### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi. I am 25 yrs old male & having Genital warts in the foreskins only, for about 8 years without knowing the diagnosis. I do not know how I got it because I never did any sexual intercorse with anyone & I used to think it to be a minor infection & that it will heal with time. And, also I started to ignore it. However, three months ago I consulted a doctor & he diagnosed it. But the situation was that I have had to get married. So I even did the VDRL, HIV tests which were negative, before marriage. Then I started to apply PODOWART on that particular area once a week. But I was told it will take months to heal. In the meantime, I informed my wife about it & we took pracautions like abstinence & while oral intercourse we used condom after washing my genital area. We used to kiss each other. This went for two months. But my question is, is there any chance that my wife has been transmitted HPV by myself? And, should I get her vaccinated with HPV vaccine immediately? Does it advance to carcinoma? Should I get her tested for HPV?

### output:

Hello,Genital wart is caused by Human Papillomavirus (HPV), which affects only the skin, and it will be localized to the wart. I would suggest your sister to apply 5% McQuade cream over the wart on alternate days for 4 months. Before application of this cream you need to apply Vaseline over the wart, and then you have to apply the McQuade cream.Meanwhile to boost up the immunity she needs to take orally capsule Lincoln, daily for 30 days. Once the wart is cleared by topical application of cream she will become free from infection. Once the wart is cleared by the topical medicines she will become will be non-infectious. During the treatment she should adopt health lifestyle like avoiding unprotected sexual activity, multiple sexual partners and going to commercial sex workers. Thank you.