How long does it take to treat genital warts?

by Rachel on June 9, 2011

I have an appointment for the wellwoman clinic on friday to be officially diagnosed with what i know is genital warts, has anyone been through treatment? How was it? I assume they will use chryotherapy, how long does it take to get rid of them and have healed skin again? How bad is the treatment – how painful on the inner genital tissue? Can they just cut off some on the outer skin around the thighs? Please give your experience and the time ot took to heal.

{ 3 comments… read them below or add one }

blackbear June 9, 2011 at 5:32 am

how long you got?

Mj June 9, 2011 at 6:22 am

Cytodestructive therapies

Podophyllotoxin (podofilox) and podophyllin — We suggest podophyllotoxin (podofilox) for initial therapy of external genital warts, as long as the patient can comply with home therapy. Podophyllotoxin (podofilox) has negligible systemic absorption/toxicity, can be self-administered, and may be more effective than podophyllin [29] . The only randomized trial comparing podophyllotoxin (podofilox) to podophyllin for treatment of warts in women reported higher clearance rates with podophyllotoxin (podofilox), 71 versus 48 percent [30] .

Neither drug should be used by pregnant women because of potential fetal risks. Podophyllotoxin (podofilox) — Podophyllotoxin (podofilox) contains the biologically active compound from podophyllin. Using a cotton swab, the patient applies a 0.5 percent gel or solution to external genital warts twice daily for three consecutive days [5,31] . She then withholds treatment for four days, and repeats this cycle weekly up to four times. Large areas (10 cm2 or more) should not be treated in a single application because of pain is likely when the area becomes necrotic. Podophyllin — Podophyllin is a plant-based resin that blocks cell division at metaphase and leads to cell death. The clinician applies a 10 to 25 percent solution directly to the warts with a cotton swab (or similar device). No more than 0.5 mL should be applied during each treatment session and large areas (10 cm2 or more) should not be treated in a single application because of potential pain when the area becomes necrotic. In contrast to podophyllotoxin, systemic absorption and toxicity have been documented; therefore, podophyllin should not be applied to open wounds or friable tissue. A weaker solution (10 percent) should be used when treating large warts or warts on mucosal surfaces to minimize total systemic absorption.
We instruct the patient to wash the area one to four hours after application of the drug, otherwise excessive skin irritation and systemic absorption can occur. The treatment is repeated weekly for four to six weeks, or until the lesions have cleared. Adverse effects range from mild skin irritation to ulceration and pain, depending upon the concentration used and the length of time it is left on the skin.
Trichloroacetic acid and bichloroacetic acid — Both trichloroacetic acid (TCA) and bichloroacetic acid (BCA) are caustic acids that destroy the wart tissue via chemical coagulation of tissue proteins. TCA is used most commonly, and must be applied by a health care provider. It can be used on the cervix and vagina, and during pregnancy.

An 80 to 90 percent TCA solution is applied sparingly to the wart tissue with a cotton swab; the wart turns white as the solution dries. Application of an ointment or gel (such as petroleum or lidocaine jelly) to the normal tissue surrounding the wart can help prevent spreading of acid to unaffected areas. Excessive application of medication can be neutralized by washing with soap or sodium bicarbonate solution, otherwise the patient may experience pain or burning of adjacent healthy tissue.
Repeated weekly application is required for four to six weeks, or until the lesions have cleared. Thick, large lesions may not respond because the acid may not penetrate to treat the entire lesion. The only trial that evaluated use of TCA in women reported a 70 percent clearance rate [32] .
5-Fluorouracil — 5-fluorouracil (5-FU) is a pyrimidine antimetabolite that interferes with DNA synthesis by blocking methylation of deoxyuridylic acid, leading to cell death. The United States Food and Drug Administration (FDA) has not approved any formulation of 5-FU for treatment of anogenital warts and its use is contraindicated in pregnancy.
A gel consisting of 5-fluorouracil and epinephrine in a purified bovine collage matrix is under investigation. The gel is injected intradermally directly under the wart to create a wheal encompassing it and 5 mm of surrounding tissue. This provides a high concentration of drug for an extended period of time. Injections are performed once per week for up to six weeks. Clearance rates of 65 percent after a median of four treatments have been reported, but 40 percent of patients with a complete response had a recurrence at 90 days follow-up [33] . Side effects include local pain, erosion, ulceration, and urethro-vulvo-vaginitis.
Alternatively, a thin layer of 1 or 5 percent cream has been applied to vulvar or vaginal lesions to cause a chemical desquamation [26,34-38] . Several dosing protocols have been suggested, ranging from twice daily application to once weekly for several weeks. Zinc oxide cream or petroleum jelly can be applied to unaffected areas as a barrier to help protect against ulceration. A disadvantage of topical 5-FU is that it is often poorly tolerated because of burning, pain, inflammation, edema, or painful ulcerations. For this reason, topical 5-FU has a limited role in the primary therapy of v

Amber June 9, 2011 at 6:47 am

If you have actual warts like visible warts go to wal mart and buy some CASTOR OIL its $3.00 and it works very well. Its oderless, colorless, and painless. Ive been using it for 3 days and most of my warts are already gone. I suggest you try this before you try chryotherapy. Apply the oil directly to the warts when you wake up, sometime during the day, and before you go to bed.

Leave a Comment

Previous post:

Next post: