Genital warts - #9785

Patient Name: Ankit Age/Sex: 20 / Male Date: 12-04-2025 Chief Complaint: Genital warts, non-irritating, negative HIV test, seeking treatment for genital warts. Assessment and Provisional Diagnosis: Genital Warts (Condyloma Acuminata): Likely caused by the Human Papillomavirus (HPV), a common sexually transmitted infection. Given that the warts are non-irritating and localized to the foreskin of the penis, treatment options include both topical treatments and professional procedures to remove them. Treatment Plan and Recommendations: 1. Topical Medications: Imiquimod Cream (Aldara): A topical immune response modifier that can help the body fight the virus causing the warts. Apply a thin layer to the affected area at night, 3 times a week for several weeks, until the warts are gone. Podofilox Solution (Condylox): A topical treatment that destroys the wart tissue. Apply directly to the warts twice daily for 3 days, followed by 4 days off. This cycle can be repeated up to 4 weeks, as recommended by your doctor. Sinecatechins (Veregen): A green tea extract ointment, used to treat external genital warts. It helps boost immune function and reduce warts. Apply as directed by your healthcare provider. 2. In-Office Procedures (If Topicals Are Ineffective or Warts Are Severe): Cryotherapy (Liquid Nitrogen): Freezing the warts to destroy the tissue. This procedure is done in a medical office and may require multiple sessions. Electrocautery: Using an electric current to burn off the warts. This is also done in a medical office setting. Laser Therapy: In cases of large or difficult-to-treat warts, a laser can be used to remove them. Surgical Removal: If warts are large or extensive, a surgical procedure might be necessary to excise the wart tissue. 3. Preventive Measures: HPV Vaccine: The HPV vaccine (e.g., Gardasil or Gardasil 9) is recommended for individuals under 26 years of age and can help prevent future HPV infections, including those that cause genital warts. It’s important to get vaccinated, even after contracting genital warts, as it can prevent reinfection with other types of HPV. Safe Sexual Practices: To avoid spreading HPV, consider using condoms or dental dams during sexual activity, as they can reduce the risk of transmission, though they do not provide complete protection. 4. Follow-Up: Regular Monitoring: Follow up with your healthcare provider to monitor the progress of treatment, especially if you are using topical medications. If the warts do not resolve or if they increase in number, a different treatment option or procedure may be necessary. Partners’ Screening: It is also important to inform your sexual partners, as they may also need to be checked and treated for genital warts if they are symptomatic. Medications to Avoid: Avoid self-treating with non-prescribed over-the-counter wart treatments, as they may irritate or damage sensitive genital tissue. Avoid irritating substances such as harsh soaps or alcohol-based products on the genital area to prevent further irritation. Did you had sex recently?