully healed.
If you have any further questions, feel free to ask again for more discussion and research.
Online responses should only be used as a reference; it is essential to seek care at a medical facility when necessary.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/11

More Info


Genital warts, caused by certain strains of the human papillomavirus (HPV), are a common sexually transmitted infection (STI). Understanding how to prevent and treat genital warts is crucial for maintaining sexual health. Here’s a comprehensive overview addressing your questions and providing additional insights.


1. Cleaning After Sexual Activity
You mentioned that you clean your genital area after each sexual encounter, which is a good hygiene practice. However, while maintaining cleanliness can help reduce the risk of infections, it is important to note that it does not completely eliminate the risk of HPV transmission. HPV can be present on skin areas not covered by a condom, and it can be transmitted through skin-to-skin contact. Therefore, while your cleaning routine is beneficial for general hygiene, it may not significantly lower the risk of HPV infection if exposure occurs.


2. Vaccination and Preventive Treatment
Regarding vaccination, the HPV vaccine is highly effective in preventing infections from the most common strains of HPV that cause genital warts and cervical cancer. If you have not yet received the vaccine, it is advisable to consult with a healthcare provider. The vaccine is typically administered in a series of shots and can be given to individuals up to age 26, although some guidelines suggest it may be beneficial for individuals up to age 45. You can visit a primary care physician, a gynecologist, or a urologist to discuss vaccination options.

In addition to vaccination, regular screenings and check-ups are essential for sexually active individuals, especially if there is a known exposure to HPV. If you have concerns about potential symptoms or further exposure, it is wise to consult a healthcare professional for personalized advice.


3. Post-Surgery Care for Your Boyfriend
Your boyfriend has undergone electrosurgery for the removal of genital warts. After such procedures, it is generally recommended to avoid activities that may irritate the surgical site, including soaking in hot tubs or hot springs, for at least a few weeks. Soaking can increase the risk of infection and may delay healing. It is best for him to follow the specific aftercare instructions provided by his healthcare provider. Typically, he should wait until he has fully healed and received clearance from his doctor before resuming activities like bathing in hot water.


Additional Safety Tips
- Condom Use: While condoms do not provide complete protection against HPV, they can significantly reduce the risk of transmission. It is advisable to use condoms consistently and correctly during sexual activity.


- Regular Health Check-ups: Regular visits to a healthcare provider for STI screenings can help catch any potential issues early. This is especially important if you have multiple sexual partners or if your partner has a known STI.

- Communication: Open communication with your partner about sexual health, including any STIs, is crucial. Discussing sexual history and health can help both partners make informed decisions about their sexual practices.

- Avoiding Irritation: After any surgical procedure, it’s essential to avoid irritants, such as scented soaps or lotions, in the genital area until fully healed.

In conclusion, while maintaining good hygiene practices is important, it is not a foolproof method for preventing HPV transmission. Vaccination is a highly effective preventive measure, and consulting with a healthcare provider for personalized advice is recommended. After surgery, your boyfriend should avoid hot baths or pools until he has fully healed. Always prioritize open communication and regular health check-ups to ensure both partners remain informed and healthy.

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