Why is genital warts so difficult to treat?

　　Difficulty 1: Genital warts during pregnancy. Due to the level of sex hormones during pregnancy, warts are more likely to enlarge and multiply than normal.

　　Countermeasures: In early pregnancy (within 3 months), you can use traditional Chinese medicines such as rhubarb, Phellodendron, and Atractylodes to clear away heat, detoxify, and dry dampness. blister wash. If you want to terminate the pregnancy, you should first remove the warts on the cervix, vaginal wall, etc. before performing artificial surgery. abortion . In the middle and late stages of pregnancy, warts that grow on the vulva can be treated with CO-2 laser. If they are in the vagina and cervix, they can be controlled with traditional Chinese medicine. A laparotomy is performed during delivery. Postpartum Then treat the warts.

　　Difficulty Two: Huge Type genital warts . It develops after lack of treatment or mistreatment. Generally, the base of giant genital warts is wider, so the location and size of the base of the wart must be clarified before treatment.

　　Countermeasure: Excise the wart under local anesthesia, and then perform CO-2 laser treatment on the base to remove the remaining wart and infected skin lesions. If the base is wide, the wound can be cleaned and trimmed before suturing it.

　　Difficulty three: recurrence of genital warts. It is not difficult to remove visible exophytic warts. The difficulty is how to prevent recurrence after treatment.

　　Countermeasures: 1. Remove warts cleanly and thoroughly. 2. After wart removal, local and systemic treatment must be supplemented. 3. Avoid reinfection. Avoid extramarital sex, and your spouse must undergo relevant examinations to rule out HPV infection.

　　Difficulty 4: Genital warts in the anus, urethra, and cervix. Genital warts that occur in these areas are prone to relapse in a short period of time once treatment is not complete; excessive treatment with medication, freezing or CO-2 laser can cause local adhesions and stenosis.

　　Countermeasures: The anus can be viewed and removed with the help of an anal speculum; the urethral opening can be viewed and removed with the help of a pediatric rhinoscope or urethroscope; genital warts at the cervical opening can be examined with the help of a colposcope. During treatment, condyloma in the anus and anal canal can be treated with CO-2 laser or spotting agent; when treating condyloma at the urethra with CO_2 laser, be careful not to damage the urethral sphincter and prevent postoperative adhesion and stenosis of the urethral orifice.

　　clinical More than 75% of patients relapse within one month after treatment. If there is no recurrence after half a year of treatment, it is basically confirmed to be cured. Therefore, you must insist on follow-up visits within six months.