How do I know if I have genital warts?
Genital warts like all other warts are caused by the effect of the HPV (human papilloma virus)on the surface skin. These viruses live on the outer layer of the skin called the epidermis. The virus may lay within the epidermis and not produce much in the way of changes that show on the skin surface when observed by the naked eye. When changes are visible the following features suggest the presence of warts
Shape
- small, "warty" cauliflower like bumps (verrucous papules)
- discrete thin elongated skin tag like warts
- smooth-topped bumps (papules or nodules)
- large cauliflower lumps or masses.
Colour
Warts vary on color can range from flesh-colored to pink to reddish brown. Warts that have a brown pigment or those that are very red may be more likely to be caused by HPV16,18.
Single or many
Warts can exist alone and separated by normal skin or as a group. There may be many groups of warts. It is thought that the virus may exist in the skin around the visible warts and this is called subclinical.
Where do they occur?
They are found most often in the areas of highest friction during sexual activity. Genital warts can be found anywhere in the genital or anal area. The appearance of these warts in the anal area can occur in the absence of anal sex. Importantly the virus can also involve the vagina and cervix as well as the skin at the entrance of the anus and urethra. It possible for some of the viruses to infect the larynx and throats of newborns as they pass through an infected birth canal.
Can I feel the warts?
Genital warts are usually without symptoms and it is possible that you do not know that you are infected by HPV. Lumps and bumps may be visible and also can be felt as they grow bigger. For some people they may cause itching, bleeding, or mild burning.
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