Genital warts
can appear as gray or flesh-toned growths that can be flat or raised and
can appear in, or on, or around the genitals. Generally, genital warts
are painless, but they can be bothersome because of their size, location
or due to itching. Genital warts can be as small as one millimeter
across. But when they join together to form cauliflower looking clumps,
they can be as large as several square centimeters.
Genital warts
symptoms can include bleeding or urinary obstruction when the warts
clump together to block the urethral opening ( the opening where the
urine exits the body), although this is a rare occurrence.
In men,
genital warts can appear on the scrotum, penis, testicles, thighs, anus
and groin area. The growths can be soft and smooth, such as they
sometimes appear on the penile shaft, or they can be rough with a
slightly darker color, such as anal warts. The lesions can be hidden by
hair or be in the inner aspect of the uncircumcised foreskin.
Genital warts
have a similar appearance in women and predominately appear in the moist
areas of the labia minora and vaginal opening. A thorough examination of
the anorectal area, the vaginal canal and the cervix should be
undertaken if lesions are visible on the outer genitals.
Genital warts
are sexually transmitted and are highly contagious. Because the warts do
not usually appear until three months or more after an individual
becomes infected with the HPV that causes them, the virus can be spread
before the carrier is even aware that he or she has it. Two of the
strains of HPV that cause genital warts have been associated with cancer
of the cervix: five strains of HPV are seen in nearly all surface
cancers of the cervix, vagina, vulva, anus, penis, and perianal area. An
infant can contract warts by being exposed to genital warts during the
birth process.