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Treatments for
HPV and Genital Warts
Below are
some treatments available to order online or through doctors visit.
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Remedies |
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FDA
Approved
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Imiquimod
cream (ALDARA) is a patient-applied treatment for external
genital and perianal warts. It is safe, effective, easy to use,
and offers an alternative to tissue-destructive therapies. Click
here to buy Aldara with free prescription consultation through
our partner.
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Visit |
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Podophyllin
resin - Podophyllin is a chemical compound that must also be
applied by a health care provider. |
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Trichloroacetic
acid (TCA) is another chemical applied to the surface of the
wart by a health care provider. |
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Cryotherapy
- Cryotherapy freezes the wart(s) off with liquid nitrogen.
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CO2
laser therapy - Laser therapy has the advantage of getting rid
of warts in a single office visit. However, treatment can be
expensive and the health care provider must be well-trained
in these methods. |
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Electrocautery
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Surgical
ablation |
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Local
excision |
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Injectable
interferons |
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Patient
preferences and characteristics
- Tolerance
of pain (pay close attention to avoiding and controlling
any pain associated with treatment)
- Preference
for self-treatment vs. treatment by health care provider
- Duration
of treatment and/or number of visits
- Cost
of treatment
- Cognitive
ability
- Ability
to accurately identify and physically reach external genital
warts
- Circumcision
status
- Immunologic
status
- Age
- Pregnancy
status
- Individual
sensitivities (eg, fair-skinned women with blonde or red
hair and blue eyes may develop a hypersensitivity reaction
to TCA, and podofilox)
- Provider
preferences and characteristics
- Clinical
training and experience
- Fiscal
and physical resources
- Scheduling
limitations
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Wart
characteristics
- Size
and number of warts
- Anatomic
location and epithelial presentation (fully vs. partially
keratinized skin)
- In
general, provider-administered topical treatments are not
ideal for large area of warts, although they may have a
debulking effect
- Warts
on moist (partially keratinized) surfaces and interiginous
areas appear to respond better to topical treatments than
do warts on dry (fully keratinized) surfaces and open areas
- Avoid
aggressive ablative or surgical therapy over the clitoris,
glans penis, urinary meatus, prepuce, and preputial cavity
in uncircumcised men
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