In other cases, they eventually may
develop a fleshy, small raised growth.
There is no way to predict whether the
warts will grow or disappear.
Therefore, if you suspect you have
genital warts, you should be examined
and treated, if necessary.
Depending on factors such as the size
and location of the genital warts, a
doctor will offer you one of several
ways to treat them.
- Imiquimod, (Aldara) a topical
immune response cream which you can
apply to the affected area
- A 20% podophyllin anti-mitotic
solution, which you can apply to
the affected area and later wash
off
- A 0.5% podofilox solution,
applied to the affected area but
shouldn’t be
washed off
- A 5% 5-fluorouracil (5-FU)
cream
- Trichloroacetic acid (TCA)
- Pulsed dye laser
- Liquid nitrogen
cryosurgery
If you are pregnant, you should
not use podophyllin or podofilox
because they are absorbed by the skin
and may cause birth defects in your
baby. In addition, you should not use
5-fluorouracil cream if you are trying
to become pregnant or if there is a
possibility that you could be
pregnant.
If you have small warts, the doctor can
remove them by freezing (cryosurgery),
burning (electrocautery), or laser
treatment. Occasionally, the doctor
will have to use surgery to remove
large warts that have not responded to
other treatment.
Some doctors use the antiviral drug
interferon-alpha, which they inject
directly into the warts, to treat warts
that have returned after removal by
traditional means. The drug is
expensive, however, and does not reduce
the rate that the genital warts
return.
Although treatments can get rid of the
warts, they do not get rid of the HPV
virus, so warts can recur after
treatment.
The body's immune system typically
clears the virus anywhere from 6 months
to two years, but it occasionally
remains in the body for a lifetime. The
state of the immune system determines
the chances of ridding the virus
entirely, and can be affected by
factors such as HIV infection, certain
medications, stress, or illness. There
is even some suggestion that effective
treatment of the wart may aid the
body's immune response.