Has a certified doctor or a sexual health medical practitioner examined your genital warts ?
It could be resently or in the past.
If not, please confirm that you compared your situation to the following resources:
Male genital warts compared to other similar situations
For reference, here are some pictures of genital warts.
We strongly advise you to upload a photo of your ailment for diagnosis by our medical staff if you have not been diagnosed by a healthcare professional.

Yes

No

Do you have a history of using Warticon to get rid of genital warts?
If so, how successful was it?

Yes

No

Is the entire area of your warts greater than 4cm2 (50p coin size)?

Yes

No

Do you have warts that only appear on your genitals that you're treating?
Condyline is not recommended for the treatment of anal warts.
Do you require assistance?

Yes

No

Do you have a history of using Condyline to get rid of genital warts?
If so, how successful was it?

Yes

No

Can we share this information with your General practitioner?
Providing us with your physician's address means that you allow us to share this information with him/her for updated medical records if need be. It also allows our clinician to access your medical records if there is a need for that. We advice you share this treatment with your doctor for him/her to update your medical records.

Yes

No

Can you relate to the following?
You have an underlying medical condition
You've been through a major surgical procedure
You have allergic reactions
You have a cardiovascular condition or have suffered a stroke
You suffer from a low liver or kidney function

Yes

No

Are you currently receiving any treatment or using any medication?

Please provide more information of the medication being used if any.

Yes

No

If female or transmale, are you currently pregnant, breastfeeding or planning to do so?
Please select your option

Presently Pregnant

Presently Breastfeeding

Planning on getting pregnant

Neither Pregnant nor Breastfeeding

What's your gender?

Male

Female

Transmale (Born a female)

Transfemale (Born a male)

Are you aware of the following:
It is never a good idea to self-diagnose and treat urine incontinence.
At the very least, you should see your doctor for a checkup once a year.
You must follow your doctor's instructions for any treatment.
You should only order repeat supplies of medicines that your doctor has prescribed.

Yes

No

On which body parts are your warts found?
kindly select your option.

Only on the genitals

On the anus only

Both the anus & genitals

Do you have a history of using Aldara to get rid of genital warts?
If so, how successful was it?

Yes

No

Do you mind uploading a photo of your condition.
In the event whereby a certified medical practitioner has not examined you with warts, failure to provide a picture of your condition might lead to your treatment being delayed.
Please provide clear and Close-ups images of the affected area so that our specialists can accurately assess your issue.
This question is not mandatory

Do you have any of the following signs or symptoms:
A alteration in the way your urine flows
Urinary discomfort
Bleeding from the anus or the urethra
Vaginal discharge or discharge from the penis
Internally placed warts (inside the urethra, vagina or anus)
Near your warts, open sores or wounds
Bleeding during or after menstruation or sex which only applies to women

Yes

No

Can you relate to any of the following statements?
You have or have had stomach or duodenal ulcers, as well as stomach or intestinal bleeding in the past.
Your doctor has ever told you that your kidney function is less than 100 percent.
You have previously suffered a terrible reaction to aspirin, ibuprofen, or other nonsteroidal anti-inflammatory drugs (NSAIDs).
You want to use Ibuprofen Gel on skin that is fractured, injured, diseased, or infected.

Yes

No

Are you undergoing treatment for genital warts presently?
If you do, kindly describe the treatment you're using.

Yes

No

For which duration have you been dealing with this outbreak of warts?
kindly select your option.
Do you require assistance?

A month at most

Close to a year

More than a year

At least two years

Are there any warts on or around your anus?
If there are, please tell us who recommended this treatment to you. Aldara cream is typically used to treat warts on the anus.

Yes

No

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