How to manage genital warts?
Patient's Query
Hello doctor,
I have been using Podofilox for four weeks (adhering to the treatment plan) and my single wart has decreased in size but it is still there. I am nervous that it will not go away. I have a genital wart on my shaft, it was never massive, but noticeable on look. I noticed it and was given Podofilox which has helped but has not made it go away. It is very flat now but it has been four weeks and that is the recommended treatment time for the wart. What can I do?
Kindly help.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
I understand your concern, please understand that proper treatment is very necessary for good results. Make sure that you have applied the Podofilox gel (antimitotics) correctly which is twice daily for three straight days and then the remaining four days of the week with no treatment, and continue this for four weeks.
If only the black spot or hyperpigmentation remains, it will fade on its own in a few days. However, if the wart remains, it is advised to meet the dermatologist for an alternative treatment, as more than four weeks of Podofilox gel is not advised.
The other alternative treatments include:
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Imiquimod cream (immune response modifiers).
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5-fluorouracil cream (topical antimetabolite).
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Cryotherapy.
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Laser-assisted therapy.
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Electrocauterization.
Kindly get examined by a dermatologist for the best option. Do not use any irritants on the area and keep the area dry. While applying Podofilox, you can apply Vaseline to the surrounding normal skin to protect it. Please do not panic as with treatment the wart is sure to go.
I hope this helps.
Thank you.
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