Aldara and Genital Warts: Can This Cream Really Cure Them?
Aldara is a topical cream that can help clear genital warts, but it does not eradicate the underlying virus that causes them. Therefore, while it can treat the visible symptoms, it’s not considered a definitive cure.
Understanding Genital Warts and HPV
Genital warts are caused by the human papillomavirus (HPV), a very common sexually transmitted infection (STI). Certain strains of HPV cause warts, while others can lead to more serious conditions like cervical cancer. While there is a vaccine to protect against some HPV strains, including those that cause the majority of genital warts, there is currently no cure for the HPV virus itself. This means that even after warts are treated and removed, the virus can remain dormant in the body and warts can potentially recur.
How Aldara Works
Aldara, also known as imiquimod, is a topical immune response modifier. Unlike other wart treatments that directly destroy the wart tissue, Aldara works by stimulating the body’s own immune system to fight the HPV virus. It achieves this by activating immune cells at the site of application, encouraging them to release chemicals that target and destroy infected cells.
Aldara Treatment Process
The treatment process with Aldara typically involves the following steps:
- Application: A thin layer of cream is applied to the affected area.
- Frequency: Usually applied three times a week, typically on Monday, Wednesday, and Friday.
- Duration: The cream is left on the skin for approximately 6-10 hours.
- Washing: After the prescribed time, the cream is washed off with mild soap and water.
- Treatment Length: Treatment usually continues for up to 16 weeks or until the warts clear.
Benefits of Using Aldara
Aldara offers several potential benefits compared to other wart treatment methods:
- Non-invasive: It’s a topical treatment, avoiding the need for surgical procedures or other invasive methods.
- Patient-administered: Can be applied at home, offering convenience and privacy.
- Immune-mediated: Works by stimulating the body’s own immune system, potentially offering longer-term benefits.
- Reduced Scarring: Compared to surgical methods, it may result in less scarring.
Potential Side Effects and Considerations
While Aldara is generally well-tolerated, some common side effects can occur:
- Skin irritation: Redness, itching, burning, and swelling at the application site.
- Flu-like symptoms: Fatigue, muscle aches, and fever (less common).
- Skin ulceration: In rare cases, the skin may break down and ulcerate.
It is essential to discuss any existing medical conditions and medications with your doctor before starting Aldara treatment. Aldara is not recommended for everyone, and its use should be monitored by a healthcare professional. Women who are pregnant or breastfeeding should consult their doctor before using Aldara.
Common Mistakes When Using Aldara
To maximize the effectiveness of Aldara and minimize the risk of side effects, it’s important to avoid these common mistakes:
- Applying too much cream: Using more cream than prescribed can increase the risk of irritation.
- Not washing it off properly: Leaving the cream on for longer than recommended can also irritate the skin.
- Applying to healthy skin: Aldara should only be applied to the affected area.
- Stopping treatment prematurely: Completing the full course of treatment is crucial for optimal results, even if the warts appear to be clearing.
Other Treatment Options
Besides Aldara, other treatment options for genital warts include:
- Cryotherapy: Freezing the warts off with liquid nitrogen.
- Electrocautery: Burning the warts off with an electric current.
- Surgical excision: Cutting the warts off.
- Laser therapy: Using a laser to destroy the wart tissue.
- Topical medications: Other topical creams and solutions, such as podophyllotoxin or trichloroacetic acid (TCA).
The best treatment option for you will depend on the size, location, and number of warts, as well as your overall health and preferences.
Frequently Asked Questions About Aldara and Genital Warts
Does Aldara completely remove the HPV virus from my body?
No, Aldara does not eliminate the HPV virus. It treats the visible warts by stimulating your immune system to fight off the infected cells, but the virus can remain dormant in your body.
How long does it typically take for Aldara to work?
The time it takes for Aldara to work varies from person to person. Many people see a noticeable improvement within 4 to 8 weeks, but it can take up to 16 weeks of consistent treatment to clear the warts completely.
What should I do if I experience severe skin irritation while using Aldara?
If you experience severe skin irritation, such as intense burning, swelling, or ulceration, stop using Aldara immediately and contact your doctor. They may recommend adjusting the dosage, frequency of application, or using a topical steroid to reduce inflammation.
Can I have sex while using Aldara?
It is generally recommended to avoid sexual contact while using Aldara until the warts have completely cleared and the skin has healed. This helps prevent the spread of HPV to your partner. If you do have sex, use a condom to reduce the risk of transmission.
Is Aldara safe to use during pregnancy?
Aldara is not recommended for use during pregnancy. There is limited information on its safety in pregnant women. Consult with your doctor to explore safer alternative treatment options.
Can Aldara be used to treat warts in other locations besides the genitals?
Aldara is primarily approved for the treatment of genital and perianal warts. Its use on other parts of the body should be discussed with your doctor, as it may not be appropriate for all types of warts.
What happens if the warts come back after I finish using Aldara?
If the warts recur after Aldara treatment, it doesn’t mean the treatment failed. It simply means the HPV virus is still active in your body. You may need to repeat the Aldara treatment or explore other treatment options with your doctor.
Does Aldara have any effect on future HPV transmission risk?
While Aldara treats existing warts, it does not eliminate the risk of transmitting HPV to others. Even after treatment, the virus can still be present in the skin. Continue to practice safe sex measures to reduce the risk of transmission.
Can I use Aldara if I have other skin conditions?
If you have other skin conditions, such as eczema or psoriasis, consult with your doctor before using Aldara. It may exacerbate these conditions.
How should I store Aldara cream?
Store Aldara cream at room temperature, away from heat and moisture. Keep it out of reach of children.
Is Aldara more effective than other wart treatment options?
The effectiveness of Aldara compared to other wart treatment options varies from person to person. Some studies have shown Aldara to be as effective as or more effective than certain other treatments, while other studies have found similar outcomes. The best treatment option depends on individual factors and should be determined in consultation with a healthcare provider.
If Aldara only removes the warts and doesn’t cure the virus, why is it prescribed?
While Aldara doesn’t cure HPV, it’s prescribed because it effectively treats the visible symptoms, reducing discomfort, improving cosmetic appearance, and potentially decreasing the risk of transmission. Furthermore, by stimulating the immune system, Aldara may help the body develop a longer-term defense against the virus, even if it doesn’t eliminate it completely. So, while the answer to “Does Aldara Cure Genital Warts?” is no, it’s a valuable treatment option for managing the condition.