[Question #8849] Genital Wart on Butt Cheeks
39 months ago
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Hello Doctors, first and foremost thank you for all you do. In Aug21 I had a wart appear on my lower buttcheek and ignored it, as it wasn't near my anus or on my penis. I shaved my rear, and had some spreading (4-5) new ones. Apr21 had my second cryo, and so far those have not come back, but I now have a small new one in the center of my butt cheek...can I use OTC Compound W Freeze on it, as it is not near the anus or best to still see my doctor for cryo?
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H. Hunter Handsfield, MD
39 months ago
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Welcome to the forum. Thanks for your confidence in our services.
Since you've had cryotherapy, I assume the diagnosis has been professionally confirmed, right? Not a self-diagnosis or self-treatment? And if professionally evaluated, by an experienced provider?
To my knowledge, the effectiveness against genital warts of OTC treatments such as Compound W have not been studied. It might work fine, but in general I would recommend having professional treatment, whether with cryo, imiquimod (Aldara, Zyclara), or others. For sure get professional advice if you haven't had it yet. In addition to evaluating the warts you have noticed, an anorectal exam might be wise if not yet done, if your anal area has been sexually exposed (e.g. if you have had receptive anal sex).
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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39 months ago
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Hello Dr. HHH. Thanks for the quick reply. Yes, I have seen my doctor and she identifies the growths at genital warts. I had waited because I didn't realize genital warts would grow on my buttcheek, I only thought on or around the anus or penis. As a gay 40/M, anything I can do to rush the clearing of the virus? Also, could the GW spread to the small of my back or is that too far out of the area? Finally, as the GW get cryo they (so far) have not returned, but this new one popped up, could that be my body slowly fighting the virus?
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H. Hunter Handsfield, MD
39 months ago
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Unfortunately, there hasn't been much if any research on the aspects of genital warts you raise. Clinical experience is that warts can appear on nearby non-genital areas, the frequency really isn't known. I would doubt you'll have more even more removed from the anogenital area, like your back, but I can't guarantee it.
As for appearance of new warts during treatment, that's not a mystery. Think of warts as the tip of an HPV iceberg: surrounding tissues usually are infected, but not visibly abnormal -- but warts can continue to arise in those ares. As far as known, this has no implication for the immune response to the virus or its eventual clearance.
One final consideration, though, is your immune status. Presumably you're HIV negative or you would have said something about it. But more widespread than usual warts raises the possibility of cellular immunodeficiency (the type of immunity impacted by HIV). Most of the time, that's not the problem -- but still, if you haven't been HIV tested recently, it would make sense now (or if infected and on treatment, discuss the status of your treatment with your doctor).
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38 months ago
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Thanks Dr. HHH. You're correct, my HIV status is negative, that is with certainty. The spot on my back I am 99% sure was a pimple that popped, but the 1% anxiety had me question. If I follow correctly, there's not a lot of evidence that suggests any life changes or supplements can help clear the virus faster, correct? On a support group I keep reading zinc and magnesium, and I was almost thinking drink a packet of airborne everyday, but sounds like it really is just a waiting game, knowing, with time, it shall pass. Thanks to you and everyone associated with this site for all you do. Your work truly is a light to people who feel they are in their darkest time.
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H. Hunter Handsfield, MD
38 months ago
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Oops -- I missed this follow-up question for a couple of days. Apologies!
Correct about "life changes" and dietary or vitamin supplements. Obviously, staying generally healthy (physically fit, balanced diet, adequate sleep, no smoking) aids the immune system, and I suspect that people who follow such lifestyles have, on average, more frequent and quicker resolution of most HPV infections than couch potatoes do. However, there are no data to document this, and no specific immune system supplementations known to have any effect. That said, I also cannot prove they have no effect, and if zinc and the other products you describe make you feel better in general, or give you more confidence about warding off HPV or other of life's many health dangers, there is certainly no harm and perhaps benefit. (The only exception is smoking: there is clear evidence that it raises the frequency and speed of progression of cervical HPV infections in women toward cancer, and therefore good reason to suppose it could delay resolution of other manifestations of HPV, like warts.)
Presumably you have not been vaccinated against HPV. If you're under age 45, and likely to continue to be sexually active, you should do it to prevent new infection with the 9 most serious HPV types. In addition, although initially it was believed immunization only prevents new infection, recent research suggests it likely reduces the frequency of delayed recurrence and may help speed resolution of existing infection. These effects are not proved, only probable -- but often worth the effort (and expense), even if mostly for peace of mind.
Finally, I cannot help commenting on your "darkest time" statement. I simply don't see HPV as ever warranting that level of health or psychological impact. With or without vaccination, the large majority of infections are trivial inconveniences, not important health risks; and even when HPV causes cancer, generally it is easily treated and curable. Dire outcomes are rare.
That completes the two follow-up exchanges included with each question and so ends this thread. Thanks for your kind words about our services -- I hope these additional comments contribute to those judgments. Best wishes and stay safe.
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