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Wart in the genitals needs to be cauterized - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Dear Doctor
I am 45 years old and developed a genital wart which was cauterized. Will I have any other STD? How do I check? What precautions must I take to prevent the spread of infection?
Doctor :   Hi
User :   Hi
User :   I would like to know if you are a doctor in India
Doctor :   Yes.
Doctor :   I am a general physician from India.
User :   Ok, thank you.
User :   are genital warts common in India, nobody talks about them and it is very frightening
Doctor :   May I know your age?
User :   I am 44
Doctor :   Did you involve in a recent unprotected sexual intercourse?
User :   yes
Doctor :   Ok
Doctor :   Have you been examined by a doctor?
User :   yes by a dermatologist
Doctor :   Ok
Doctor :   And may I know if you had undergone any tests?
User :   I had a Pap smear which was normal
User :   what other tests should I do?
Doctor :   Do you have any other symptoms apart from the warts?
Doctor :   Symptoms such as discharge, pain while passing urine, abdominal pain, fever?
User :   I had vaginal discharge. Actually I got the warts when I was on prednisone treatment for ITP.
Doctor :   Ok
User :   I was told vaginal infections are common when on steroids and was treated with antibiotics
Doctor :   Has this been confirmed as genital warts?
User :   The dermatologist said they are and cauterized them
Doctor :   Ok
Doctor :   Let me explain to you.
User :   ok
Doctor :   Genital warts are caused by a virus Human Papiloma virus which occur during unprotected sexual intercourse.
Doctor :   It is not due to the steroid therapy.
User :   I know that
User :   I want to know what future precautions I should take
Doctor :   since you do not report any other assoicated symptoms,
Doctor :   Since I am unable to physically examine you, I cannot predict if you have any other signs of STDS, however
Doctor :   it is unlikely that you have another STD.
Doctor :   But you can still check for them.
User :   how can I check?
Doctor :   The following test are performed to rule them out.
User :   ok
Doctor :   1. HIV - By doing blood test - ELISA test
Doctor :   2. Hepatitis - by doing blood test, HBsAg test.
User :   do HIV and HEp B have any symptoms?
Doctor :   3. Herpes - herpes simplex virus 2 serology test - blood HSV 2 IgM/IgG antibody test
Doctor :   4. If you are experiencing persisting discharge - a swab test on the discharge for bacterial/fungal infection
Doctor :   These are the few common test that can be performed
Doctor :   Apart from these few other tests that are part of STD work up are
User :   ok, I am scared to do the tests
Doctor :   1. Syphillis - VDRL test
User :   wont I have other symptoms if I have HIV or hepatitis or syphilis?
Doctor :   As I mentioned earlier, since you do not report of symptoms, it is unlikely that you have these infections.
Doctor :   The chances that you may have them are less than 10%.
User :   what are the symptoms of HIV and hepatitis?
Doctor :   or even lesser.
User :   ok, thank you
Doctor :   Symptoms of HIV/hepatitis depend on the post exposure duration.
User :   after 6 months?
Doctor :   The initial symptoms of HIV/Hepatits (as they are both viruses) are similar to any viral infection
User :   I had a viral fever for one week in August after which I developed the ITP and then the warts
Doctor :   To name a few, on and off fever, body aches, generalised weakness, lymph node swellings, reduce appetite and so on.
User :   I do not have any of the above symptoms now
Doctor :   These symptoms are often recurrent, except for the lymphnode swellings which can remain persistent.
Doctor :   These are the few initial symptoms that you get.
User :   I was checked for lymph nodes when I was hospitalized for ITP
Doctor :   This is usually followed by a period of time, when you don't have any symptoms at all.
User :   are there any places where I can get HIV and hepatitis testing done without revealing my name?
Doctor :   May I know your location?
User :   Mangalore
Doctor :   You can report to any of the STD clinics.
Doctor :   Give me a minute while I look for specific locations at Mangalore.
User :   ok
Doctor :   STD clinics are maintained by dermatologist and venerologist.
Doctor :   you can consult one of them near your location.
Doctor :   Alternatively a gynecologist who after a physical examination of the genital region
Doctor :   will also be able to guide you through all these tests.
Doctor :   The reports and findings are kept confidential
Doctor :   amongst you and your examining doctor.
User :   My gynecologist and dermatologist are telling me not to worry, they have not recomended any tests
Doctor :   Without your consent the reports and findings will not be disclosed to others.
Doctor :   I concur with your doctors. Since you do not have any of the associated symptoms
Doctor :   it is very unlikely that you have any of the STD's (except for the warts)
User :   ok, will I get warts again if I have sexual intercourse?
Doctor :   you should not be worrying much on these.
User :   ok, thank you
User :   are warts common in India?
Doctor :   HPV infections remain in the body even after removal of the warts.
Doctor :   However, presence of warts increases the chances of transmissions.
User :   how common are warts in India?
Doctor :   If you involve in protected sexual intercourse,
Doctor :   there should not be any problem.
User :   ok
Doctor :   HPV infections are definitely commoner.
Doctor :   however no specific reports are available on the number of patients who have genital warts
Doctor :   as these issues are kept confidential
User :   ok, thank you
Doctor :   Do you have any other query?
User :   no thank you
User :   can I get you again if I want to?
Doctor :   Thanks for consulting me.
Doctor :   Yes, you can contact us again, whenever you want to.
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