WOMENS-HEALTH Messages for July, 2001: Re: hpv warts

Re: hpv warts

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 31 Jul 2001 10:55:48 -0500 (CDT)

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In reply to: Kevin: "hpv warts"

At Tue, 31 Jul 2001, Kevin wrote: >
>I have had hpv warts in the past. They usually came out singularly. One
>or maybe two at a time, but never as clusters, and always along the
>shaft of my penis. Recently, I have been inundated with several
>clusters of 6-7 warts along the head of my penis. Can this be the
>result of the same hpv I had which have not been a problem for 10+
>years, or because of the difference in the type, could this be from a
>different source? I am concerned because I do not think this is the same
>type I had and that I may have acquired a different type. Could someone
>please explain the different types of HPV. How many type are there?
>What are some common/different features? What is the best type of
>treatment? I am finding Aldara to be very painful and not very helpful,
>at least not after 2 months of regular use. Are there other treatments
>I should try? Thank you for any responses.

You could have a different, more aggressive strain of the virus, or there could be something up with your immune system to make you more vulnerable. Strains, or serotypes, of the a viral species are like breeds of dog. They are all dogs, but they range widely in appearance and behaviour. They are finding new ones all the time, but the last I heard, there were getting close to 100 different serotypes. Some are more likely to cause warts than others, and some are more closely associated with genital tract cancers, and most don't do anything at all. Treatments are not all that satisfactory. You can either treat them with a causitic substance like Aldara or Condylox, or have them treated surgically with freezing or electrocautery or laser.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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