Q&A VII – Dr Mink
Good evening! I use Aldara cream to remove HPV condylomas, and then I had a question – is this test enough? Should I take some vitamins and hormones or apply some other product simultaneously? What do you recommend?
Answer by Dr Mink:
Treatment with Aldara cream is the right choice of therapy. Additional medication (for example, vitamins) is not required. If treatment with the cream does not cause any local reactions on the skin, then there is no need to take a break from Hormone treatment or treat the skin with other ointments or sprays.
Question:
Three weeks ago, I was at the skin and venereal diseases department. The doctor removed my pointed condylomas (vaginal) with liquid nitrogen. Ten days ago I was at the doctor’s office again – the doctor cauterised it again. Now there is a strong burning sensation in the vagina (in the places of the condylomas), like a burn. And I see that the CONs are still there. And the vagina hurts. What can I do now? The doctor went on vacation. Thank you!
Answer by Dr Mink:
Cryotherapy, in which your HPV doctor performs testing on you, is one of the methods of treating CONs. The main disadvantage of all existing treatment methods is that none of them guarantees the complete elimination of genital warts. After cryotherapy, the effect of treatment does not occur immediately but after some time. So, at present, I don’t do any repeated operations, but it is necessary to wait for the wound surface to heal. For pain relief, rectal suppositories (in the rectum) with indomethacin at night. If condylomas remain after the vaginal mucosa has epithelialized, you must use another method to treat them.
Question:
Good afternoon! Tell me how to treat genital warts. How many exams should be taken (or is it determined only visually)? Should I Hormone treat my partner if he has no visible manifestations?
Answer by Dr Mink:
The presence of genital warts in the anogenital area that have appeared for the first time is an indication for home therapy. This treatment is done in consultation with your attending physician and under his supervision. The first-line therapy at home is the use of imiquimod cream (not Indian production), which leads to the disappearance of genital warts in most patients. Determining the type of HPV in tests before starting treatment is unnecessary and does not provide additional clinical information unless the doctor doubts that these formations are CONs. Treatment of the sexual partner is not required if he does not have warts on the penis.
Question:
A year ago, my husband had a CON removed in the groin area using cryo destruction. After that, he underwent a course of immunotherapy, and a month ago, he noticed a new condyloma, but in a different place. What should I do? Is it impossible to remove this infection completely? What could have influenced the appearance of a new growth?
Answer by Dr Mink:
The disadvantage of any treatment method is that none of them guarantees the appearance of new CONs. Relapses occur at the treatment site or in new places, and removal treatment must be repeated. The level of relapse depends on a particular person’s immunity, and taking immune drugs is unproven in fighting the virus.
Question: During pregnancy, 2 CONs appeared in the perianal area; one is too “long” and constantly touching. I also noticed how many are in the décolleté area and near the neck. Now, 4 months have passed since giving birth; I would like to get rid of them completely. I took metronidazole for 10 days and also took polygynax. No changes. What should I do?
Answer by Dr Mink:
A gynaecologist conducts a consultation on the treatment for skin lesions in the neck and décolleté area a dermatologist. Treatment may vary. The main approaches are surgical removal – laser, electrosurgical, including radio waves, and scalpel; this is a quick way to get rid of it. The second approach is the chemical treatment of warts. The third approach, long-term, is imiquimod cream (not Indian-made). It is used at home, and the least relapses occur after this treatment.
Question:
Hello! Tell me, is the treatment of warts in intimate places so fundamentally different from the treatment of warts on the hands or feet? Do you think one fix can be used? And if so, which one is better to use?
Answer by Dr Mink:
HPV Doctors from various test specialities perform surgery, such as laser treatment, to remove warts in the anogenital area and other locations. There are nuances in the use of local drugs (for example, imiquimod cream) in treating CONs of different localisations. So, a consultation with a specialist is necessary, okay?
Question:
Hello! I am pregnant, and naturally, my breasts are constantly increasing and changing shape and appearance. Recently, I noticed a growth resembling a condyloma on my nipple. One of the tiny “balls” at the top, which has always been slightly cracked, has increased in size and started to protrude like a drop. Could this be a CON on the chest? Or are such changes normal during pregnancy?
Answer by Dr Mink:
This question can only be answered with an HPV examination test. During pregnancy, changes in the skin structure occur in the areola area, which may be a normal variant. A doctor’s consultation at an appointment at the antenatal clinic is enough.
Question:
Good afternoon! If I have HPV warts on my hands, can I find out what Variant I have, and can I transfer them to intimate places? More precisely, infect myself? Or my partner, if I touch the organ with my hand?
Answer by Dr Mink:
Warts on the hands are also viral formations. The spread of these warts can indeed occur through contact. Infection occurs if this contact occurs between the wart and the injured (damaged) skin or mucous membrane area. This damage may not be noticeable to the eye. Therefore, it is better to get rid of warts not only from an aesthetic point of view but also from a medical point of view.
Question:
I have three CONs on the inner sides of my legs near the groin area. Although they don’t cause any physical discomfort, I perceive them psychologically as a time bomb. Yesterday, I read that condylomas can degenerate into malignant formations in 1 out of 100 patients. Should I seek treatment for them?
Answer by Dr Mink:
Formations on the inner thigh surfaces are not a typical localisation. Therefore, consult a Hormone dermatologist about these tests and formations. True single CONs practically do not become malignant.