Medicine may be used to destroy bothersome genital warts, relieve your symptoms, and reduce the amount of area affected by warts, particularly when the warts are:
Visible, bothersome, and growing in a small area.
A cosmetic concern and you want them removed. Warts that are growing around the anus or on external genitals, such as on the penis or vulva, may be removed because they are unsightly. Some treatments that remove genital warts are more likely to leave scars. So cosmetic concerns about scarring may help guide the choice of treatment.
Topical medicine often is the first treatment. For safety, a doctor will apply the topical medicines that could damage the skin around the warts. You can apply other medicines at home. If warts return after one course of treatment with topical medicine, they are treated again only if there are clear reasons for retreatment.
Your doctor may want to examine your vaginal or urethral discharge under a microscope or test your urine. Trichomoniasis occasionally shows up on Pap tests in women with no symptoms. Your safest course is to get tested if you think you may have been exposed to the parasite.
Treatment for pregnant women includes trichloroacetic acid (TCA) and bichloroacetic acid (BCA), which have been found to be both effective and safe. Podophyllin resin, interferon, and fluorouracil should not be used during pregnancy, because they can harm the fetus.