What are genital warts?
Warts are never welcome, but finding them on your genitals is particularly
unpleasant. Genital warts (also called venereal warts) are flesh-colored,
pink, or grayish-white growths that appear on the genital and anal areas of
the body.
Like all warts, they're caused by a type of human papilloma virus (HPV). Skin-to-skin contact during sexual activity is what allows them to spread. An estimated 10 to 20 million Americans have genital warts and as many as 1 million of us contract them each year.
What is HPV?
Human papilloma virus is a virus with more than 80 different types, which
are responsible for conditions that range from the relatively harmless and
common plantar warts found on the soles of the feet to the more worrisome
genital warts. (One type of HPV causes warts on the hands and feet; another
kind produces them in the genital region.) Some types of HPV have also been
linked to cervical cancer.
What are the symptoms of genital warts?
Usually a woman will notice painless flesh-colored or grayish growths on the
vulva (the outer, visible part of the female genitals), inside the vagina,
or around the anus. A man may notice them on the tip or shaft of the penis.
These growths, which might be itchy or mildly sore, can increase in size and
develop a cauliflower-like appearance. Other symptoms include mild irritation,
burning, itching, or pain around the genitals or anus; increased or foul-smelling
vaginal discharge or vaginal bleeding; or pain accompanying intercourse.
There's a chance that you might not notice the warts, however, especially if they're hidden inside the vagina, on the cervix, or inside the urethra (the tube that carries urine from the bladder out of your body). Or the warts may be small and flat, so that they're not easily noticed even if they're on the outside of the body.
If Genitle Warts are left untreated, they may disappear on their own within six months. But you'll still have the HPV virus in your system, and the warts might reappear later.
Can Genitle Warts cause cancer?
The warts themselves are benign and don't cause cancer. But some types of
HPV infection (whether they give rise to warts or not) are major risk factors
for cervical cancer. This is one reason it's so important for women to get
Pap tests as part of their regular gynecological exams.
Some studies suggest that cancers of the prostate, penis, vulva, and anal area could be linked to certain types of the HPV virus as well, but there's no conclusive evidence of this.
What are my treatment options?
If you're diagnosed as having Genitle Warts, your doctor will probably recommend
that both you and your partner (or partners) get treatment.
The warts can be removed, but the HPV virus (much like the herpes virus) will always remain in your system. This means that the warts could reappear months or years down the road. It also means that you can transmit Genitle Warts to a partner, even if yours aren't visible.
Experts tend to disagree about the treatment of Genitle Warts. In 20 to 30 percent of cases, external Genitle Warts will disappear by themselves if left alone, a fact that leads some doctors to recommend a "wait and see" approach. Other physicians, however, advise that the warts be removed immediately. Although this isn't certain, some researchers believe that the HPV virus may spread to sexual partners more readily if Genitle Warts are visible.
How can I get rid of these warts?
There are several different methods for removing them, but you should proceed
with caution.
First (and very important), don't try to get rid of Genitle Warts by using over-the-counter medicines that are meant to be used on the types of warts found on the hands and feet. They're too harsh for the genital area.
Your doctor may remove external warts on the vulva, penis or around the anal area with laser or conventional surgery. Using cryotherapy to freeze the warts off or electrocautery to burn them off also works. Some procedures may require a local anesthetic. Most chemical methods of wart removal aren't approved for pregnant women.
Your doctor might also want to remove the less common internal warts (in the vagina, on the cervix, inside the anus, or in the man's urethra).
How effective is the treatment for Genitle Warts?
If the warts are going to reappear, they'll usually do so within the first
three months after treatment. In 70 to 80 percent of cases, there's no recurrence
within the first six months. Remember, though, that the Genitle Wart virus will remain
in your body. As with other sexually transmitted diseases, your partner must
be treated as well, since an infected partner can easily spread Genitle Warts
to you.
Are better treatments on the way?
Yes. In three to five years, researchers hope they'll have developed a vaccine
that will prevent infection by the types of Genitle Wart that cause Genitle Warts and
cervical cancer.
How can I keep from getting Genitle Wart and Genitle Warts?
If you're not in a monogamous relationship, be sure you don't have unprotected
sex; condoms can help prevent the spread of Genitle Warts. But since warts
can occur on parts of the genital and anal areas that condoms don't cover,
the virus can be still be spread through sexual contact. If you're considering
a new sexual partner, both of you should be tested for sexually transmitted
diseases before having sex, according to federal health agencies.
Recently there's been litigation stemming from infection with Genitle Wart and Genitle Warts after a clinical examination in which an unsterile endoscope was used. To protect yourself if you are going to have an endoscopy, look for a hospital that sterilizes endoscopes instead of disinfecting them. (The most common disinfectant, glutaraldehyde, is a sterilant, but in almost all cases instruments aren't soaked in it long enough to become sterile; peracetic acid processors are safer and more effective, according to a study of nearly 2,000 endoscope procedures by the Community Hospital of Roanoke Valley in Virginia.) You can also request that your doctor use a disposable sheath for the endoscope to prevent the transmission of viruses or bacteria; he or she could order one from Vision Sciences Inc. at (800) 431-5420.
One dietary note: Some recent studies have concluded that getting enough folic acid -- either by taking 400 micrograms of it in a daily multivitamin or by eating lots of green leafy vegetables -- can help make you more resistant to contracting Genitle Wart.
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