My wife had been diagnosed with high risk HPV 16. She has had recurrent genital warts outbreaks both inside and outside her vagina (including the rectal area). She has received the HPV vaccine, and has undergone treatments monthly (photofilin) for ongoing outbreaks. Recently, she received laser surgery for genital warts, which had serious painful side effects. Once healed, she had another outbreak of genital warts. This is seriously affecting our ability to have sex, and causing tremendous anxiety and stress in our marriage. We currently live in Asia and have limited external medical resources. What are some possible options for someone experiencing recurrent and frequent outbreaks? Any advice or suggestions would be appreciated.