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

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Hello, I recently visited a gynecologist and discovered that I have genital warts.
However, I have only had one sexual partner, my boyfriend, and I don't understand how I contracted them.
After my visit to the gynecologist, I was not prescribed any medication for the warts because I had a car accident last year that resulted in intracranial hemorrhage.
The doctor only advised me to purchase a topical wart treatment cream out of pocket, instructing me to apply it for three days and then stop for four days.
I am currently on the third day of application, but today I noticed fresh blood when I went to the bathroom.
How should I handle this? I read online that it's correct to apply antibiotics; is that true? Additionally, the doctor mentioned that I have warts not only externally but also inside my cervix, which means I can't treat that area with the cream.
How can I treat it? How long does treatment usually take? Will I still be able to have normal sexual relations in the future? The doctor also recommended that I get vaccinated even though I already have warts; is that necessary? The vaccine is quite expensive.
Lastly, I want to ask about hygiene: my family and I wash our underwear together, and I am concerned about whether this could infect them.
Should we also have separate toilets? I apologize for having so many questions.

Ms. Chen, 20~29 year old female. Ask Date: 2016/02/15

Dr. Xu Weikai reply Urology


Ms.
Chen: Hello, I am not sure how you contracted genital warts.
Treatment options for genital warts include medications, electrosurgery, laser therapy, and cryotherapy with liquid nitrogen, among others.
There are many methods available.
Vaccination is self-paid.
Whether or not to get vaccinated depends on individual needs.
Generally, viruses can be killed using bleach.
If you are concerned about infection from the toilet, you can also use bleach for cleaning and sterilization afterward.
You can visit the Centers for Disease Control website for related inquiries.
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.
This response is provided by Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/15

More Info


Genital warts, also known as condylomata acuminata, are caused by certain strains of the human papillomavirus (HPV). They are a common sexually transmitted infection (STI) and can be transmitted through skin-to-skin contact during sexual activity. It’s understandable to feel confused and concerned about how you contracted genital warts, especially if you have only had one sexual partner. HPV can be transmitted even when an infected person does not have visible warts or symptoms, which is why it’s possible to contract the virus from a partner who may not even know they are infected.

Regarding your current treatment, it’s important to follow your doctor’s instructions carefully. The topical treatment you mentioned, likely a form of podophyllotoxin or imiquimod, is commonly used to treat external genital warts. If you are experiencing bleeding after applying the medication, it’s crucial to contact your healthcare provider immediately. Bleeding can indicate irritation or an adverse reaction to the treatment, and your doctor may need to reassess your condition and treatment plan.

As for the internal warts, they cannot be treated with topical medications. For warts located inside the vagina or on the cervix, your doctor may recommend other treatment options, such as cryotherapy (freezing the warts), laser therapy, or surgical removal. The duration of treatment can vary depending on the extent of the warts and the chosen treatment method. It’s essential to have open communication with your healthcare provider about your treatment options and any concerns you may have.

Regarding your question about resuming sexual activity, it’s generally advised to avoid sexual intercourse until the warts are treated and cleared. This helps prevent the spread of the virus to your partner and allows your body to heal. Your healthcare provider can give you specific guidance on when it is safe to resume sexual activity.

The HPV vaccine is recommended even for individuals who already have genital warts. The vaccine protects against other strains of HPV that can cause different types of warts and, more importantly, cervical cancer. While the vaccine can be costly, it may provide long-term health benefits by reducing the risk of future HPV-related complications. Discuss the benefits and costs with your healthcare provider to make an informed decision.

Regarding hygiene and the potential for spreading the virus to family members, HPV is primarily transmitted through sexual contact, not through casual contact like sharing laundry or using the same toilet. However, maintaining good hygiene practices is always advisable. Washing your underwear separately and ensuring that any towels or personal items are not shared can help minimize any risk of transmission, although the risk is low in non-sexual contexts.

In summary, it’s essential to maintain open communication with your healthcare provider about your treatment and any concerns you may have. Follow their advice closely, and don’t hesitate to reach out if you experience any unusual symptoms or have further questions. Your health and well-being are the top priority, and understanding your condition is a crucial step in managing it effectively.

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