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Diagnosed With Genital Warts. Can I Get A Second Opinion?

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Posted on Mon, 2 Sep 2013
Question: Hi There I have been diagnosed with genital warts. Can I get a second opinion?
doctor
Answered by Dr. Michelle Gibson James (24 minutes later)
Brief Answer:
They do appear like warts

Detailed Answer:
Hi, thanks for using healthcare magic

Unfortunately they do appear like genital warts especially in the third image.
It is understandable that this diagnosis would be difficult.

In most cases biopsy is not necessary to confirm the diagnosis. It is only recommended if the lesions do not respond to treatment or there are concerns regarding any possibility of cancer (this is rare).

Treatment can be applied by yourself or there is treatment that can be applied by your doctor.
The topical options that you can apply yourself are imiquimod and podofilox.

The podofilox is applied twice daily for 3 days, this is followed by 4 days of no medication. This is repeated 2 to 4 times.
Imiquinod is applied at night 3 times a week up to 16 weeks.

The ones applied by a doctor are podophyllin, BCA and TCA.

I hope this helps,feel free to ask any additional questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (6 minutes later)
Hi,

Thanks for that. Not the outcome I was looking for but sure that is life. Was thinking it could be molluscum contagium or something. I was confused as they don't look like pictures of warts from the internet. Also they are not very rough or anything, they have also responded brilliantly to one cryo session I got. I also have been getting quite heavy white discharge. This would not be related would it?

doctor
Answered by Dr. Michelle Gibson James (30 minutes later)
Brief Answer:
they can have different appearance or colour

Detailed Answer:
HI

Genital warts are usually cauliflower shaped but they can also be dome shaped, flat or pedunculated.
They can occur singly, in clusters or plaques
In addition they can be flesh colored,red or white. It depends on how the virus interacts with the skin.

A vaginal discharge can be seen after cryo treatment. It can be gray,white or clear.It is caused by sloughing of cells from the cervix.
It can occur for 2 to 4 weeks after the procedure.

Please feel free to ask anything else
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (13 minutes later)
But I didn't have cryo in the cervix it was just internally? Sorry externally I meant
doctor
Answered by Dr. Michelle Gibson James (11 minutes later)
Brief Answer:
can occur due to treatment in other areas

Detailed Answer:
Hi

I apologize for using cervical or referring specifically to the cervix.

The sloughing of cells would occur in any area where the cryo was done.

YOu can ask any other questions if any thing else remains unclear
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Diagnosed With Genital Warts. Can I Get A Second Opinion?

Brief Answer:
They do appear like warts

Detailed Answer:
Hi, thanks for using healthcare magic

Unfortunately they do appear like genital warts especially in the third image.
It is understandable that this diagnosis would be difficult.

In most cases biopsy is not necessary to confirm the diagnosis. It is only recommended if the lesions do not respond to treatment or there are concerns regarding any possibility of cancer (this is rare).

Treatment can be applied by yourself or there is treatment that can be applied by your doctor.
The topical options that you can apply yourself are imiquimod and podofilox.

The podofilox is applied twice daily for 3 days, this is followed by 4 days of no medication. This is repeated 2 to 4 times.
Imiquinod is applied at night 3 times a week up to 16 weeks.

The ones applied by a doctor are podophyllin, BCA and TCA.

I hope this helps,feel free to ask any additional questions