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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Genital Warts

Hello,I have two small, grey, painless bumps near the opening of my anus. I went to the doctor and she was nondescript about what it exactly was. She vaguely mentioned genital warts and prescribed me a cream. After looking into this more online, I am not completely convinced that is in fact what is, especially since she didn t have test results back. What are other possibilities, and should I get another opinion? Thank you!
Mon, 6 Oct 2014
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Infectious Diseases Specialist 's  Response
Hello,
Welcome to HCM,

Your history and the clinical symptoms are suggestive of Anogenital Wart or Condyloma Acuminata. This is a type of sexual transmitted disease.

Wart which is painless and itching are the classical of Anogenital Wart or Condyloma Acuminata, which is caused by Human Papillomavirus (HPV).

Human Papillomavirus (HPV) infection can be transmitted to the partner as this is a sexually transmitted disease.

This should be diagnosed by physical examination and PAP smear of the scrapping of the wart and confirmed by Polymerase Chain Reaction (PCR).

The treatment for this condition includes

Cryotherapy- which should be done in the hospital.
or
Local application of 0.5% solution of podophyllin, which should be applied twice daily for 3 days and nothing should be applied for next 4 days (7 days cycle). This cycle should be continued for 4 weeks.
or
Local application of 5% Imiquimod cream for 3 times in a week for 16 weeks (4 months).
Thank you
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Suggest Treatment For Genital Warts

Hello, Welcome to HCM, Your history and the clinical symptoms are suggestive of Anogenital Wart or Condyloma Acuminata. This is a type of sexual transmitted disease. Wart which is painless and itching are the classical of Anogenital Wart or Condyloma Acuminata, which is caused by Human Papillomavirus (HPV). Human Papillomavirus (HPV) infection can be transmitted to the partner as this is a sexually transmitted disease. This should be diagnosed by physical examination and PAP smear of the scrapping of the wart and confirmed by Polymerase Chain Reaction (PCR). The treatment for this condition includes Cryotherapy- which should be done in the hospital. or Local application of 0.5% solution of podophyllin, which should be applied twice daily for 3 days and nothing should be applied for next 4 days (7 days cycle). This cycle should be continued for 4 weeks. or Local application of 5% Imiquimod cream for 3 times in a week for 16 weeks (4 months). Thank you