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The Call-On-Doc Guide to Genital Warts

Published on Jul 27, 2023 | 10:52 AM

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What Are Genital Warts?

Genital warts are a sexually transmitted infection (STI) caused by certain strains of the human papillomavirus (HPV), most commonly HPV types 6 and 11. These strains are considered low-risk, meaning they are not associated with cancer, but they can cause visible warts and skin changes.

HPV is extremely common. Many people carry the virus without ever developing visible warts, while others may notice warts weeks or months after exposure. Because of this delay, it is often difficult to determine when the infection occurred.

What Do Genital Warts Look Like?

Genital warts vary in size, shape, and appearance. They may be flat or raised and can appear individually or in clusters that resemble a cauliflower-like texture.

They can occur on or around:

  • The penis, scrotum, vulva, vagina, or cervix

  • The anus or surrounding skin

  • The groin or inner thighs

Most genital warts are painless, though some people experience itching, irritation, or discomfort depending on location.

Symptoms of Genital Warts

Some individuals notice visible warts, while others have no symptoms at all. When symptoms do occur, they may include localized itching, mild bleeding if warts are irritated, or discomfort during sexual activity.

Because HPV can be present without visible warts, the absence of symptoms does not rule out infection.

How Genital Warts Spread

Genital warts spread through skin-to-skin sexual contact, including vaginal, anal, and oral sex. HPV can be transmitted even when warts are not visible and even with condom use, as the virus can infect uncovered skin.

HPV is not spread through casual contact, such as sharing towels, toilet seats, or clothing.

How Genital Warts Are Diagnosed

Genital warts are usually diagnosed through a visual examination by a healthcare provider. In most cases, laboratory testing is not required.

For individuals with a cervix, routine Pap testing screens for cervical cell changes related to high-risk HPV strains, but it does not diagnose genital warts.

Genital Warts Treatment

There is no cure for HPV, but genital warts can be treated or removed.

Treatment options may include:

  • Prescription topical medications

  • In-office procedures such as freezing or removal

  • Observation when warts are small and asymptomatic

Treatment removes visible warts but does not eliminate the virus, so recurrence is possible. Over time, many people’s immune systems suppress HPV, reducing or stopping outbreaks.

What Happens If Genital Warts Are Untreated?

Genital warts are generally not dangerous, but without treatment they may grow, spread, or become more uncomfortable. Emotional distress, embarrassment, or anxiety are also common concerns.

Importantly, the HPV strains that cause genital warts are not the same strains linked to most HPV-related cancers.

Preventing Genital Warts

The HPV vaccine is the most effective way to prevent genital warts and HPV-related cancers. It is recommended for adolescents and young adults and may still offer benefit for some adults.

Consistent condom use lowers risk but does not completely prevent HPV transmission.

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Genital Warts Care With CallOnDoc

CallOnDoc provides confidential, judgment-free care for genital warts through telehealth.

With a virtual visit, you can discuss symptoms or concerns with a licensed provider, receive treatment recommendations when appropriate, and avoid unnecessary in-person clinic visits.

Healthcare that fits your life — not your calendar.

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Shelly House, FNP-BC,

updated 1/23/2026 Shelly House, FNP, is a Family Nurse Practitioner and Call-On-Doc’s trusted medical education voice. With extensive experience in telehealth and patient-centered care, Ms. House is dedicated to making complex health topics simple and accessible. Through evidence-based content, provider collaboration, and a passion for empowering patients, her mission is to break down barriers to healthcare by delivering clear, compassionate, and practical medical guidance.

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