HPV Treatment
- Clinicians should not use sinecatechins in patients with HIV. (A3)
- Clinicians should obtain a biopsy to exclude dysplasia or cancer for condyloma that have not responded to treatment. (A3)
- Clinicians should switch treatment modalities if biopsy-confirmed warts or condyloma have not improved substantially within 4 months of therapy. (A3)
- Clinicians should refer patients with lesions that are resistant to topical therapies; that change in appearance; that have ulceration, irregular shape, or variegated pigmentation; or with biopsy-proven dysplasia to clinicians experienced in the management of human papillomavirus (HPV) and HIV. (A3)
- Clinicians should refer patients with visible urethral lesions to a urologist for treatment. (A3)
- Clinicians should refer patients with HIV who have anogenital cancer to an oncologist for treatment. (A3)
- Clinicians should avoid the use of imiquimod in pregnant individuals unless the benefits outweigh the risk. (A3)
- Clinicians should not use sinecatechins, podophyllin, or podofilox (podophyllotoxin) in pregnant individuals. (A3)
