You should apply the ointment directly to the warts at least three days a week for about four months. Although imiquimod may not be effective for everyone, one study did show that warts cleared in 37 to 50 percent of people using the cream. The medicine can also boost your immune system to fight HPV.
You should apply the ointment three times per day for up to four months. Sinecatechins may be the most effective topical for getting rid of warts. According to one study , the ointment cleared up warts in 56 to 57 percent of participants. With cryotherapy , your doctor will remove the warts by freezing them with liquid nitrogen. A blister will form around each wart, which will shed once it heals. Cryotherapy is effective in clearing outbreaks temporarily, but multiple treatments may be necessary to achieve long-term results.
You can go right back to your normal activities after the procedure, but expect a lot of watery discharge for up to three weeks as the area heals. Electrodessication is a treatment that needs to be performed by a specialist. Your surgeon will use an electrical current to burn and destroy external genital warts, and then scrape away the dried tissue. Research has found the surgery to be highly effective.
One study found that 94 percent of people who had six weekly sessions of electrodessication were clear of genital warts. Healing time takes four to six weeks. Laser surgery is also a specialist procedure. Your surgeon uses a laser light to burn away wart tissue. You may require local or general anesthesia depending on the size and number of warts. Recovery should take a few weeks. Most HPV infections that cause genital warts will go away on their own, taking anywhere from a few months to two years.
But even if your genital warts disappear without treatment, you may still have the virus. When left untreated, genital warts can grow very large and in big clusters.
They are also more likely to return. You should wait to have sex at least two weeks after your warts have cleared. You should also talk to your sexual partners about your HPV status before engaging in sexual activity. The side effects of treatment. The skill of the doctor for each treatment option. The cost of treatment, which varies depending on: The cost of medicine. Any specialized equipment used. The number of treatments needed. The problems caused by the warts such as blockage of the urethra.
Your preference. If you are pregnant. Some wart medicines should not be used during pregnancy. Medicines Doctors often recommend medicine applied to warts topical drug treatment as the first choice of treatment.
Surgery and other treatment Surgery to remove genital warts may be done when: Medicine treatment has failed and the removal of warts is considered necessary. Warts are widespread. What to think about Without treatment, external genital warts may remain unchanged, increase in size or number, or go away.
Treatment of warts usually requires a series of applications rather than a single treatment. Warts in moist areas usually respond better to treatments applied to the area, such as creams or acids.
Warts on dry skin may respond best to freezing cryotherapy or surgical removal. Cryotherapy may be done when genital warts are visible and bothersome and are growing in a small area. Repeat treatments may be needed to remove all wart tissue. The success of surgery is related to the number of warts.
The success rate is higher and additional treatments are less likely to be needed when surgery is done on fewer and smaller warts. Surgery may require anesthesia. Small areas of warts can be quickly treated with removal methods, such as cryotherapy or surgical excision. Self-applied medicines may be used for larger areas of warts that need longer or repeated treatments. Prevention You can reduce your risk of becoming infected with the human papillomavirus HPV or another sexually transmitted infection STI.
Practice safer sex Preventing a sexually transmitted infection STI is easier than treating an infection after it occurs. Talk with your partner about STIs before beginning a sexual relationship. Find out whether he or she is at risk for an STI. Remember that it is possible to be infected with an STI without knowing it. Be responsible. Having several sex partners increases your risk of getting an STI. Male condom use Latex condom use can reduce the risk of becoming infected with HPV.
Female condom use Even if you are using another birth control method, you may wish to use condoms to reduce your risk of getting an STI. Vaccine If you are age 26 or younger, you can get the HPV shot. You can use at-home care to feel more comfortable. Take sitz baths. Fill a tub with a few inches of warm water and sit in it for 10 or 15 minutes every day. Squeeze warm water from a bottle over your genital area to provide comfort and cleansing.
Keep the warts clean and dry in between baths. You may want to let the sores air dry. This may feel better than a towel. Medications Medicine may be used to destroy bothersome genital warts, relieve your symptoms, and reduce the amount of area affected by warts, particularly when the warts are: Visible, bothersome, and growing in a small area.
A cosmetic concern and you want them removed. Warts that are growing around the anus or on external genitals, such as on the penis or vulva , may be removed because they are unsightly. Some treatments that remove genital warts are more likely to leave scars. So cosmetic concerns about scarring may help guide the choice of treatment. Treatment applied at home The following medicines can be applied to the affected area topical treatment at home: Imiquimod such as Aldara Podofilox lotion or gel such as Condylox Sinecatechins such as Veregen Do not use these medicines during pregnancy.
Treatment applied by a doctor Treatment by a doctor can: Treat areas that you cannot reach easily. Treat a large area. Remove the warts quickly. Be expensive. Be painful. Have side effects. Intralesional injected into wart lesion interferon.
Treatment during pregnancy Treatment for pregnant women includes trichloroacetic acid TCA , cryotherapy, laser therapy, loop electrosurgical excision procedure LEEP , and surgical removal by electrocautery or excision. What to think about Avoid sexual contact in the treated area until the area is completely healed. Some medicine may be more expensive than others. Recurrence Removing genital warts does not cure an HPV infection.
Even if genital warts have been removed or destroyed: You may still be able to infect sex partners with HPV. You should continue to use latex condoms during sexual intercourse if you have multiple sex partners. Surgery You may have surgery to remove genital warts if they are widespread and medicine or freezing cryotherapy fails to remove them. Surgery choices Surgical methods that may be used include: Cryotherapy cryosurgery. Surgical excision. Laser surgery.
Loop electrosurgical excision procedure LEEP. Surgical treatment for pregnant women Surgical choices for pregnant women with genital warts include electrocautery, surgical excision, loop electrosurgical excision LEEP , and laser surgery. What to think about The success of surgery is related to the number of warts present. Surgery may be more expensive than some other treatment choices.
References Citations Bonnez W In JE Bennett et al. Philadelphia: Saunders. Cervical cancer and hormonal contraceptives: Collaborative reanalysis of individual data for 16, women with cervical cancer and 35, women without cervical cancer from 24 epidemiological studies. Lancet , : — Department of Health and Human Services Hildesheim A, et al. JAMA , 7 : — Human papillomaviruses. In DW Kimberlin et al. Centers for Disease Control and Prevention MMWR, 60 50 : — Gillison ML, et al.
JAMA, 7 : — Credits Current as of: February 26, Top of the page Next Section: Health Tools. Previous Section: When should you call your doctor? It can protect against diseases including cancers caused by HPV when given in the recommended age groups. Get screened for cervical cancer.
Routine screening for women aged 21 to 65 years old can prevent cervical cancer. HPV vaccination is recommended at age 11 or 12 years or can start at age 9 years and for everyone through age 26 years, if not vaccinated already. Vaccination is not recommended for everyone older than age 26 years.
However, some adults age 27 through 45 years who are not already vaccinated may decide to get the HPV vaccine after speaking with their healthcare provider about their risk for new HPV infections and the possible benefits of vaccination. HPV vaccination in this age range provides less benefit. Most sexually active adults have already been exposed to HPV, although not necessarily all of the HPV types targeted by vaccination. At any age, having a new sex partner is a risk factor for getting a new HPV infection.
People who are already in a long-term, mutually monogamous relationship are not likely to get a new HPV infection. There are HPV tests that can be used to screen for cervical cancer. These tests are only recommended for screening in women aged 30 years and older. HPV tests are not recommended to screen men, adolescents, or women under the age of 30 years. Most people with HPV do not know they are infected and never develop symptoms or health problems from it. Some people find out they have HPV when they get genital warts.
Women may find out they have HPV when they get an abnormal Pap test result during cervical cancer screening. What is it? How do I talk to my partner about it? How long after exposure will STD symptoms begin to show up? We review incubation periods for common STDs, the importance of early diagnosis and…. Most sexually active men and women will have HPV at some point in their lives.
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