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Genital Warts


What are Genital Warts?

Genital warts are warts located on the genitals and/or around the anus. Genital warts are very annoying and highly contagious. These are caused by the human papilloma virus (HPV), which is passed through contact with infected genital skin. You won’t notice it instantly as it takes a few weeks or even months for the first wart to show up. In women, genital warts usually show up around the labia, vagina and anus, while in men, they tend to appear around the anus, penis and scrotum. If not treated, genital warts will multiply and become larger. It is then mandatory to get some sort of treatment. Don’t overcomplicate as treatments are easy and effective. Products like Aldara cream, Condyline or Wartec can do wonders and are available for order after an online consultation with a doctor.

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Genital warts are one of the most common types of sexually transmitted infections. At least half of all people who have sex are infected at some point with the human papillomavirus (HPV), which causes genital warts. Women are slightly more prone to the formation of warts than men.

As the name suggests, genital warts affect the skin in the genital area. Genital warts may look like small, flesh-colored protrusions or look like cauliflower. In many cases, they are too small to be noticed.

Like warts that occur in other parts of the body, genital warts are caused by HPV. Some HPV strains cause genital warts, while others cause cervical cancer. Vaccines can help protect against certain strains of genital HPV.

Symptoms

In women, genital warts can occur on the pubis, walls of the vagina, in the area between the external genitalia and anus, in the anal canal and on the surface of the cervix. In men, they can occur on the penis, scrotum and anus. Genital warts can occur in the mouth or throat of a person who has had oral contact with an infected subject.

Symptoms of genital warts include:

  • Small, flesh-colored or gray growths in the genital area
  • Several warts merged together resembling cauliflower
  • Genital itching or discomfort
  • Bleeding during intimacy
  • Often, genital warts can be too small and flat to be visible to the naked eye.
  • Sometimes, warts come together in large clusters.

Often, genital warts can be too small and flat to be visible to the naked eye. Sometimes, warts come together in large clusters.

The reasons

HPV causes warts. There are more than 40 HPV strains that specifically affect the genital area. These types of viruses are sexually transmitted. In most cases, the immune system is able to “kill” virus particles and the symptoms of infection will never develop in this case.

Risk factors

According to the Center for Disease Control and Prevention, at least half of people who have sex are infected with HPV at some point in their lives. Risk Factors:

  • Unprotected contacts with multiple partners
  • The presence of another sexually transmitted disease (STD)
  • Sexual contact with a partner whose sexual history is unknown
  • Beginning of sexual activity at an early age. At early age, teenagers are generally not very much aware about protected sex or safe sex.

Complications

There could be several aftermaths and these Genital warts can lead to the following complications:

  • Crayfish. Cervical cancer is closely associated with HPV infection. Some types of HPV are also associated with cancer of the vagina, penis, anus, mouth, and pharynx. HPV does not always lead to the development of cancer, but it is still important to be tested - for women - to undergo a PAP test, especially in the presence of infection with highly carcinogenic HPV strains.
  • Problems during pregnancy. Genital warts can cause problems during pregnancy. Warts can increase, making it difficult to urinate. Warts on the wall of the vagina can reduce its ability to stretch during childbirth. Large warts can become a source of bleeding during childbirth.
  • Sometimes during childbirth, an infection can occur and HPV will develop in the throat of the newborn. In this case, surgery may be required to ensure that the baby’s airway is not blocked.
    How to prepare for a doctor?

First of all, your doctor should pay attention to your symptoms. Women can begin their initial treatment with a visit to a gynecologist.

What you can do?

Before contacting, make a list in which you should indicate:

  • Symptoms. Describe your symptoms and check if your sexual partner has the same.
  • The history of sexual intercourse. Mark all recent contacts with possible sources of infection. The list may include unprotected contacts or contacts with new partners.
  • Key medical information. Record information about any other medical conditions you are receiving treatment for and the names of the medicines, vitamins, and supplements you are taking.

Pre-creating a list of questions can help you spend more time talking to your doctor. For genital warts, the main questions may be:

  • Do I have genital warts?
  • Can other causes cause my symptoms?
  • What examinations do you recommend?
  • Should I check for other STDs?
  • What treatment approach would you recommend, if any?
  • How soon after starting treatment will I feel better?
  • Is my condition contagious? How can I reduce the risk of infecting others?
  • Should my partner get tested for this disease?
  • When can I have sex again safely?
  • Can warts occur again?
  • Am I at risk for developing complications?
  • How often should I observe other diseases that can be caused by genital warts?
  • Do you have brochures or printed materials that I can take with me? What sites do you recommend?

In addition to the questions you have prepared, do not hesitate to ask questions if you do not understand something during the treatment.

What to expect from a doctor?

Your doctor will probably ask you a few questions. Willingness to answer them will save you time to delve into individual topics. The doctor may ask:

  • What are your symptoms, if any?
  • When did you start experiencing symptoms?
  • How severe are your symptoms?
  • Do you have protected sex? Are you protected from the moment you start your sex life?
  • Have you recently had contact with a new partner?
  • Has your partner been tested for STDs?
  • Are you vaccinated against HPV? When?
  • Are you pregnant or planning a pregnancy?

Diagnostics

Since it is often difficult to detect genital warts, the doctor may treat the suspected area with diluted acetic acid. Further, the doctor can use a colposcope to study the affected areas.

PAP test

For women, regular pelvic examinations and PAP tests are important, which can reveal the presence of changes or early signs of cancer in the walls of the vagina or cervix, which are complications of HPV.

During the PAP test, the doctor will introduce a gynecological mirror in order to open the vaginal lumen. Using a special device, a sample of cervical cells is taken. Next, the cells are examined under a microscope for abnormalities.

HPV test

Only a few types of HPV are associated with the development of cervical cancer. A sample of cervical cells obtained during the PAP test can be used to detect strains of the virus.

This test is left for women 30 years and older. It is not so useful in younger women, because their immune system usually independently cures the carcinogenic HPV types without treatment.

Treatment

If warts do not cause discomfort, treatment may not be required. But if symptoms include itching, burning, and pain, or visible warts cause emotional discomfort, your doctor may suggest medication or surgery. However, warts are prone to relapse after treatment.

Medications
Directly applied to the skin include:

  • Imiquimod. This prescription cream can increase your immune system's ability to withstand HPV. Avoid sexual intercourse during its use, as it can weaken condoms and the action of spirals, and can also irritate the skin of a partner. Common side effects are redness and swelling in the area of ​​use. Other side effects are blisters, pain in the limbs, and a rash.
  • Podophyllin or Podophylox. Podophyllin is a plant-based remedy that destroys wart tissue. This solution is used by a doctor. Podophylox has the same active ingredients, but can be used at home. The doctor can carry out the first application of the product on his own and give recommendations and warnings about protecting the surrounding skin. Never take podophyllum by mouth. In addition, this medicine is not recommended for use during pregnancy. Side effects may include skin irritation, ulcers, and pain.
  • Trichloroacetic acid. This substance burns out genital warts. It is always used only by a doctor. Side effects include skin irritation, pain, and ulcers.

Do not attempt to treat genital warts with over-the-counter agents against conventional warts. These products are not intended for use on wet tissues of the genital area. Using these products can cause severe pain and irritation.

Surgical treatment

You may need surgical treatment to get rid of large warts if the medication is ineffective or in cases of pregnancy. Surgical treatment options:

  • Freezing with liquid nitrogen. During the procedure, a blister develops around the wart. As the healing and formation of new layers of skin, the wart "disappears." Repeated procedures may be required. The main side effects are pain and swelling.
  • Electrocoagulation During this procedure, warts are burned with an electroscope. You may notice pain and swelling after this procedure.
  • Surgical excision. During this procedure, the doctor can excise warts with the help of special tools. You may need general or local anesthesia, and pain may occur after the procedure.
  • Using a laser. This approach can be expensive and is commonly used in cases of persistent, untreatable warts. Side effects may include pain and scarring.

Prevention

The use of condoms during sexual intercourse significantly reduces the risk of the disease, but 100% of the effectiveness does not give more than one remedy. Even using condoms can catch HPV.

Vaccination

A vaccine known as Gardasil protects against virus strains that lead to the development of genital warts. Gardasil also protects against the types of HPV that most often lead to cervical cancer. Another vaccine, Cervarix, protects against cancer, but not against warts.

The Centers for Disease Control and Prevention recommend routine HPV vaccination for girls and boys aged 11-12. Vaccines are administered in the amount of three doses within six months. If the full course of vaccination does not pass at the age of 11-12 years, revaccination is recommended for women at 26 years old, for men at 21 years old. However, men can be vaccinated at 26, if desired.

These vaccines are most effective if they are used before sexual activity. Studies have shown that when used at the age of 21 to 26, vaccines reduce the risk of developing genital warts caused by HPV by 50%

Side effects are usually mild and include soreness at the injection site, headaches, low fever, and colds. In adolescents, dizziness and fainting are possible.