Genital Warts

Treatment Counselling and support are necessary. Prevention—HPV vaccination. 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.)

Note: Paint is best for external keratinised skin; cream is best used in perianal area, introital area and under the foreskin. Do not use in pregnancies. or

• cryotherapy wkly until resolved or

• imiquimod cream applied by the patient 3 times/wk to each wart for 8–16 wks until cleared