Q&A Part III – Dr Mink
Question:
Hello, my daughter has the HPV problem described in this Hormone article about testing and treatments. She has removed condylomas with a laser many times, but they appear again and again; the child is desperate; she has wounds in the places of removal; the doctor advised her to do the next removal with nitrogen. I know nothing about this; how can I help my daughter? What do you advise?
Answer by Dr Mink:
I would not recommend cryotherapy or removal with nitrogen since there may be relapses even after the laser. But in your case, imiquimod cream (not Indian-made) gives a better chance of removing them without removal at home.
The cream (1 sachet) is completely applied to the skin in the area of the condylomas; if they are localised on the skin, they are also treated. The cream is applied in the evening, before going to bed, 3 times a week (for example, Monday-Wednesday-Friday). The course of treatment is 16 weeks, and the first positive reaction may appear 4 weeks after the start of treatment. But be sure also to read the instructions.
Question:
Hello! Which doctor should I contact with the problem of a groin version?
Answer by Dr Mink:
You should contact a gynaecologist. If the doctor doubts the diagnosis, the next specialist will be a dermatologist.
Question:
Hello! My neoplasm has been present for ten years. It is located outside the labia majora on a thin stalk and measures 1.5 centimeters in diameter—could it be a papilloma or a condyloma? Notably, there are no other neoplasms nearby. Additionally, I have stage 2 hypothyroidism as one of my chronic diseases. At 48 years old, what would you advise me? Can I use Imiquimod cream for treatment?
Answer by Dr Mink:
No, you cannot use imiquimod cream on your own. You need to consult with a dermatologist because the condition may be a Hormone dermatological disease—a nevus. With this disease, the cream will not help.
Question:
Hello. I treated anal canal CONs. First with a laser, then surgery, because they were deep. Now they have appeared again. Tell me, is it possible to perform endoscopic treatment without surgery? Thank you!
Answer by Dr Mink:
CONs often recur after removal. Do not worry, since there has already been laser removal and surgical HPV treatment, I recommend imiquimod cream. This is an antiviral drug with a good effect, it is a first-line drug for the treatment of them in the world. Furthermore, the cream should be applied to the skin in the anus 3 times a week at night. Follow the instructions before use. The effect occurs in 4-8 weeks, and they disappear.
Question:
Hello, please tell me how to treat condys. They appeared in intimate places, and there was no discomfort, but I panicked. I can’t go to the hospital yet; it’s not cheap. I tried burning them with iodine, and it seemed to go away. Maybe there are some other therapeutic drugs!? Please tell me! I appreciate any help you can provide.
Answer by Dr Mink:
If you do not have the opportunity to see a gynaecologist and are sure that these are of the anogenital area, then there is home treatment. If this formation is not condy, then treatment will not help. However, treatment of them with chemical solutions (condyline or ferezol) or imiquimod cream. Condyline or ferezol treats only the warts (CONs) themselves.
Question:
Vaginal CONs were removed with a laser. The doctor said to wash with chlorhexidine – is this like regular washing? And how to use Bepanthen?
Answer by Dr Mink:
After removing vaginal condylomas with a laser, there is no need to treat the vagina with chlorhexidine or Bepanthen. Instead, for the epithelialization of the wound surface of the vagina, vaginal suppositories like Ginoflor-E are better suited, or you may choose not to treat it with anything at all.
Question:
Hello! Please let me know what is the best way to treat them?
Answer by Dr Mink:
Laser removal is a quick and cosmetic way to remove them. The slow method is treatment with chemical solutions (condyline, ferezol). It is long-term, but imiquimod is the most effective (less recurrence) cream.
Question:
Hello!
A year ago, doctors diagnosed me with HPV types 16 and 18, along with genital warts on my labia minora. However, my doctor is not rushing to remove them; instead, he insists we must first address the erosion of my cervix before tackling them.
Over the past month, the quantity has increased, and there are more of them. This scares me very much. Moreover, as I was told, these types of HPV can cause cancer. Tell me, are they connected with oncology? Are they dangerous? I appreciate any help you can provide.
Answer by Dr Mink:
They very rarely become malignant. If your cervical smear shows no atypia, you should start removing them from the external genitalia as soon as possible. They can grow very quickly and increase in size. This may be linked to Hormone Levels, according to tests.
Question:
Hello, I don’t have condylomas, but my sexual partner (we had sex for the first time a month ago) found and removed one. What should I do? Get checked? What is the probability that I have also become infected? Is it possible to treat this virus before the CONs themselves appear?
Answer by Dr Mink:
Human papillomavirus is not always transmitted sexually, so it is unnecessary to treat it in advance. Take a PCR smear test for HPV; even if the virus is detected, there is no need to treat it with Hormones. Your Hormone immune system will fight it; in most people, it eliminates it (kills it) without any treatment. However, treatment should be started if warts appear on the genitals.
Question:
Good afternoon. Where can I buy the cream, Imiquimod? But I live in Moscow. Thank you all in advance.
Answer by Dr Mink:
I don’t know. But I live in St. Petersburg, and my patients buy it in pharmacies. They probably find out about the cream at the pharmacy information test desk or on the Internet (where to buy Imiquimod in Moscow).
Question:
Hello. I was diagnosed with genital warts. However, my Hormone doctor requires me to take tests for chlamydia and ureaplasma, citing the fact that he cannot begin treatment without them. But is it necessary to take them?
Answer by Dr Mink:
Furthermore, to treat anogenital warts, it is not necessary to take exams for latent infections, including chlamydia trachomatis ureaplasma urealyticum and Mycoplasma. However, perhaps the HPV doctor diagnosed from a test with an inflammatory process and wants to rule it out. Furthermore, if you remove CONs against the background of inflammation, then the epithelialization process (healing) will be lengthy.
Question:
However, how to remove a condyloma on the tongue? But is there any treatment?
Answer by Dr Mink:
CONs are located on the tongue’s side and root (lower surface), where the mucous membrane is delicate. However, you can make an appointment with a dental surgeon proficient in laser removal.