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Genital warts - Treatment

Alternative Names

Condylomata acuminata; Penile warts; Human papilloma virus (HPV); Venereal warts; Condyloma

Treatment:

Genital warts must be treated by a doctor. DO NOT use over-the counter remedies meant for other kinds of warts. Your doctor may treat genital warts by applying a skin treatment in the office. Or, the doctor may prescribe a medication that you apply at home several times per week.

Surgical treatments include cryosurgery, electrocauterization, laser therapy, or cutting them out.

If you develop genital warts, all of your sexual partners must be examined by a health care provider and treated if genital warts are found.

After your initial treatment, your doctor will schedule follow-up examinations to see if the warts have returned.

Women who have had genital warts, and women whose partners ever had genital warts, should have pap smears at least once a year. For warts on the cervix, women may be advised to have pap smears every 3 to 6 months after initial treatment.

Expectations (prognosis):

With proper treatment, genital wart outbreaks of usually can be controlled. However, the warts frequently reappear after treatment. Even after you have been treated for HPV, you may still infect others.

Certain types of genital warts increase a woman's risk for cancer of the cervix and vulva.

Complications:

At least 70 types of HPV have been identified, several of which have been linked to cervical and vulvar cancer. The warts may become numerous and quite large, requiring more extensive treatment and follow-up procedures.

Calling your health care provider:

Call your doctor if a current or past sexual partner is found to have genital warts. Call if you have visible warts on your external genitals, itching, discharge, or abnormal vaginal bleeding. Keep in mind that genital warts may not appear for months to years after having sexual contact with an infected person.

Call your doctor if a young child is thought to possibly have genital warts.

Sexually active teens are very susceptible to HPV and should get screened for HPV infection regularly.

  • Reviewed last on: 5/26/2008
  • Susan Storck, MD, FACOG, Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine; Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Diaz ML. Human Papilloma Virus - Prevention and Treatment. Obstet Gynecol Clin North Am. June 2008; 35(2); 199-217.

Armstrong C. ACIP Releases Recommendations on Quadrivalent Human Papillomavirus Vaccine. Am Fam Physician. May 1, 2007; 75(9); 1391-1380.