Genital warts

Question 1

Treatment

Answer 1

Counselling and support are necessary.

For small numbers of readily accessible warts the simplest treatment is:

Podophyllotoxin 0.5% paint or 0.15% cream

• apply bd with plastic applicator for 3 d
• repeat in 4 d and then wkly for 4–6 cycles (if nec.)
• Spare the normal surrounding skin.
• Avoid on cervical, meatal or anorectal warts.
• Do not use in pregnancies. or

Cryotherapy wkly until resolved or

Imiquimod cream applied by the patient 3 times/wk to each wart for 12–24 wks until cleared

Question 2

Prevention by?

Answer 2

HPV vaccination