Themedical term for warts in the genital area is condyloma acuminatum. Itis usually spread by genital to genital contact. This can includepenile penetration, but skin to skin contact is all that is necessary.It can also spread within the genital area after contact; anal lesionsare sometimes found in women and men who have had no anal intercourse.Infection after oral sex is rare but has been reported (in some caseslesions were found on vocal cords). Warts on the hand or foot are adifferent strain of and are not transmissible to someone¡¯s genitals.
Symptons
The incubation period is one month to many years.
Raised ”warty” appearing tumors on the genitals
Raised, flesh colored lesions
Genital lesions: Genital sores (female), Genital sores (male), Anal warts
Cauliflower-like appearing growths around the anus or female genitalia
Increased dampness or moisture in the area of the growths
Itching of the penis, scrotum, anal area, or a vulvar itch
Increased vaginal discharge
Abnormal vaginal bleeding (not associated with a menstrual period) after sexual intercourse
Signs and tests:
A genital examination reveals flesh-colored to white, flat orraised, single or clustered lesions anywhere on the externalgenitalia. In women, a pelvic examination may reveal growths on thevaginal walls or the cervix. Magnification (colposcopy) may be usedto see lesions invisible to the naked eye. The tissue of the vagina and cervix may be treated with acetic acid to make the warts visible.
Additional tests for women:
A Pap smear may note changes associated with HPV. A colposcopy maybe done to see either external or internal genital lesions which areinvisible to the naked eye.
Additional Information for Women
Most women have no symptoms during the early stage of infection. Inseveral studies that involved college women, nearly half were positivefor HPV. However, only 1% to 2% had visible warts and fewer than 10%remembered ever having warts. If symptoms are present, they may includethe following:
Dry, painless, cauliflower-like warts on the genitals
Genital sores
Increased dampness or moisture in the area of the warts
Chronic itching of the outer lips of the vagina
Increased vaginal discharge
Abnormal vaginal bleeding
Warts in other sexually exposed areas, such as the anus or mouth
Abnormal Pap smear results. A Pap smear is an examination, under a microscope, of cells scraped from the cervix.
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