HPV Treatment and Prevention in NYC | Expert Care at 629 Park Ave

 

HPV Treatment and Prevention in NYC

Human papillomavirus (HPV) is one of the most common sexually transmitted infections, affecting millions of people worldwide. While many strains of HPV are harmless, others can lead to serious health issues, including genital warts and an increased risk of certain cancers. At 629 Park Ave, NYC, board-certified dermatologist Dr. Gary Jayne Rothfeld offers comprehensive HPV treatment and prevention services, ensuring the best care in a state-of-the-art facility.

What is HPV?

HPV is a viral infection that can affect the skin and mucous membranes. It is transmitted through direct skin-to-skin contact during sexual activity. Over 100 strains of HPV exist, and while some can cause warts, others may be linked to cancers of the cervix, anus, throat, and genitals.

Diagnosis and Treatment

At Park Avenue Dermatology and Non-Surgical Rejuvenation Center, we provide advanced diagnostic testing for HPV. If you have been diagnosed with HPV, treatment options may include:

  • Topical medications to manage warts
  • Cryotherapy to freeze and remove warts
  • Laser therapy for severe cases
  • Surgical excision in certain cases

Dr. Rothfeld uses cutting-edge techniques to ensure treatments are both effective and minimally invasive.

Prevention

One of the most effective ways to prevent HPV infection is through vaccination. Dr. Rothfeld offers the HPV vaccine, which protects against the most harmful strains of the virus. This vaccine is recommended for both men and women and can be administered before or after exposure to the virus, depending on individual needs.

Why Choose Dr. Gary Jayne Rothfeld?

With decades of experience in dermatology and cosmetic surgery, Dr. Rothfeld is a trusted expert in HPV management. He is known for his compassionate care, personalized treatment plans, and dedication to staying at the forefront of medical advancements.

Contact Us

To learn more about HPV treatment and prevention or to schedule a consultation, contact us at 212-644-4484. Our office is conveniently located at 629 Park Ave, NYC.

Is There a Vaccine to Prevent Genital Warts? NYC New York NY

  • In 2006, an HPV vaccine (Gardasil) was approved by the FDA. It is currently recommended for both males and females aged 9 to 26 years. This vaccine has been shown to be safe and highly effective in preventing infection with the four most common HPV types (6, 11, 16, and 18) in women who have had no previous exposure to the virus. However, it is less effective in those who have already been infected with HPV, and it does not protect against all types of HPV infection. Studies are underway to determine whether the vaccine is safe and effective in older women and in males.
  • Gardasil 9 has activity against the four viral types in the basic Gardasil, but also against virus types 31, 33, 45, 52, and 58 (for a total of 9 viral types, hence the name).
  • Another vaccine against HPV types 16 and 18, Cervarix, was been approved by the FDA for females aged 10 to 25 years, but was withdrawn from the US market in 2016.
  • Because no treatment is 100% effective, it is important to prevent the spread of HPV, which causes genital warts and some cancers whenever possible. Transmission of genital warts can be decreased ifcondoms are used and the infected individual refrains from sexual activity until therapy is completed.

Cryotherapy (Cryosurgery) for Genital Warts NYC New York, NY

Treatment Overview

Cryotherapy (cryosurgery) destroys genital warts by freezing them with liquid nitrogen.
  • A doctor applies liquid nitrogen to and around the warts.
  • First, the tissue is frozen with liquid nitrogen. Then, the tissue is allowed to thaw. The tissue is frozen again, if needed. The time of application varies by the doctor who applies the liquid nitrogen and the size of the warts.
  • The size and thickness of the warts determine the number and length of freeze/thaw cycles. Up to three treatments may be needed.
  • You may have a mild to moderate burning sensation during the treatment.
  • Genital warts in the urethra or anus usually require the most treatments because the warts may be inside the opening.
Cryotherapy is usually done in your doctor's office or clinic. A magnifying instrument may be used to see the abnormal tissue better.

What To Expect After Treatment

Recovery time depends on the location and number of warts removed. Healing usually occurs in 1 to 3 weeks. After treatment, the following may occur:
  • Irritation, soreness, or mild pain may occur.
  • You may have swelling.
  • You may have dead tissue shed off.
  • Sores or blisters may form.

Men and women

For men and women who have had cryotherapy for external genital warts, call your doctor for any of the following:
  • A fever
  • Continued bleeding
  • Bad-smelling or yellowish discharge, which may indicate an infection
  • Continued pain
Avoid intercourse until the treated area heals and the soreness is gone.

Women

Be aware of the following after treatment for vaginal or cervical warts:
  • A watery vaginal discharge may occur for about 1 to 3 weeks.
  • Sanitary napkins should be used instead of tampons for 2 to 3 weeks.
  • Avoid sexual intercourse or douching until the treated area heals, usually in 1 to 3 weeks.

Men

Men treated for genital warts on the penis, scrotum, or in the urethra should avoid sexual intercourse until the treated area is healed and the soreness is gone. This is usually 1 to 3 weeks, depending on the size of the area treated.

Why It Is Done

Cryotherapy may be done when genital warts are visible, growing in a small area (especially near the anus), and bothersome.
Cryotherapy usually is not used when genital warts are widespread.

How Well It Works

Experts agree that cryotherapy can be helpful in removing genital warts.1In some studies, cryotherapy removed warts in up to 90 out of 100 cases.2But warts may grow back. More than one treatment may be needed.
The removal of genital warts may not cure a human papillomavirus (HPV) infection. The virus may remain in the body in an inactive state after warts are removed.

Risks

There are few complications after cryotherapy. Scarring is a slight risk.
The number and severity of side effects depend on the number of freeze/thaw cycles used during cryotherapy and how large an area was treated.

What To Think About

Cryotherapy for external genital warts can be used safely during pregnancy.
Treating genital warts may not cure a human papillomavirus (HPV) infection. The virus may remain in the body in an inactive state after warts are removed. A person treated for genital warts may still be able to spread the infection. Condoms may help reduce the risk of HPV infection.
The benefits and effectiveness of each type of treatment need to be compared with the side effects and cost. Discuss this with your doctor.

Are genital warts life threatening? NYC New York NY

Genital warts are not life threatening. If left untreated, genital warts might go away, stay the same, or grow in size or number. Except in very rare and unusual cases,genital warts will not turn into cancer.

What Genital Warts Look Like: Symptoms, Vaccine, & in Men & Women NYC New York NY

Facts and Definition of Genital Warts (HPV Infection)

  • Genital warts are flesh-colored or gray growths found in the genital area and anal region in both men and women.
  • Genital warts are sometimes referred to as condyloma acuminata or venereal warts.
  • Genital warts is the most common sexually-transmitted disease (STD) caused by a virus. The warts are caused by the human papillomavirus (HPV).
  • Genital warts affect both men and women and can occur at any age.
    • Most people with genital warts are between the ages of 17-33 years. Genital warts are highly contagious. There is high risk of getting the infection from a single sexual contact with someone who has genital warts.
    • In children younger than three years of age, genital warts are thought to be transmitted by nonsexual methods such as direct manual contact. Nevertheless, the presence of genital warts in children should raise the suspicion for sexual abuse.

What patients should know when they’re diagnosed with genital warts nyc new york ny

Genital warts are caused by a virus called genital human papillomavirus (HPV), which is very common in sexually active men and women. HPV is passed on through genital contact, most often during vaginal and anal sex. Most sexually active people will get HPV at some time in their lives, though most will never know it because HPV usually has no signs or symptoms.
There are about 40 types of genital HPV. In most cases, HPV goes away on its own, without causing any health problems. It is thought that the immune system fights off HPV infection naturally. But sometimes, HPV does not go away on its own. Some HPV types can cause genital warts. Other HPV types can cause cervical cancer and other less common genital cancers. The types of HPV that cause genital warts are different from the types that can cause cancer.
There is no treatment for HPV (a virus), but there are treatments for the conditions it can cause, including genital warts. It is common for genital warts to recur (come back after treatment), especially in the first three months after treatment. Treating genital warts will not necessarily lower your risk of passing HPV to a sex partner. You can still pass the virus on to sex partners, even after the warts are treated. It is not known how long a person remains contagious after warts are treated. If you don’t treat genital warts, they may go away, remain unchanged, or grow in size or number. Genital warts will not turn into cancer over time, even if they are not treated.
There is a very low risk that a pregnant woman with genital warts can pass HPV to her baby. In the rare cases where HPV is passed, the baby could develop warts in the throat or voice box. Cesarean births do not seem to prevent a mother from passing HPV to her baby. All women who have ever been sexually active, including those with genital warts, should get regular Pap tests to screen for cervical cancer. This is because a person can be infected with more than one HPV type.
If you have genital warts, you may benefit from screening for other sexually transmitted infections (STIs). You and your partner may benefit from talking openly about your sexual health and HPV.
You and your partner should know that:
  • There is no sure way to know when you got HPV or who gave it to you. Genital warts can be transmitted by a person without visible signs of warts. They may appear weeks, months, or years after exposure, or they may never appear.
  • Partners who have been together for a while tend to share HPV. This means that your partner likely has HPV already, even though your partner may have no signs or symptoms. It is not clear why some people with wart-causing types of HPV develop genital warts and others do not.
  • Condoms may lower your risk of passing genital warts on to your sex partner(s), if used all the time and the right way. But HPV can infect genital areas that are not protected by a condom, so condoms may not fully protect against HPV.
  • Your current partner may benefit from seeing a health professional for counseling and getting checked for genital warts and other STIs.
  • It is not clear if there is any health benefit to telling future sex partners about a past diagnosis of genital warts (once warts are treated). That’s because it is not known if or how long you would remain contagious after treatment.
Ways to lower your chances of getting future HPV infections include:
  • Using condoms all the time and the right way. Condoms may also lower your chances of developing other HPV-related diseases (cervical cancer in women). But HPV can infect areas that are not covered by a condom—so condoms may not fully protect you against HPV.
  • Being in a mutually faithful relationship with someone who has had no or few other sex partners.
  • Limiting your number of sex partners and choosing partners who have had few sex partners.
  • Abstaining from sexual contact is the only sure way to prevent future HPV infections.

Surgical Removal of Genital Warts by Excision NYC New York NY

Surgery Overview

Visible genital warts on the penis or vagina or around the anus are removed by excision, which means cutting the warts off with a surgical knife (scalpel). Warts on the cervix may be removed by laser or loop electrosurgical excision (LEEP).
The procedure is usually done in a doctor's office or clinic or an outpatient surgery center. You receive medicine that numbs the area around the warts (local anesthetic). Stitches (sutures) usually close the incisions.
For women, abnormal cervical cell changes caused by HPV will be treated differently than genital warts caused by HPV. Your doctor may recommend certain types of surgery, such as surgical excision. To learn more about surgical methods to treat abnormal cell changes, see the topic Abnormal Pap Test.

What To Expect After Surgery

Recovery time depends on the location and number of warts removed.
  • Most people will be able to return to normal activities within 1 to 3 days.
  • Healing takes 2 to 4 weeks.
  • Scarring may occur.
For men and women who have had genital warts removed, call your doctor for any of the following:
  • Bleeding that lasts longer than 1 week
  • A fever
  • Severe pain
  • Bad-smelling or yellowish discharge, which may indicate an infection
Avoid sexual intercourse until the treated area heals and soreness is gone (usually 1 to 3 weeks, depending on the size of the area treated).

Why It Is Done

Surgery is used to remove warts that return after other treatments. It also may be used when warts are widespread. A single treatment may be all that is needed.

How Well It Works

Surgery may be an effective treatment. But surgery may cause more pain than other treatments.footnote

Risks

Risks of surgery are:
  • Bleeding.
  • Infection. You may receive antibiotics at the time of the procedure, to reduce the risk of infection.
  • Pain. You may need medicine for several days after the procedure.

What To Think About

Treating genital warts may not cure a human papillomavirus (HPV) infection. The virus may remain in the body in an inactive state after warts are removed. A person treated for genital warts may still be able to spread the infection. Condoms may help reduce the risk of HPV infection.
The benefits and effectiveness of each type of treatment need to be compared with the side effects and cost. Discuss this with your doctor.

Wart Treatment NYC New York NY

Wart Treatment
Will Find You The Best Remedy To Cure Your Warts
Warts Treatment Beverly Hills
While there may not be one single, best treatment for warts, there are hundreds of remedies that can react differently on each individual. Warts can often go away without treatment, especially true in children, but adults may not have the same luck. Our immune system is responsible for a wart’s disappearance or persistence. Many wart treatments result in some degree of inflammation, or irritation of the affected tissues, prompting the immune system to activate, and cure the wart. The spontaneous disappearance of a wart is likely a sign of the immune system at work.
Understanding Warts

Warts are benign (not cancerous) skin growths that appear when a virus infects the top layer of skin. Viruses that cause warts are called human papillomavirus (HPV). You are more likely to get one of these viruses if you cut or damage your skin in some way.

Wart viruses are contagious and can spread by contact with the wart or something that touched the wart. Shaving may cause them to spread in the beard area or legs. Biting or picking may also cause them to spread.

Warts are often skin colored and rough. But they can be dark (brown or gray-black), flat, and smooth.
Types of Warts
Common Warts
Common warts, also called verruca vulgaris, can grow on any part of the body.

Genital warts
Genital warts, also known as condyloma acuminata, are sexually transmitted, and occur on the genitals, groin, and anal area.

Plantar warts
Plantar warts are common warts, which are found on the soles of the feet.

Flat warts
Flat warts are commonly found on the face and the extremities.

HPV and Cancer

Some types of sexually transmitted human papillomavirus (HPV) can cause genital warts. Other types, called high-risk or oncogenic HPVs, can cause cancer.
High-risk HPVs cause virtually all cervical cancers. They also cause most anal cancers, and some vaginal, penile, and oropharyngeal (mouth) cancers.
Most infections with high-risk HPVs do not cause cancer. Many HPV infections go away on their own in 1 to 2 years. However, infections that last for many years increase a person’s risk of developing cancer.
For a more in-depth discussion of warts and cancer, see the National Cancer Institute website:

Warts & Cancer Information
Types of Wart Treatments

Dermatologist Dr. Brian Mekelburg of Los Angeles may use one or a combination of the following treatments:
Cryotherapy
Cryotherapy
Liquid nitrogen is applied, causing the wart to freeze. There is some discomfort, but anesthesia is typically unnecessary. It is common to need repeated treatments.
Electrosurgery and Curettage
Electrosurgery and Curettage
Basically, scraping and burning of the wart where local anesthesia is necessary.
Laser
Laser
For stubborn warts, a pulsed-dye laser is sometimes used.
Chemotherapy
Chemotherapy
Bleomycin, an anti-cancer medicine, is injected into the wart. This can be painful afterward, and is used infrequently. It is used only for the most stubborn warts. 5 percent of 5-fluorouracil cream is a topical anti-cancer cream, which can kill the wart virus, and has the ability to soak into surrounding infected skin, thus eliminating dormant wart particles.
Imiquimod (Aldara)
Imiquimod (Aldara)
A topical cream which activates certain cells in the skin to attack the viral particles. It is primarily used for genital warts. It doesn’t work well on thicker skin, where most common warts are found.
Salicylic Acid
Salicylic Acid
Dissolves away the surface layers of skin, so a wart may be rubbed off. It is safe for children, but may take weeks or months to cure a wart. There are several over-the-counter preparations.
Duct Tape
Duct Tape
May work by keeping the wart soft so it can be rubbed off. It may also be used to occlude medications, such as salicylic acid or 5 percent 5-fluoruracil, improving their effectiveness.
Folk Remedies
Folk Remedies
There are hundreds (if not thousands) of these that many people swear by. They may work, in part, because some of them may cause some degree of inflammation, prompting the immune system to do the cleanup. Some may work because they mentally enlist the immune system to act (in a similar way to a placebo). My old professor said that hypnosis works 60 percent of the time, probably for the same reasons.

HPV/Genital Warts NYC New York NY

The human papillomavirus virus (HPV) is a collection of viruses that cause warts on the hands, feet, and genitals. Some HPVs are sexually transmitted and also cause cervical cancer. An HPV vaccine may reduce your risk

Cryotherapy (Cryosurgery) for Genital Warts NYC New York NY

Cryotherapy (cryosurgery) destroys genital warts by freezing them with liquid nitrogen.

A doctor applies liquid nitrogen to and around the warts.
First, the tissue is frozen with liquid nitrogen. Then, the tissue is allowed to thaw. The tissue is frozen again, if needed. The time of application varies by the doctor who applies the liquid nitrogen and the size of the warts.
The size and thickness of the warts determine the number and length of freeze/thaw cycles. Up to three treatments may be needed.
You may have a mild to moderate burning sensation during the treatment.
Genital warts in the urethra or anus usually require the most treatments because the warts may be inside the opening.
Cryotherapy is usually done in your doctor's office or clinic. A magnifying instrument may be used to see the abnormal tissue better.

Should I be vaccinated against HPV? NYC New York NY

Should I be vaccinated against HPV?
The CDC strongly recommends vaccination in the following groups of people:

Females: Ages 9 to 26
Males: Ages 9 to 21
Men who have sex with men and HIV-positive males: Ages 21 to 26
The Gardasil vaccine is typically covered by insurance in these age groups, but check with your insurance company if you have questions.

Genital Warts HPV NYC New York, NY


Genital warts are growths or bumps that appear:
On the vulva
In or around the vagina or anus
On the cervix
On the penis, scrotum, groin, or thigh
Rarely, in the mouth or throat
Genital Warts
Nucleus factsheet image

Genital warts is one of the most common sexually transmitted diseases (STDs). Most people will be exposed to a form of HPV at some point in their lives. Not everyone will become infected or develop symptoms.
Causes
Genital warts are caused by the human papillomavirus (HPV). There are many different types of HPV. Only a few types are thought to cause genital warts. Many types of HPV are associated with harmless skin warts found on the fingers or feet.
Certain types of HPV may cause cervical cancer . Less commonly, certain strains of HPV can cause cancers of the vulva, anus, or penis.
HPV is easily spread during oral, genital, or anal sex with an infected partner. Most people who have sex with an infected partner will also develop genital warts.
Warts can also be spread to an infant during delivery if the mother has genital warts.
Risk Factors
Factors that may increase your risk for HPV and genital warts include:
Multiple sexual partners
First male sexual partner has had two or more previous sexual partners (for women)
Sex without condoms
Having a weakened immune system
Sex at an early age
Skin-to-skin contact with an infected partner
Previous history of genital warts or other STDs
Symptoms
Genital warts often look like fleshy, raised growths. They can have a cauliflower shape, and often appear in clusters. Some warts may be flat. The warts may not be easy to see with the unaided eye. Warts can take several weeks or months to appear after the infection.
In women, warts may be found in the following areas:
Vulva or vagina
Inside or around the vagina or anus
Cervix
In men, warts are less common. If present, they are usually found in these areas:
Tip or shaft of the penis
Scrotum
Around the anus
While warts do not usually cause symptoms, the following may occur:
Bleeding
Itching
Irritation
Diagnosis
Genital warts may be diagnosed by:
Visual Exam
A doctor can usually diagnose genital warts by looking at them. If external warts are found on a woman, then the cervix is usually also checked. A doctor may use a special solution to help find lesions that do not have classic features.
Biopsy
A sample of tissue will be taken and tested for HPV.
Treatment
Treatment help the symptoms, but does not cure the virus. The virus stays in your body. This means the warts may recur.
Your treatment depends on the size and location of the warts. Not all warts need to be treated. If left untreated, some may go away on their own, but others may stay. Some warts may also get larger or spread.
Treatments may include:
Topical Treatments
Topical medication is applied directly to the skin. Your doctor may recommend one of these medications:
Imiquimod cream
Sinecatechins ointment
Podophyllin resin
Podofilox solution
Trichloroacetic acid or bichloroacetic acid
Cryosurgery, Electrocautery, or Laser Treatment
Methods that instantly destroy warts include:
Cryosurgery (freezing)
Electrocautery (burning)
Laser treatment
These methods are used on small warts. It may be used on larger warts that have not responded to other treatment. A large wart can also be removed with surgery.
Prevention
The only way to completely prevent HPV from spreading is to avoid physical contact with infected partners.
Latex condoms may help reduce the spread of HPV infection and genital warts. Condoms are not 100% effective because they do not cover the entire genital area.
Other ways to help prevent infection include:
Abstain from sex
Have a monogamous relationship
Get regular check-ups for STDs
Vaccine
There is a vaccine for HPV. It is given over a series of three injections to girls and boys aged 11-12 years old. If you are aged 26 or younger and were not vaccinated, you can receive a catch-up vaccine series.
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HPV Treatment NYC New York, NY

What is HPV?

HPV is the most common sexually transmitted virus. Around 75-80% of sexually active people have been infected with HPV, and this is much higher in people with HIV. There are over 40 different HPV types that may infect the genital (private) area.

Oncogenic (cancer-causing) HPV, also called high-risk HPV (especially HPV 16 and 18) can cause cancers of the cervix, vagina, and vulva in women; penis cancer in men; and anal cancer and some mouth/throat cancers in men and women. Non-oncogenic HPV or low-risk HPV (most commonly HPV 6 and 11) can cause warts in the genital and anal areas. These warts are called condyloma acuminatum.

HPV lives only in skin cells (epithelium) and no other kinds of cells, so the only way to get it from another person is through skin-to-skin spread. That usually means contact between genital skin of one person and genital skin of another person. It is currently believed that HPV is rather easily acquired; wearing condoms is helpful in preventing HPV spread.

Most infections with HPV will go away (or clear) on their own (without any treatment) within 2 years of infection. But in some cases the infection does not go away and is then called chronic or persistent. Chronic infection with high-risk HPV may cause dysplasia and could eventually cause cancer.

People living with HIV are more likely to have an HPV infection that lasts a long time (persistent infection). This means that people living with HIV have a higher chance of getting dysplasia or cancer compared with people without HIV.

provide services in the diagnosis and management of HPV related diseases of the lower genital tract. This includes condyloma (warts) and precancerous changes (dysplasia or intraepithelial neoplasia) of the cervix, vulva, and/or anus. Although  evaluates both men and women referred for an abnormal anal Pap test with High Resolution Anoscopy. Patients with precancerous changes of the anus may be offered treatment with an office procedure called Infrared Coagulation. 

HPV Vaccine Protects Against Infection 8 Years Out nyc new york ny

A new long-term study shows that the human papillomavirus (HPV) vaccine appears to protect against the sexually transmitted virus for at least eight years.

HPV is thought to cause the majority of cervical cancers. Certain strains, such as HPV 16 and 18, are most strongly tied to these tumors. The virus is also believed to cause genital warts in both men and women and certain head and neck cancers.

Do anal warts always need to be removed? nyc new york

Yes. If they are not removed, the warts usually grow larger and multiply. Left untreated, the warts may lead to an increased risk of cancer in the affected area.

What are anal warts? nyc new york ny

Anal warts (also called "condyloma acuminata") are a condition that affects the area around and inside the anus. They may also affect the skin of the genital area. They first appear as tiny spots or growths, perhaps as small as the head of a pin, and may grow quite large and cover the entire anal area. Usually, they do not cause pain or discomfort to afflicted individuals and patients may be unaware that the warts are present. Some patients will experience symptoms, such as itching, bleeding, mucus discharge and/or a feeling of a lump or mass in the anal area

HPV Throat Cancer NYC New York, NY

HPV Throat Cancer NYC New York, NY

HPV Anal Genital Warts NYC New York, NY

HPV Anal Genital Warts NYC  New York, NY

HPV Warts NYC New York, NY

HPV Warts NYC  New York, NY

HPV Genital Warts NYC New York, NY

HPV Genital Warts NYC New York, NY