Genital Warts

Medically reviewed by Drugs.com. Last updated on May 4, 2025.

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What are genital warts?

Genital warts are a sexually transmitted infection (STI) caused by the human papillomavirus (HPV). Genital warts are growths that appear in or on the penis, vagina, or anus. Genital warts are spread during genital, anal, or oral sex. They can also be passed to a baby during childbirth.

What increases my risk for genital warts?

• Not wearing protection during sex, such as a condom
• Multiple sex partners
• A weak immune system caused by other STIs, HIV, or cancer

What are the signs and symptoms of genital warts?

Genital warts are flat or dome shaped bumps. You may have a small bump or a group of bumps. They are usually the same color as your skin but can change color over time. As the warts grow, your skin may itch, burn, or bleed. Over time the warts may look like cauliflower. They may feel moist and rough.

How are genital warts diagnosed?

Your healthcare provider will examine you and ask about your sexual activity. Your provider will use a light to look at your penis, vagina, or anus. You may need any of the following tests:

• A biopsy sample of 1 or more warts may be removed and sent for tests. The tests may show if you have a higher risk for certain types of cancer, such as cervical cancer.
• A Pap smear may show if you have HPV or other cervical problems. A sample of cells from your cervix are collected and sent for testing.

How are genital warts treated?

The virus that causes genital warts cannot be cured. Treatment can help improve your symptoms. Treatment can also help prevent you from spreading warts to others and may help prevent cervical cancer in females. Small genital warts may heal without treatment. In some cases, the warts can get bigger, or you may get more of them. You may need any of the following:

• Medicines:
  • Immunomodulators help strengthen your immune system and treat genital warts.
  • Antiproliferatives help stop genital warts from growing in size or increasing in number.
  • Antivirals help control and stop the growth of viruses such as HPV.
• Procedures:
  • Cryotherapy is used to freeze and destroy genital warts with liquid nitrogen.
  • Electrocautery is used to destroy genital warts with heat.
  • A laser may be used to remove larger or thicker genital warts. The laser uses heat to destroy the tissues around or near your warts. This treatment may help the areas heal without leaving scars.
  • Surgery with a scalpel, scissors, or other surgical tools may be used to remove the warts.

Treatment options

The following list of medications are related to or used in the treatment of this condition.

• Condylox
• imiquimod
• Aldara
• Veregen
• Zyclara

How can I manage my symptoms?

• Do not touch or scratch the warts. This can cause the infection to spread to other parts of your body.
• Do not have sex while you are being treated for genital warts. Medicine used on your skin weakens condoms and diaphragms. You also risk spreading genital warts to your partner.
• Get regular Pap smears if you are female. This can help diagnose HPV and prevent the spread of the virus.

How can I help prevent the spread of genital warts?

• Tell your sex partner that you are being treated for genital warts. Your partner may also be infected and need treatment.
• Get the HPV vaccine. The HPV vaccine is given at 9 to 26 years of age to help prevent cervical cancer and genital warts. Ask your healthcare provider for more information about this vaccine.
• Use latex condoms during sex. This helps prevent another infection and keeps your partner from getting the infection.
• Limit your number of sex partners. This will help lower your risk for other STIs.

When should I call my doctor?

• Your genital warts return.
• The skin that is being treated for genital warts is very painful or swollen.
• You see or feel new warts on another part of your body.
• You have questions or concerns about your condition or care.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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