Genital Warts

Genital Wart Treatment: All Important Nuances You Should Know

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Stephanie S. Gardner, MD, has been a rehearsing dermatologist for as far back as 20 years. This specialty is considered the most popular in this field.

The human papilloma virus, penetrating the body, can manifest itself in the form of warts in various places. If the virus has penetrated into the genitals, then on their skin and mucous membranesgenital warts can develop. The disease can occur asymptomatically for a long time, but the failure of immunity provokes more active growth of skin cells and an increase in warts. Then they can cause discomfort (both physical and psychological), be traumatized and bleed, prevent a full sexual life and normal childbirth.

Those varieties of the papilloma virus that cause this disease behave quite aggressively. After sexual contact with an infected partner, about 70% become ill within 3 months. Warts on the genitals are small papillomas or massive sprouting, similar to cauliflower. Genital warts in women are formed in the vulva, on the large labia, in the vagina, and they can also be located on the cervix and around the anus. Such warts can cause problems during pregnancy, for example, to prevent normal urination. During childbirth, the infection almost inevitably enters the child’s body. Infected babies may have warts in the throat. That’s why women should be very careful to their health and start the genital wart treatment immediately when noticing a wart.


How to Diagnose and Treat Genital Warts

This kind of warts rarely disappears by itself. Given the high degree of infectiousness, they require treatment. Identification of genital warts is not a problem: a routine examination reveals their presence. Further, it is necessary to conduct a blood test to prove the viral nature of these formations, special tests to determine the degree of oncogeneity of the virus. This is important, since the presence of genital warts is in direct connection with some oncological diseases, for example, cervical cancer.

Genital wart treatment includes the correction of the protective properties of the body and the destruction of the warts. The destruction, or removal of genital warts, can be done in many ways:

  • Chemical (effects of drugs).
  • Mechanical (surgical removal).
  • Physical: electro-, laser coagulation, freezing with liquid nitrogen.

Treatment of warts with various chemical preparations often achieves success and usually begins with it (especially with warts of small size), resorting to more radical methods in case of failure.

There is no remedy for warts that would guarantee a 100% effect. Some drugs, effective in some patients, are powerless in others. Perhaps, the doctor will be able to select the optimal drug, because the doctor should decide how to treat genital warts. The self-medication is generally dangerous, especially in such a sensitive area as the sexual organs.


Peculiarities of the Genital Wart Treatment

The problem of treatment of papillomavirus infection is that:

  • Genital warts often (in 30% of patients) recur, so after the removal, it is recommended to carry out the anti-relapse treatment.
  • Papillomavirus infection does not give permanent immunity, so the disease can develop again with a second infection if the sexual partner has not been examined and received treatment or if the rules of safe sex are not followed.


What Are the Methods of the Genital Wart Removal

The most modern and priority ones are laser therapy and exposure to the radio wave method. Treatment is carried out under local anesthesia and is almost painless.


Laserocoagulation is a method of influencing condylomas with a laser beam (CO2 laser). Under their influence, the tissue of condyloma evaporates, leaving in its place a dry crust – a scab. Note that laser destruction is contraindicated for oncological diseases, acute infectious processes, fever and the presence of herpes rashes, localized in the area of the external genitalia. How does the procedure work? Specialists of the clinic effectively remove warts in women with the help of a fractional carbon dioxide CO2 laser. The procedure is performed under local anesthesia, which guarantees an absolute absence of discomfort and pain during the operation.

The wart on the labia is destroyed by the laser beam, in the absence of direct contact, which allows manipulation without serious traumatic injuries to epithelial tissues. Thanks to modern equipment, the specialist has the ability to adjust the power, depth and area of laser radiation. On average, this procedure takes about 20-30  minutes. In especially severe cases, accompanied by congenital congestion, several sessions of laser therapy may be required. The interval between the procedures is from two to four weeks, depending on the individual characteristics of the patient’s body.

The radio wave method

This method allows you to quickly and practically painlessly remove condylomas. Since radio wave excision produces minimal damage to tissues, recovery in the majority of cases passes quickly and easily. The patient needs to follow certain recommendations that will accelerate the process of tissue regeneration and prevent the risk of undesirable consequences. During the first 2-3 days, you should avoid moisture on the surface of the wound. After a week, the wound can be wetted without the use of cosmetics. Do not rub the damaged area with a washcloth or towel. This will irritate the sensitive cover, and the healing will be prolonged. When new skin forms on the site of the removed build-up, you can use a mild soap.


It is the removal of genital warts by liquid nitrogen. A small amount of liquid nitrogen is applied to the condyloma and freezes it, destroying its protein content. After this procedure, condyloma disappears, leaving a small wound, which will heal in 1-2 weeks. Not recommended for women who haven’t given birth to kids yet! A special device is placed in the liquid nitrogen and applied to the genital wart for several seconds. The time necessary is determined individually, in view of the size of the formation.


Diathermocoagulation implies that a wart is exposed to high temperatures by exposing it to high-frequency radiation or directly to an electron-knife. This method necessarily requires local anesthesia. Unwanted wart is removed by means of a special electrocoagulator device. Under the influence of electric current doctor-dermatocosmetologist cauterizes the area of the defect, creating a volumetric lesion of the skin. This procedure allows you to remove the selected defect in one procedure, and deleted tissue can be sent for additional analysis.

It is recommended to consult the doctor concerning the most suitable method of the genital wart treatment depending on the individual contraindications.


What Are the Possible Consequence of Non-Treatment of Genital Warts?

Genital warts under certain conditions (reduction of local and/or general immunity, infection with sexually transmitted infections, etc.) can grow and increase in size, thereby significantly reducing the quality of life of a person, complicating his/her sex life. Also. genital warts can become inflamed, ulcerated (in their place, ulcers can appear) from prolonged mechanical exposure to them. Therefore, timely treatment with a specialist is necessary if you want to avoid the above-mentioned negative consequences.


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