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External genital warts (EGW), also called condyloma acuminata, are fleshy lesions located in the genital area that are caused by HPV. The exact impact of treatment on reducing infectivity is unknown.3 Therefore, the primary goal of EGW treatment is removal of lesions for cosmetic reasons.
To avoid systemic absorption, do not use more than 0.5 mL of podophyllin and treat no more than 10 cm2 in a single session.
For use in a seven-day treatment cycle: application twice a day for three days, then no treatment for four days, then repeat cycle. No more than 0.5 mL of podofilox should be used per day and no more than 10 cm2 ofaffected area should be treated. Evidence does not suggest that any one EGW treatment is superior to the others.5 Therefore, treatment choice should be based on size, number, and location of lesions and tailored to the needs and preference of the particular patient. Successful removal of warts usually requires a series of treatments rather than a single treatment. Lesions located on dry surfaces respond less readily to topical treatments than warts on moist surfaces or intertriginous areas. Podophyllin resin, imiquimod, and podofilox should NOT be used for treatment of EGW in pregnant women, because their safety during pregnancy has not been established. Intra-anal and intravaginal warts should not be treated with podophyllin resin; instead, warts in these locations can be treated with TCA, or surgical therapy if needed. Based on the algorithm, a first-time EGW patient with lesions in a single location would be treated with TCA or cryotherapy. All site content, except where otherwise noted, is licensed under a Creative Commons Attribution-Non Commercial-NoDerivs License. Looking for medically accurate, up-to-date, evidence-based educational programming for health care providers and materials for patients on all reproductive health topics, including abortion, contraception, HPV, menopause, menstruation, pregnancy, sexuality?
The vaccine that prevents 70 percent of cervical cancers got the thumbs up under the health overhaul law as one of the preventive benefits that must be provided free to girls and young women between the ages 9 and 26. Boys and young men, however, don't get the same free coverage under the law, even though the human papillomavirus (HPV) vaccine is also approved for the prevention of genital warts in males.

Merck, which manufactures one of the two FDA-approved HPV vaccines, is conducting research to see if the vaccine prevents genital cancers in men, says Saslow.
The human papillomavirus, which is transmitted through sexual contact, is extremely common, accounting for an estimated 500,000 cases of genital warts every year. The health law requires that immunizations that are recommended by the Advisory Committee on Immunization Practices be provided without charge to patients in new health plans starting this fall. While the HPV vaccine is recommended for all girls and young women between 9 and 26, the committee made a "permissive" recommendation for boys and men in the same age range, says Lance Rodewald, director of the immunization services division for the Centers for Disease Control and Prevention.
Our additive free trichloroacetic acid solutions are ideal for use by skin care professionals, dermatologists, physicians, and experienced home consumers.
Diluted TCA solutions are broadly used as a chemical peeling agent that when applied to the skin can help reduce acne scars, rejuvinate skin, obliterate age spots, smooth wrinkles, lift unwanted freckles, smooth stretch marks, drastically reduce scarring, and remove xanthelasma. Concentrated TCA solutions (50%-80%) are a very effective method of removing skin tags, moles, and warts. This is a chemical solution and an acid which is corrosive to the skin and should only be applied to the skin at a controlled concentration and at the hands of one experienced in the proper usage and aftercare required to insure healthy and beneficial results. Please consult a qualified dermatologist, oncologist, or physician prior to removing any questionable skin growths using a TCA solution. It's important to understand trichloroacetic acid will cause a chemical burn when applied to the skin. The most commonly accepted concentrations for use as a chemical peel are between 10% and 30%.
ALWAYS PERFORM A TEST APPLICATION ON SKIN PRIOR TO CONTINUING USE TO BE CERTAIN NO ADVERSE REACTIONS ARE OBSERVED. If genital warts are small, they may resolve on their own with time.  However, if they are large or there are multiple lesions, treatment may be needed. EGW are usually associated with low-risk HPV types—that is, those that have not been linked to anogenital cancers.1,2 Thus, the main consequence of EGW is aesthetic. The lesions, which have a pedunculated, flat, or papular appearance, are located on the external genitalia of both women and men, on the cervix, or in the vagina, urethra, or anus.

Recurrences are common, and most patients require a series of treatments rather than a single treatment. In addition, clinicians should use the least invasive and least costly approach possible to address a particular patient’s needs. They found that 47 percent of clinic resources were spent on the 26 percent of patients who required four or more clinic visits before clearance of EGW. In the meantime, though, the vaccine has already been shown to prevent cervical, vaginal and vulvar cancers in women.
Basically, that means it's OK to vaccinate males for genital warts, but it's not essential. Nick's Natural Treatment for Cervical DysplasiaPainting a Target on HPV is an evidence-based, detailed exploration of everything that is known about the human papillomavirus--the virus that causes cervical cancer. There are more than 100 genes of HPV and there are more than 40 genes that contract via sexual organ.
If lesions do not clear within three visits, patients would be provided with imiquimod for treatment at home, along with educational materials for proper use. Besides that some gene of HPV can cause cancer especially Cervical carcinoma and some genes can cause Condyloma . Patients who have recurrent EGW lesions and first-time EGW patients with lesions in multiple locations would be provided with imiquimod for treatment at home, along with educational materials for proper use.
Nicholas LeRoy imparts twenty years of experience in treating and researching HPV and cervical dysplasia. Many people contract HPV in some period of life time without sings and symptom and they also can spread to others.
Although it is not included in the algorithm, ablative therapy with a laser could be considered if lesions persist despite treatment.

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