How to treat condyloma acutae in the early stage?

Genital warts are a common sexually transmitted disease, which is widely prevalent among people with unclean sexual lives in modern life. It puts great pressure on people's reproductive health, causes various problems, and even affects the harmony of couples' relationships. Therefore, treating genital warts is the most important thing for people. The key to treatment lies in the early stages. Let’s take a look at how to treat condyloma acutum in the early stages.

Chemotherapy

(1) 0.5% podophyllotoxin tincture (or 0.15% cream) is suitable for the treatment of genital warts with a diameter of ≤10mm, with a clinical cure rate of about 90%. The total wart area should not exceed 10cm2, and the total daily medication should not exceed 0.5ml. After application, the local medication should be allowed to dry naturally. The main side effects are local irritation, which may include itching, burning pain, redness, swelling, erosion and necrosis. In addition, this drug is teratogenic and should not be used by pregnant women.

(2) 5% imiquimod cream is used to treat genital warts, with an average wart clearance rate of 56%. The advantage of this therapy is the low recurrence rate, which is about 13%. The appearance of erythema is not an indication for discontinuation of medication, but the appearance of erosion or damage requires discontinuation of medication and a follow-up visit. The doctor will treat the wound and decide whether to continue the medication. Side effects are mainly local irritation, which may include itching, burning pain, erythema, and erosion. The safety of imiquimod during pregnancy has not been established and it is contraindicated in pregnant women.

(3) 80% to 90% trichloroacetic acid or dichloroacetic acid must be treated by a doctor. When using, apply a small amount of liquid medicine on the wart lesion and wait for it to dry. At this time, a layer of white frost will form on the surface. During treatment, care should be taken to protect the surrounding normal skin and mucous membranes. If there is an excess of topical medication, talcum powder, sodium bicarbonate (baking soda) or liquid soap can be applied to neutralize excess, unreacted acid. This medicine should not be used for hyperkeratosis or large, multiple, or extensive warts. Adverse reactions include local irritation, redness, swelling, erosion, etc.

Cryotherapy

Using liquid nitrogen at a low temperature of -196℃, the freezing method is used to treat genital warts, which promotes the necrosis and shedding of wart tissue. The operation is simple, efficient, and easy for patients to tolerate. This method is suitable for condyloma acuminatum with a small number and small area. It can be treated 1 to 2 times with an interval of one week.