Repeat up to 4 cycles. The treatment area should be washed with mild soap and water 6-10 hours afterthe application. Once weekly, wash off in 1-4 hours. The use of podophyllin and podofilox are contraindicated during pregnancy. Genital papillary lesions have a tendency to proliferate and to become friable during pregnancy.
Many experts advocate removal of visible warts during pregnancy.
HPV types 6 and 11 can cause laryngeal papillomatosis among infants. Hence, the preventive value of caesarean delivery is unknown. Caesarean delivery must not be performed solely to prevent transmission of HPV infection to the newborn. However, in rare instances, caesarean delivery may be indicated for women with genital warts if the pelvic outlet is obstructed or if vaginal delivery would result in excessive bleeding. Reexamine q 2 weeks.