Effective Treatment for Genital Warts

If your warts aren't causing discomfort, you may not need treatment. But if your symptoms include itching, burning and pain, or if visible warts are causing emotional distress, your doctor can help you clear an outbreak with medications or surgery. However, the lesions are likely to come back after treatment.
Condylomata acuminata genital warts is,of course, a sexually transmitted disease caused by Human Papillomavirus (HPV).
There are three basic ways of getting rid of genital warts (or any warts, for that matter). The first way is to destroy all of the tissue where the wart virus resides. This is usually done surgically by excising all of the warts or burning them off with electrocautery. We probably will not be doing this much in correctional facilities.

Irritant Chemicals
The second approach is to apply an irritating chemical to the wart which works mainly by stimulating the patient’s immune system to recognize the diseased tissue and to destroy it. There are various irritant chemicals that can be used for this purpose: Trichloroacetic acid and podophyline mentioned by Aldo work, but podofilox, sinecatchins, and imiquinod are considered by dermatologists to be superior (and more expensive) agents. These chemicals are all quite irritating so they need to be meticulously applied. Many of them, like trichloracetic acid, should not be applied to the normal surrounding skin. One way to do this is to create a moat-barrier of vaseline around the wart before you apply the irritant. For a patient with a lot of warts, this can take quite a bit of time. Also, these agents should be applied often. Trichloroacetic acid is applied every 3 days. Podofilox is applied 2 times a day for 3 days then not applied for 4-7 days and then the cycle is repeated. Imiquod is applied 3 times a week for 8 weeks. Clearly the chemical agents are labor intensive.
In the outside world of dermatology, these agents are typically only used on patients who are considered reliable and careful enough to apply these chemicals themselves. This would not work in a correctional setting, of course. There is too much risk of patients doing it wrong or using the irritating chemicals in mischievous ways. However, to bring these patients into the prison clinic for each of these meticulous and time consuming applications takes too much of your time and effort. This is true of outside dermatology clinics, as well. Patients who are not good candidates for self-application of the chemicals are treated with the third treatment option, cryotherapy.
Surgery Treatment for Genital Warts
You may need surgery to remove larger warts, warts that don't respond to medications, or — if you're pregnant — warts that your baby may be exposed to during delivery. Surgical options include:
Freezing with liquid nitrogen (cryotherapy). Freezing works by causing a blister to form around your wart. As your skin heals, the lesions slough off, allowing new skin to appear. You may need repeated cryotherapy treatments. The main side effects include pain and swelling.
Electrocautery. This procedure uses an electrical current to burn off warts. You may have some pain and swelling after the procedure.
Surgical excision. Your doctor may use special tools to cut off warts. You'll need local or general anesthesia for this treatment, and you may have some pain afterward.

Laser treatments. This approach, which uses an intense beam of light, can be expensive and is usually reserved for very extensive and tough-to-treat warts. Side effects can include scarring and pain.

Types of Genital Warts

There are different types of genital warts. Which treatment you require depends on the size and type of warts you have.
All of these different types are caused by the same virus - the HPV virus - and are also known as "condyloma" or "penile/venereal warts".
They look like skin-colored growths located in or around the genital and anal areas.

Most types of genital warts are painless and tend to appear in clusters. If you suffer from such warts you should get treated before having sex again as they are highly contagious.
Different Types Of Warts And Their Treatment
Genital warts are usually soft and moist and tend to appear in "groups" of three to four. Note however, that this differs between patients and that some people will only have one or two warts while others may develop a large number of individual growths. When the warts go unnoticed, they grow and form small cauliflower-shaped clusters that are flesh-coloured.
HPV And Types Of Warts
There are more than a hundred different strains of the human papilloma virus, only a couple of which are responsible for most types of genital warts (as well as anal warts). The majority of genital warts are caused by HPV types 6 and 11. These warts will usually grow for 6 months after which they tend to stop growing. Other strains of HPV can cause warts on your feet or hands, which are less contagious than genital warts. A few strains of HPV are classified as high-risk, as they can lead to specific cancers.
Itchy Or Bleeding Sores?
You might read that genital warts can cause "mild pain" and that they may feel itchy or bleed. In fact, this only happens in rare cases, when warts reach a considerable size and/or if you scratch them off. If you think you have a wart, avoid any scratching (to avoid bleeding), and consult your doctor instead.
Genital Warts In Women
The different forms of genital warts which affect women can appear in or around the vagina, vulva, anus or near the neck of the womb. Often, the warts are too small for you to see or notice. Warts inside the vagina or anus can cause discomfort but they may also not cause any symptoms at all.
Two out of three of cases of genital warts are near the vulva
One out of three cases of genital warts are inside the vagina
One out of three cases are between the vagina and the anus
One out of four cases are around the anus
One out of ten cases are on the cervix
One out of twenty five cases are at the opening of the urethra
Genital Warts In Men
In men, genital warts are not as common as in women. They often appear on the tip of the penis but they can also appear around the anus, especially when the virus is transmitted during anal sex. Most types of warts will appear between one to three months after infection.
If you think you are infected you should get examined to avoid complications and to prevent that you transmit the infection to future partners. In about half of all cases, genital warts appear on the shaft of the penis, usually just below the foreskin.
In one out of three cases, the genital warts are around the anus
In one out of ten cases , the genital warts are on the head of the penis
In one out of ten cases, the genital warts are inside the urethra
In one out of twelve cases, the genital warts are under the foreskin
In about one out of thirty cases, the genital warts appear between the anus and scrotum
In one out of a hundred cases, the genital warts are on the scrotum
Different Types, Different Treatments

Some types of genital warts – usually the smaller ones – are easier to treat than others. Similarly, warts growing on moist skin tend to respond better to treatment than those located on dry skin. Most types of warts can be treated with creams such as Warticon and Aldara. However, should the warts be persistent you need to see a dermatologist and consider other treatment options such as surgically removing them, using cryosurgery (freezing off the warts with liquid nitrogen) or laser treatment.

Early Signs and Symptoms of Genital Warts

Most people who have an HPV infection will not develop any visible warts. If genital warts do appear, it can be several weeks, months or even years after you first came into contact with the virus.
The warts may appear as small, fleshy growths, bumps or skin changes anywhere on the genitals or around the anus. In some cases, the warts are so small they are difficult to notice.
A person can have a single wart or clusters of multiple warts that grow together to form a kind of "cauliflower" appearance.
Warts in women
The most common places for genital warts to develop in women are:
around the vulva (the opening of the vagina)
on the cervix (the neck of the womb)
inside the vagina
around or inside the anus
on the upper thighs
Warts in men
The most common places for genital warts to develop in men are:
anywhere on the penis
on the scrotum
inside the urethra (tube where urine comes out)
around or inside the anus
on the upper thighs
Genital warts come in various sizes and shapes. Common symptoms of genital warts include:
Small bumps (up to 2-3cm for) that are skin-coloured and often grow in clusters forming a sort of cauliflower shape
Some people only have one or two warts. When these growths are located directly in the genital area, they are usually soft-to-the-touch and can be either raised or flat.
Most of the time, genital warts appear in moist areas (e.g. in or around the vagina, anus or groin) and do not cause discomfort or pain. In rare cases, they can be itchy, hurt a bit or bleed - especially if you scratch them.
Uncomfortable Symptoms
In rare occasions, a person will have an itching or burning sensation when they urinate or when they engage in sexual intercourse. This could be a sign of advance stages of genital warts or it could the signs and symptoms of another sexually transmitted disease or problem. Other symptoms of genital warts may include discharge, bleeding and irritation.
Determine if you Have Genital Warts

If there are little or no symptoms of genital warts, it is hard to determine if they are present or not. A doctor can do a visual examination; however, if they are not fully visible, he can use a vinegar based solution on the suspected area and if they are present, they will present themselves with the vinegar solution. If the genital warts are not visible and do not show up with the vinegar solution, the doctor can do a swab test and have it analyzed for presence of the genital warts. Sometimes nothing shows up, but if you have been in contact with an infected person, the doctor may ask you to come back for an additional exam at a later date. Remember, no signs and symptoms does not mean you do not have the disease.

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Genital warts and HPV ,What do you do

Genital warts look like small fleshy bumps or growths around the genital or anal area in men and women. They may not appear until up to a year after being infected.
Although genital warts are painless and not a threat to health, they can be a cause for concern and can be passed to sex partners.
HPV vaccinations are offered to girls at secondary school to help protect again genital warts.

What is human papilloma virus (HPV)?
HPV is a family of over 100 viruses that affect different parts of the body. Some strains of HPV cause warts on the feet, hands, and other parts of the body, while other strains are sexually transmitted and cause warts that affect skin in the genital area -- the vulva, vagina, cervix, rectum, anus, penis, or scrotum -- and in the mouth and throat. There are more than 30 strains of HPV that affect the genital area as well as the mouth and throat, and depending on the type of HPV involved, symptoms can be in the form of wart-like growths or abnormal cell changes that can be precancerous. The strains that affect the genital area or which can be transmitted to the mouth and throat during oral sex are the strains of HPV that will be discussed on this page.
When can HPV lead to cancer?
HPV is an infection which many people will contract, but only a small minority will have a lasting infection leading to cancer. This is because, in most cases, HPV (both low and high risk types) is cleared by the immune system. In a study of female college students, more than 90% of women infected with high risk HPV had cleared the infection 24 months later. The average time of infection is 4 to 20 months. Progression to pre-cancer occurs when infection with a high risk type persists over time and when normal cells in infected skin turn abnormal.
Infection with high-risk HPV types is a necessary but generally not a single or sufficient cause of HPV related cancers. Other factors which may contribute to developing cancer include smoking, nutrtional status, health of the immune system (e.g., HIV infection), and oral contraceptive use. Oral contraceptive users have a slightly increased risk of cervical cancer. This may be associated with lack of condom use when on the pill and lifetime number of partners, rather than any direct effect. There is insufficient evidence of a link to recommend discontinuation of oral contraceptive use in women with high-risk HPV infection.
How do I know if I have genital warts?
Like many STIs, HPV does not always have visible symptoms. However, when symptoms do occur, warts may be seen around the genital area. In women, warts can develop on the outside and inside of the vagina, on the cervix (the opening to the uterus), or around the anus. In men, they may be seen on the tip of the penis, the shaft of the penis, on the scrotum, or around the anus. Warts also can develop in the mouth or throat of a person who has had oral sex with an infected person.
Because there is no way to predict whether the warts will grow or disappear, people who suspect that they have been infected should be examined and treated, if necessary.
How are genital warts treated?

Unfortunately, no treatment can kill the virus that causes the warts. Your doctor can remove the warts by freezing or applying chemicals. Some prescription treatments are available for at home use. Surgery or laser therapy may be necessary for warts that are large or difficult to treat. Still, recurrence remains a problem. You may need to return to your doctor for more treatment.

Prevention of Genital Warts

The best way to prevent genital warts is to avoid sex or have sex with only one uninfected partner. Using condoms also may help to prevent infection. However, condoms can't always cover all affected skin. Factors that increase your risk of becoming infected include:
Having other STDs (because the risk factors are the same)
Multiple sex partners
Smoking
Certain vitamin deficiencies
Medications or medical conditions that suppress the immune system, such as AIDS
If you have had genital warts, you should be tested for cervical cancer at least once every year. Cervical cancer can be prevented with regular screening (Pap smears), and can be cured in most cases when it is detected in early stages.
HPV vaccines can be helpful in preventing genital warts. There are currently two vaccines FDA approved and recommended by the Centers for Disease Control and Prevention (CDC). These are Gardasil and Cervarix. One of the vaccines, Gardasil, targets HPV types 6 and 11, the types of HPV that cause 90 percent of genital warts. Both Gardasil and Cervarix protect against the major cervical cancer-causing strains, 16 and 18. Cervarix and Gardasil are effective for girls 9 through 26 years old. Only Gardasil has been licensed for use in males.
Both vaccines are given as a set of three shots over six months. The vaccine will not cure existing infections.
The Centers for Disease Control and Prevention (CDC) recommends that all 11- and 12-year-old American girls get the shots, although girls as young as 9 could receive it if they're sexually active. For "catch-up," the CDC also recommends that girls and women ages 13 to 26 be vaccinated against HPV, regardless of their Pap test results.
The vaccine works best before an individual has been exposed to HPV. Early vaccination provides the greatest chance of preventing cervical cancer and genital warts. Older girls and young women were included in the CDC recommendations because even if they've had some exposure to HPV, it may not be to the strains contained in the vaccine, so they'll they may get some protection.

Gardasil is licensed for males ages 9 through 26 years, and the CDC recommends the shots for boys aged 11 or 12 years and for males 13 through 21 years if they have not previously had the shots. Gardasil is also recommended for bisexual or gay men and men with compromised immune systems through age 26 if they have not previously had the shots.

How to Prevent Genital Warts

The best way to prevent genital warts is to avoid sex or have sex with only one uninfected partner. Using condoms also may help to prevent infection. However, condoms can't always cover all affected skin. Factors that increase your risk of becoming infected include:

Having other STDs (because the risk factors are the same)
Multiple sex partners
Smoking
Certain vitamin
deficiencies
Medications or medical conditions that suppress the immune system, such as AIDS
If you have had genital warts, you should be tested for cervical cancer at least once every year. Cervical cancer can be prevented with regular screening (Pap smears), and can be cured in most cases when it is detected in early stages.
HPV vaccines can be helpful in preventing genital warts. There are currently two vaccines FDA approved and recommended by the Centers for Disease Control and Prevention (CDC). These are Gardasil andCervarix. One of the vaccines, Gardasil, targets HPV types 6 and 11, the types of HPV that cause 90 percent of genital warts. Both Gardasil and Cervarix protect against the major cervical cancer-causing strains, 16 and 18. Cervarix and Gardasil are effective for girls 9 through 26 years old. Only Gardasil has been licensed for use in males.
Both vaccines are given as a set of three shots over six months. The vaccine will not cure existing infections.
The Centers for Disease Control and Prevention (CDC) recommends that all 11- and 12-year-old American girls get the shots, although girls as young as 9 could receive it if they're sexually active. For "catch-up," the CDC also recommends that girls and women ages 13 to 26 be vaccinated against HPV, regardless of their Pap test results.

The vaccine works best before an individual has been exposed to HPV. Early vaccination provides the greatest chance of preventing cervical cancer and genital warts. Older girls and young women were included in the CDC recommendations because even if they've had some exposure to HPV, it may not be to the strains contained in the vaccine, so they'll they may get some protection.

Symptoms and Diagnosis of Genital warts

Genital warts are a sexually transmitted infection. Genital warts treatment can involve a range of methods. DrEd can provide a prescription for a topical cream, suitable for small warts.
Genital Warts are caused by a viral skin infection called the human papillomavirus (HPV). They are skin coloured bumps, fleshy growths or changes to the skin that appear on the genital area: on the penis, vagina or around the anus. They don’t normally hurt or cause any long term harm, but they can look unsightly and many people feel distressed by them. They are very common in England – they are the second most common sexually transmitted infection after Chlamydia.

Symptoms of Genital warts
Genital warts appear on moist surfaces, especially at the entrance of the vagina and rectum in women. In men and women, they can appear anywhere in the genital or anal area. They may be small, flat, flesh-colored bumps or tiny, cauliflower-like bumps. Individual warts usually measure 1 millimeter to 2 millimeters in diameter – much smaller than the diameter of a pencil eraser – but clusters can be quite large. In some cases, warts can be so small that you can't see them. Genital warts may not cause any symptoms, or they may cause itching, burning, tenderness or pain.
Diagnosing genital warts
Women - genital warts may exist on the vulva, cervix, upper thighs, inside the vagina, on the anus, and inside the anus. (vulva = lips around the opening of the vagina. Cervix = entrance to the uterus or womb)
Men - genital warts may exist on the penis, scrotum, urethra, upper thighs, on the anus, and inside the anus. (urethra = tube than urine passes through. scrotum = sac that holds the testicles)
Oral sex raises the risk of genital warts developing in the mouth or throat.
A patient needs to be examined by a health care professional - this could be a nurse - to confirm a diagnosis of genital warts. In the UK people can either go to their GP (general practitioner, primary care physician), a GUM (genitourinary medicine) clinic, or a sexual health clinic.
Even if a person's partner has no symptoms it is still possible to have genital warts. People should go for a checkup if:
The patient or partner has genital warts symptoms
The patient recently had unprotected sex with a new partner
The patient or partner have had unprotected sex with somebody else
The patient's partner tells him/her that he/she has an STD
The patient has an STD
The patient is pregnant
The patient is trying to get pregnant

A healthcare professional can usually diagnose genital warts if any are visible. The examination may involve looking inside the vagina or anus. On rare occasions a biopsy of the wart may be taken.