Dr.MJ Bazos MD,
Patient
Handout
Warts
What causes
warts?
Warts are a type of infection
caused by viruses in the human papillomavirus (HPV) family. There are at least
60 types of HPV viruses. Warts can grow on all parts of your body. They can grow
on your skin, on the inside of your mouth, on your genitals and on your rectal
area. Some types of HPV tend to cause warts on the skin, while other HPV types
tend to cause warts on the genitals and rectal area. Some people are more
naturally resistant to the HPV viruses and don’t seem to get warts as
easily as other people.
Can warts be
caught from other people?
Yes. Warts
can be passed from one person to another person. Warts on the hand may be passed
to another person when that person touches the warts. It is also possible to get
warts from using towels or other objects that were used by a person who has
warts. Warts on the genitals can be passed to another person during sexual
intercourse. It is important to not have unprotected sex if you or your partner
has warts on your genital area. In women, warts can grow on the cervix (inside
the vagina), and a woman may not know she has the infection. She can then pass
the infection to her sexual partner without even knowing
it.
Will warts go away on their
own?
Sometimes yes and sometimes no.
Often warts disappear on their own, although it may take many months, or even
years, for the warts to go away. Some warts won’t go away on their own. It
is not known why some warts disappear on their own and others do
not.
Do warts need to be
treated?
Generally, yes. Warts are
often bothersome. They can bleed and cause pain when they’re bumped. They
also can grow on the face—and most people don’t want to have warts
on their face. Treatment also may decrease the chance that the warts will be
spread to other areas of your body or to other people. common warts, verrucae
vulgaris, genital warts, condylomata acuminata, venereal warts, viral warts,
salicylic acid, cantharidin
How are
warts in the genital area
treated?
First of all, it is important
to know that warts on the skin, such as on the fingers, feet and knees, and
warts on the genitals are removed in different ways. Don’t try any home
remedies or over-the-counter drugs for warts on the genital area. You could
damage your genital area by putting certain chemicals on it.
Below are some ways that warts may be
removed from the skin:
• Applying
salicylic acid—For warts on places such as the hands, feet or knees,
one treatment method is to put salicylic acid on the warts. To get good results,
the acid must be applied every day for many weeks. After you take a bath or
shower, pat your skin slightly dry with a towel. Then put salicylic acid on the
warts. The acid sinks in deeper and works better when it is applied to damp
skin. Before you take a shower or a bath the next day, use an emery board or
pumice stone to file away the dead surface of the
wart.
• Applying
cantharidin—Your doctor may use cantharidin on your warts. With this
treatment, the doctor “paints” the chemical on the wart. Most people
don’t feel any pain when the chemical is placed on the wart. After
treatment with cantharidin, a bandage is put over the wart. The bandage can be
removed in 24 hours. When mixtures of cantharidin and other chemicals are used,
the bandage is removed after 2 hours. Pain and blistering of the wart will occur
in about 3 to 8 hours. When you see your doctor again, he or she will remove the
dead skin of the wart. If the wart isn’t gone after one treatment, your
doctor may want to give you another
treatment.
• Applying liquid
nitrogen—Your doctor may use liquid nitrogen to freeze the wart. This
treatment is called cryotherapy. Applying liquid nitrogen to the wart causes a
little discomfort. To completely remove a wart, liquid nitrogen treatments may
be needed every 1 to 3 weeks for about 2 to 4 times. If no improvement is noted,
another type of treatment may be
tried.
• Other treatments for
warts on the skin—Other ways to remove warts on the skin include
burning the wart, cutting out the wart and removing the wart with a laser. These
treatments are stronger, but they may leave a scar. Ask your doctor about the
risks and benefits of these treatments before you make the decision about the
kind of treatment to have for your
warts.
How are warts
removed?
As mentioned above, warts on
the genital area aren’t treated exactly like warts on the skin. Below are
some ways that warts on the genitals can be
treated:
• Applying liquid
nitrogen—Warts on the genitals may be frozen with liquid nitrogen
(cryotherapy). With liquid nitrogen treatment, the doctor applies the liquid
nitrogen again and again at different office visits until the warts are
completely gone.
• Applying
podophyllin—Warts on the genitals may be treated with podophyllin
weekly by your doctor and washed off after 6 hours. Alternatively, you may put
podofilox (Condylox) on the warts 2 times a day at home for 3 days, and then
rest for 4 days. This is repeated weekly until the warts are
gone.
• CO2 laser
surgery—For large warts in the genital area, laser surgery may be
needed for complete removal.
•
Interferon injections—When genital warts don’t go away after
they’ve been treated with different methods, an interferon injection into
the warts may be tried. Interferon is a chemical that our bodies make. It helps
our immune system fight infection. An injection of interferon into the wart may
help your body’s immune system fight the virus that is causing the wart.
Generally, interferon is injected into warts twice a week for up to 8 weeks or
until the warts are gone.
Do warts ever
come back?
Most of the time, treatment
of warts is successful and the warts are gone for good. Your body’s
natural immunity can usually succeed in getting rid of any tiny bits of wart
that may be left after a wart has been treated. If warts come back, though, see
your doctor right away to talk about other ways in which the wart can be
treated.