Molluscum Contagiosum Treatment in Singapore: Molluscum contagiosum is a minor skin infection caused by a virus. Small bumps appear on the skin, anywhere on the body.
Treatment of MC is only necessary if the bumps are particularly unsightly or are bothering the patient in some way. Because they usually clear up on their own, treatment isn’t always used. Each bump usually clears up within two months, although new bumps may continue to arise, and the infection may spread to adjacent areas with new bumps appearing in those areas. Some bumps, however, have been reported to last up to four years. Overall, the infection is gone (with no new bumps arising) in most people within nine months, and nearly always within two years, although longer durations have been reported.
In most people, the bumps generally resolve on their own without scarring. However, if one of the bumps becomes particularly large, then it’s possible that the natural healing process of the large bump will leave a scar. Treatment while the bump is small may leave a smaller scar than waiting until the bump gets large and letting it heal on its own. This is one reason that people may choose treatment (to reduce the chances of a significant scar). Another reason is that the bumps are unsightly, so they may wish to be rid of them quickly rather than waiting for the bumps to resolve on their own. Finally, molluscum contagiosum may be treated to prevent it from spreading to other areas of the body. MC of the genitals is generally treated to prevent it from spreading, as having the bumps around the genital or anal area can produce discomfort. However, there is widespread disagreement among doctors about whether and how to treat MC.
The treatments used for molluscum contagiosum are very similar to those used for warts. The bumps can be physically removed. They can be removed with a sharp instrument (usually, an instrument called a curette is used, which looks like a small spoon) under local anesthesia, or they can be frozen with liquid nitrogen, or heated with an electrical instrument to burn them off. If liquid nitrogen is used, then it will take several days for the bumps to fall off. Either of these physical removal methods can lead to small scars forming where the bumps were removed. Also, sometimes, light patches of skin may form in these places; while the light patches usually go away over time, they sometimes remain permanently.
Laser therapy is sometimes used for MC. The laser is directed at each bump and a pulse of laser energy is given to remove the bump. The laser treatment is expensive, and it’s not recommended for MC of the genitals, although it may be used in other cases of molluscum contagiosum in Singapore.
Another option is to put topical medications (cream or ointment) on the bumps. Usually, these medications need to be applied a few times per week until the bumps are gone (which may take several weeks). The medications may cause local irritation. Some of these medications cannot be used in the genital or anal area.
On occasion, when MC is very severe, oral antiviral medications may be used to try to control the infection. This is rarely necessary, except in cases where the patient has a suppressed immune system and the infection is spreading out of control.
Unlike with warts, getting rid of the bumps of molluscum contagiosum effectively gets rid of the virus. Once the bumps are gone, the infection will not reappear, unless the person gets a new infection from someone else. Similarly, once the bumps are gone, then the person isn’t contagious anymore and can no longer spread the infection to others.