Genital warts are a common HPV-related STI caused chiefly by types 6 and 11. They range in appearance from flat patches to cauliflower-like growths and may cause itching, burning, or bleeding. Diagnosis is usually clinical; colposcopy, biopsy, or HPV testing can help in uncertain cases. Treatments - cryotherapy, TCA, excision, or prescribed topicals - remove visible lesions but do not eradicate HPV, so recurrence is possible. HPV vaccination and condom use reduce risk; consult a clinician for current vaccine guidance and safe treatment, especially during pregnancy.
What causes genital warts?
Genital warts are caused by certain human papillomavirus (HPV) types, most commonly low-risk types 6 and 11. They are a common sexually transmitted infection. While treatments remove visible warts, they do not reliably eliminate the underlying virus, and recurrence can occur.
Typical symptoms and appearance
Warts may be flesh-colored, pink, brown, or whitish. Their shape ranges from flat patches to raised, cauliflower-like clusters. They can appear on or around the vulva, penis, anus, urethra opening, groin, or thigh.
Symptoms include:
- Small bumps or growths in the genital area that may grow slowly.
- Itching, burning, or discomfort around the lesion.
- Bleeding or pain if the warts are irritated, for example during sex.
How are genital warts diagnosed?
A clinician usually diagnoses genital warts by visual inspection. If lesions are unclear, the provider may use a magnifying device (colposcope), take a biopsy, or order HPV testing. Routine cervical screening detects some HPV-related changes that do not always look like warts.
Treatment options
Treatment aims to remove or destroy visible warts and relieve symptoms. Options include:
- Provider-administered procedures: cryotherapy (freezing), application of trichloroacetic acid (TCA), electrosurgery, or surgical excision.
- Patient-applied topical medicines prescribed by a clinician, such as imiquimod or podofilox.
Prevention and practical advice
HPV vaccination prevents many cases of genital warts and HPV-related cancers; the currently used vaccine covers the HPV types that cause most genital warts. Vaccination programs focus on preteens and include catch-up recommendations for older individuals - consult your clinician for current age and dosing guidance.
Condoms reduce HPV transmission but do not eliminate risk because they may not cover all infected skin. If you or a partner notice warts, avoid sexual contact until a clinician advises otherwise.
Avoid unproven home remedies. Seek medical care for diagnosis and safe, effective treatment. Early detection and appropriate management reduce symptoms and help limit spread.
- Confirm current HPV vaccination age recommendations and dosing schedules from CDC/ACIP or national health authority.
- Verify whether specific topical treatments (imiquimod, podofilox) are contraindicated in pregnancy and list pregnancy-safe treatment options.