condyloma

Genital warts are a sexually transmitted infection (STI) caused by the human papillomavirus (HPV). There are many types of HPV. Some types of HPV can cause genital warts. Other types of HPV can cause cancer.

There is no treatment for HPV, but your health care provider can treat genital warts. HPV vaccines may help prevent some of the HPV infections that cause genital warts.

If you are sexually active, you can get genital warts during oral, vaginal, or anal sex with an infected partner. You can still get genital warts even if they are so small that you can't see them.

It doesn't happen often, but genital warts can also be spread from a woman to her baby during childbirth.

Genital warts are often painless and may not cause any symptoms. You might not even know that you have them. Sometimes, they can also cause itching, burning, bleeding, or discomfort.

The warts usually appear as a small bump or group of bumps in the genital area. They are flesh-colored and can be flat or look bumpy like cauliflower.

Your provider can usually find out if you have genital warts by seeing them during a physical exam or pelvic exam. In women, the warts usually occur in or around the vagina, on the cervix, or around the anus. Men may have warts on the tip of the penis, around the anus, or on the scrotum, thigh, or groin.

The warts might disappear on their own, stay the same, or grow bigger or increase in number. A few ways that your provider can treat them include:

• Use medicines, cream, or ointment
• Remove them by burning, freezing, or cutting out the warts

HPV stays in your body even after treatment. This means that warts can come back, and you can still spread HPV to others after genital warts are removed.

Getting an HPV vaccine may help prevent genital warts. HPV vaccines provide the most protection if you get them before exposure to the virus. This means that it's best to get vaccinated before becoming sexually active. If you're over age 26 and haven't been vaccinated, talk with your provider about the possible benefits of vaccination.

Correct usage of latex condoms greatly reduces, but does not eliminate, the risk of catching or spreading HPV. If you or your partner is allergic to latex, you can use polyurethane condoms. The best way to avoid infection is not to have anal, vaginal, or oral sex.

Dept. of Health and Human Services Office on Women's Health

Your anus is the opening at the end of your large intestine. It is where stool (poop) leaves your body. The anus is formed partly from your outer layers of skin and partly from your intestine. Anal cancer is a type of cancer that forms in the tissues of your anus.

Anyone can get anal cancer, but you are more likely to develop it if you:

• You have an infection with high-risk HPV, especially if you have certain types. Most anal cancers are related to HPV infection.
• Have a weakened immune system, from conditions such as HIV or because of medicines you need to take after an organ transplant.
• Have had vulvar, vaginal, or cervical cancer.
• Have many sexual partners.
• Have anal sex.
• Smoke cigarettes.

The signs and symptoms of anal cancer may include:

• Bleeding from the anus or rectum
• A lump near the anus
• Pain or pressure in the area around the anus
• Itching or discharge from the anus
• A change in bowel habits, such as narrower stools, having to go more often, or bowel incontinence

To find out if you have anal cancer, your provider:

• Will take your medical history, which includes asking about your symptoms.
• Will ask about your family health history.
• May do a digital rectal examination (DRE). A DRE is an exam of the anus and rectum. For the exam, your provider will insert a lubricated, gloved finger into the lower part of your rectum to feel for lumps or anything else that seems unusual.
• May order tests that examine the anus and rectum, such as:
  • An anoscopy, an exam of the anus and lower rectum using a short, lighted tube called an anoscope. There is also a type of anoscopy called a high-resolution anoscopy. It uses a special magnifying device called a colposcope along with the anoscope to view these areas.
  • A proctoscopy, a procedure to look inside the rectum and anus using a thin, tube-like instrument with a light and a lens.
  • An endo-anal or endorectal ultrasound, a procedure in which an ultrasound probe is inserted into the rectum.
• May do a biopsy during an anoscopy or proctoscopy.

The treatments for anal cancer include radiation therapy, chemotherapy, and surgery. Which treatment you get will depend on how advanced the cancer is, your overall health, and your preferences.

You may be able to lower your risk of getting anal cancer by getting an HPV vaccine and not smoking. Contact your provider if you need help quitting smoking.

It is currently not known if using condoms can prevent anal HPV infections. But using latex condoms every time you have sex can help prevent HIV, a risk factor for anal cancer. And they also help prevent other sexually transmitted infections (STIs). If your or your partner is allergic to latex, you can use polyurethane condoms.

If you are an adult with HIV, it's important to get an anal cancer screening every year. The screening checks for anything that seems unusual, such as lumps, burning, and precancer cells (cells that could turn into cancer). The screening will include a digital rectal exam. If anything unusual is found, you will have an anoscopy or high resolution anoscopy.