I am 38, female with an anal wart post-sex. How to treat it?

Hello,

Welcome to icliniq.com.

I have gone through your queries and understand your concern.

The possible provisional causes include:

1. Anal skin tag or thrombosed external hemorrhoid (piles). A small swelling or lump near the anal opening that may cause discomfort or pain.

2. Anal wart (condyloma acuminatum) is a wart-like growth caused by Human papillomavirus (HPV) infection.

3. Post-traumatic swelling or an inflammatory nodule caused by friction or irritation after anal intercourse.

I advise you to go for immediate management, which includes:

• Avoid further anal intercourse until the area is examined and completely healed.

• Maintain hygiene. Wash gently with warm water after bowel movements and pat dry. Avoid harsh soaps or creams.

• Avoid constipation. Take a high-fiber diet, drink plenty of fluids, and use a stool softener if needed. Syrup Duphalac (Lactulose), one teaspoon three times a day for two weeks, is advised.

• Do not apply any over-the-counter creams or attempt to cut or remove the lesion yourself.

• Use condoms during future sexual activity to prevent possible HPV or sexually transmitted infection (STI) transmission.

• Go to a general surgeon or proctologist to rule out piles or fissures.

I will advise you to go for the following investigations:

• Physical and digital rectal examination to assess the lesion.

• Screening for other STIs (Human immunodeficiency virus [HIV], Syphilis, Hepatitis B or C).

With proper evaluation and management, most anal lesions heal well. Early diagnosis and maintaining hygiene are key to recovery.

I hope this helps you.

Thank you.