Symptoms:

Genital warts are raised, flesh-colored lesions on the genitals, anus, or surrounding skin. They may appear as cauliflower-like growths around the anus or genitals. However, there are often no symptoms. Symptoms that may occur include:

• Abnormal vaginal bleeding (not associated with a menstrual period) after sexual intercourse
• Increased dampness or moisture in the area of the growths
• Itching of the penis, scrotum, anal area, or vulva
• Increased vaginal discharge

Signs and tests:

A genital examination reveals flesh-colored to white, flat or raised, single or clustered lesions anywhere on the genitalia.

In women, a pelvic examination may reveal growths on the vaginal walls or the cervix. Magnification (colposcopy) may be used to 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. A pap smear may note changes associated with HPV.