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Suggest Treatment For A Genital Wart
Question: I had a sexual encounter with someone about six months ago. And now I think I have a genital wart and I need some help. I will send recent pics just tell me where. Please help I don't know what to do? I'm married. I think my wife has an unusual discharge. The wart is at base of penis, but I think I had this what I thought was a mole before encounter. I need help. I need someone to look at a pic of penis head too.... Going to urologist on January 7.... I'm desperate
Brief Answer:
You can attach image in reports section.
Detailed Answer:
Hi,
You have stated that after a sexually exposure 6 months ago, you now have got a genital wart, in your penis. Secondly, your wife also has got unusual discharge.
Now, there are two things you want to know.
1. How to attach an image of the lesion?
2. What to do till you get examined by your urologist?
So, I will answer one by one.
1. You can attach image using the site's uploader. You will find upload report/picture option on this page. You can utilize that. Alternatively you can mail the picture to YYYY@YYYY with subject as "Attn: Dr. Kaushik Sarkar".
Having a look on the lesion may help to come to a diagnosis.
2. Now, the second important issue is, both you and your wife and if possible your partner should be treated. Untill then you all should avoid intercourse with any person. You should also avoid masturbation in case you have a wart. Good local hygiene should be maintained.
You and your partner will need some tests such as
Complete blood count, urea, creatinine
Urine routine examination and culture and sensitivity testing
Urethral discharge smear microscopic examination
ME of vaginal discharge smear for your wife
HIV testing after proper counselling for both of you
VDRL
You also need to visit nearest STI clinic. Your wife should also be examined by a local gynaecologist.
Specific treatment may be started once a diagnosis is established.
Now you can attach the image and send it to me for further help.
Regards
Dr Kaushik Sarkar
You can attach image in reports section.
Detailed Answer:
Hi,
You have stated that after a sexually exposure 6 months ago, you now have got a genital wart, in your penis. Secondly, your wife also has got unusual discharge.
Now, there are two things you want to know.
1. How to attach an image of the lesion?
2. What to do till you get examined by your urologist?
So, I will answer one by one.
1. You can attach image using the site's uploader. You will find upload report/picture option on this page. You can utilize that. Alternatively you can mail the picture to YYYY@YYYY with subject as "Attn: Dr. Kaushik Sarkar".
Having a look on the lesion may help to come to a diagnosis.
2. Now, the second important issue is, both you and your wife and if possible your partner should be treated. Untill then you all should avoid intercourse with any person. You should also avoid masturbation in case you have a wart. Good local hygiene should be maintained.
You and your partner will need some tests such as
Complete blood count, urea, creatinine
Urine routine examination and culture and sensitivity testing
Urethral discharge smear microscopic examination
ME of vaginal discharge smear for your wife
HIV testing after proper counselling for both of you
VDRL
You also need to visit nearest STI clinic. Your wife should also be examined by a local gynaecologist.
Specific treatment may be started once a diagnosis is established.
Now you can attach the image and send it to me for further help.
Regards
Dr Kaushik Sarkar
Above answer was peer-reviewed by :
Dr. Prasad
At 13 weeks after encounter... I was tested at local sti clinic for gonorhea clhamydia hepc Hepb syphillus and hiv and were negative and had numerous urinalysiis done and they didn't find anything.
I know girl I had encounter with had a normal Pap tests six weeks after.
I know girl I had encounter with had a normal Pap tests six weeks after.
Brief Answer:
Treatment for HPV genital wart is needed.
Detailed Answer:
Hi, I have read your follow up reply and I also received the images and observed them closely, sent by you to the Customer care of HCM. Thank you very much for sending me the same .
As I can see here, all the blood tests were negative at 13 weeks post-exposure and also Pap smear of your partner was also normal.
But, I have observed the image and it seemed to me to be a genital wart caused by HPV. The incubation period of HPV is typically 2-3 moths. It may take upto 20 months even for appearance of wart after an exposure and it is not mandatory for a Pap smear of the partner to be positive to diagnose you with HPV. Now this should be distinguished from a melanoma, which has similar warty fleshy appearance, but can be distinguished by a dermatologist by simple observation only. If diagnosis is uncertain or disease remains active even after treatment or aggravates, biopsy can be done to confirm diagnosis.
There is currently no treatment to eradicate the virus. It is only possible to ameliorate the symptoms and give you some wart free period. There are several treatment options available-
1. Podofilox 0.5% solution or gel
OR
2. Imiquimod 5% cream
OR
3. Sinecatechins 15% ointment
Cryotherapy, TCA, Podophyllin resin and surgical removal are other treatment options.
You should immediately consult your local dermatologist to confirm the diagnosis and start treatment.
Some general advices are also to be followed-
limit your number of sexual partners;
use a condom during intercourse;
carefully wash genitals after sexual relations;
If you find this answer helpful, please close the thread and rate my answer. You can get back to me after consulting your dermatologist.
Regards,
Dr. Kaushik Sarkar
Treatment for HPV genital wart is needed.
Detailed Answer:
Hi, I have read your follow up reply and I also received the images and observed them closely, sent by you to the Customer care of HCM. Thank you very much for sending me the same .
As I can see here, all the blood tests were negative at 13 weeks post-exposure and also Pap smear of your partner was also normal.
But, I have observed the image and it seemed to me to be a genital wart caused by HPV. The incubation period of HPV is typically 2-3 moths. It may take upto 20 months even for appearance of wart after an exposure and it is not mandatory for a Pap smear of the partner to be positive to diagnose you with HPV. Now this should be distinguished from a melanoma, which has similar warty fleshy appearance, but can be distinguished by a dermatologist by simple observation only. If diagnosis is uncertain or disease remains active even after treatment or aggravates, biopsy can be done to confirm diagnosis.
There is currently no treatment to eradicate the virus. It is only possible to ameliorate the symptoms and give you some wart free period. There are several treatment options available-
1. Podofilox 0.5% solution or gel
OR
2. Imiquimod 5% cream
OR
3. Sinecatechins 15% ointment
Cryotherapy, TCA, Podophyllin resin and surgical removal are other treatment options.
You should immediately consult your local dermatologist to confirm the diagnosis and start treatment.
Some general advices are also to be followed-
limit your number of sexual partners;
use a condom during intercourse;
carefully wash genitals after sexual relations;
If you find this answer helpful, please close the thread and rate my answer. You can get back to me after consulting your dermatologist.
Regards,
Dr. Kaushik Sarkar
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Can a dermatologist remove it
Brief Answer:
Yes, a dermatologist can remove a wart.
Detailed Answer:
Hi, thanks for the query again.
The answer of your question is yes. If it is a wart, a dermatologist can remove it.
However, you need to visit a dermatologist for 2 reasons-
1. To confirm the diagnosis of wart. It is impossible to confirm the diagnosis by a looking at a photo only.
2. If it is a wart, your dermatologist will offer you treatment choices-
i. Self applied
ii. Provider applied
Self applied treatment includes the cream, lotion etc. I mentioned above.
Provider applied treatment includes cryotherapy, surgical removal etc and your dermatologist would provide the treatment.
Whatever the threatment modality is, wart can be removed, but the offending virus cannot be eradicated. So, chances of relapse are always present.
If you are satisfied with the answer, please close the thread and rate my answer.
Regards,
Dr. Kaushik Sarkar
Yes, a dermatologist can remove a wart.
Detailed Answer:
Hi, thanks for the query again.
The answer of your question is yes. If it is a wart, a dermatologist can remove it.
However, you need to visit a dermatologist for 2 reasons-
1. To confirm the diagnosis of wart. It is impossible to confirm the diagnosis by a looking at a photo only.
2. If it is a wart, your dermatologist will offer you treatment choices-
i. Self applied
ii. Provider applied
Self applied treatment includes the cream, lotion etc. I mentioned above.
Provider applied treatment includes cryotherapy, surgical removal etc and your dermatologist would provide the treatment.
Whatever the threatment modality is, wart can be removed, but the offending virus cannot be eradicated. So, chances of relapse are always present.
If you are satisfied with the answer, please close the thread and rate my answer.
Regards,
Dr. Kaushik Sarkar
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
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