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Cohen J, et al., eds. Papillomaviruses. In: Infectious Diseases. 4th ed. Elsevier; 2017. https://www.clinicalkey.com. Accessed Oct. 17, 2019.
AskMayoExpert. Anogenital warts. Mayo Clinic; 2019.
Scheinfeld N. Condylomata acuminata (anogenital warts) in adults: Epidemiology, pathogenesis, clinical features and diagnosis. https://www.uptodate.com/contents/search. Accessed Oct. 17, 2019.
Genital warts: A fact sheet from the Office on Women's Health. U.S. Department of Health & Human Services. https://www.womenshealth.gov/a-z-topics/genital-warts. Accessed Oct. 17, 2019.
Grennan D. Genital warts. JAMA patient page. JAMA. 2019; doi:10.1001/jama.2018.20181.
HPV vaccine scheduling and dosing. Centers for Disease Control and Prevention. https://www.cdc.gov/hpv/hcp/schedules-recommendations.html. Accessed Oct. 21, 2019.
FDA approves expanded use of Gardasil 9 to include individuals 27 through 45 years old. U.S. Food and Drug Administration. https://www.fda.gov/news-events/press-announcements/fda-approves-expanded-use-gardasil-9-include-individuals-27-through-45-years-old. Accessed Oct. 21, 2019.
Genital warts. U.S. Department of Health & Human Services. https://www.womenshealth.gov/a-z-topics/genital-warts. Accessed Oct. 21, 2019.
Human Papillomavirus (HPV) infection. Merck Manual Professional Version. https://www.merckmanuals.com/professional/infectious-diseases/sexually-transmitted-diseases-stds/human-papillomavirus-hpv-infection. Accessed Oct. 17, 2019.
Pap and HPV tests. U.S. Department of Health & Human Services. https://www.womenshealth.gov/a-z-topics/pap-hpv-tests. Accessed Oct. 21, 2019.
Human Papillomavirus (HPV). When should my child get HPV vaccine? Centers for Disease Control and Prevention. https://www.cdc.gov/hpv/parents/vaccine.html. Accessed Aug. 11, 2021.

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Genital warts are one of the most common types of sexually transmitted infections. Nearly all sexually active people will become infected with at least one type of human papillomavirus (HPV), the virus that causes genital warts, at some point during their lives.
Genital warts affect the moist tissues of the genital area. They can look like small, flesh-colored bumps or have a cauliflower-like appearance. In many cases, the warts are too small to be visible.
Some strains of genital HPV can cause genital warts, while others can cause cancer. Vaccines can help protect against certain strains of genital HPV .
Genital warts are a common sexually transmitted infection. They can appear on the genitals, in the pubic area or in the anal canal. In women, genital warts can also grow inside the vagina.
Genital warts are a common sexually transmitted infection. They can appear on the genitals, in the pubic area or in the anal canal.
In women, genital warts can grow on the vulva, the walls of the vagina, the area between the external genitals and the anus, the anal canal, and the cervix. In men, they may occur on the tip or shaft of the penis, the scrotum, or the anus.
Genital warts can also develop in the mouth or throat of a person who has had oral sexual contact with an infected person.
The signs and symptoms of genital warts include:
Genital warts can be so small and flat as to be invisible. Rarely, however, genital warts can multiply into large clusters in someone with a suppressed immune system.
See a doctor if you or your partner develops bumps or warts in the genital area.
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The human papillomavirus (HPV) causes warts. There are more than 40 strains of HPV that affect the genital area.
Genital warts are almost always spread through sexual contact. Your warts don't have to be visible for you to spread the infection to your sexual partner.
Most people who are sexually active get infected with genital HPV at some time. Factors that can increase your risk of becoming infected include:
HPV infection complications can include:
Cancer. Cervical cancer has been closely linked with genital HPV infection. Certain types of HPV also are associated with cancers of the vulva, anus, penis, and mouth and throat.
HPV infection doesn't always lead to cancer, but it's important for women to have regular Pap tests, particularly those who've been infected with higher risk types of HPV .
Problems during pregnancy. Rarely during pregnancy, warts can enlarge, making it difficult to urinate. Warts on the vaginal wall can inhibit the stretching of vaginal tissues during childbirth. Large warts on the vulva or in the vagina can bleed when stretched during delivery.
Extremely rarely, a baby born to a mother with genital warts develops warts in the throat. The baby might need surgery to keep the airway from being blocked.
Limiting your number of sexual partners and being vaccinated will help prevent you from getting genital warts. Using a condom every time you have sex is a good idea, but won't necessarily protect you from genital warts.
The Centers for Disease Control and Prevention (CDC) recommends routine HPV vaccination for girls and boys ages 11 and 12, although it can be given as early as age 9.
It's ideal for girls and boys to receive the vaccine before they have sexual contact.
Side effects from the vaccines are usually mild and include soreness at the injection site, headaches, a low-grade fever or flu-like symptoms.
The CDC now recommends that all 11- and 12-year-olds receive two doses of HPV vaccine at least six months apart, instead of the previously recommended three-dose schedule. Younger adolescents ages 9 and 10 and teens ages 13 and 14 also are able to receive vaccination on the updated two-dose schedule. Research has shown that the two-dose schedule is effective for children under 15.
Teens and young adults who begin the vaccine series later, at ages 15 through 26, should continue to receive three doses of the vaccine.
The CDC now recommends catch-up HPV vaccinations for all people through age 26 who aren't adequately vaccinated.
The U.S. Food and Drug Administration recently approved the use of Gardasil 9 for males and females ages 9 to 45. If you're ages 27 to 45, discuss with your doctor whether he or she recommends that you get the HPV vaccine.
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What Genital Warts Look Like and Where They Appear

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Genital warts are caused by the human papillomavirus (HPV) . This virus is the most common sexually transmitted infection (STI). Nearly everyone who is sexually active will be infected with HPV at some point, but most people will not develop genital warts. 1

It is important for you to know the symptoms of genital warts. The pictures of genital warts in this article can help you recognize them. Knowing how they spread and what prevention strategies exist is important for reducing your risk and the risk of spreading them to others.

This article discusses genital warts, what they look like, where they typically occur, diagnosis, and treatment.

Around 150 types of HPV have been identified, and about 40 of them are known to infect the genital area. Most sexually active people will encounter some form of HPV in their lifetime, but not all types carry the same levels of risk. 2

Genital warts can occur from HPV types often referred to as low-risk (noncancerous). More than 90% of cases of genital warts are caused by low-risk types, namely HPV types 6 and 11. 3

The appearance of genital warts can vary dramatically. Warts can appear as single bumps or they can occur in groups. They can range in size from less than 1 millimeter to several centimeters in diameter if a cluster of warts merges. They can be smooth or rough and may have fingerlike projections. 4

The most common appearance of genital warts is as gray growths or growths the color of your skin. They can be raised or flat and can appear on, in, and around the genitals. They can grow in clusters that resemble cauliflower or appear alone. 5 Genital warts can also be white, purple, or brown. 6

The timing of genital warts can vary widely from person to person. HPV infection can occur with or without the appearance of genital warts. Warts can take up to two or three months to develop on the skin.

Please note that the images below are graphic and show male and female genitalia in detail. Discretion is advised.

This photo contains content that some people may find graphic or disturbing.

The picture above displays genital warts on the shaft of the penis . However, genital warts can appear on other parts of the penis, like around the tip of the penis and under the foreskin of an uncircumcised penis . Warts can also appear on the scrotum (as seen below).

This photo contains content that some people may find graphic or disturbing.

This photo contains content that some people may find graphic or disturbing.

Above is a photo of genital warts on the labia. However, genital warts can also appear on the vulva and cervix .

This photo contains content that some people may find graphic or disturbing.
O'Mahony C, Gomberg M, Skerlev M, et al. / J Eur Acad Dermatol Venereol

The perineum is the area between the genitals and the anus. The picture above shows a case of genital warts around the vagina and the perineum.

This photo contains content that some people may find graphic or disturbing.
Cincinnati STD/HIV Prevention Training Center

The picture above displays genital warts on the upper inner thigh, but warts may also develop further down the thigh.

This photo contains content that some people may find graphic or disturbing.

Genital warts can appear around or inside the anus. Anal warts rarely block the anal opening.

Genital warts can form around or inside the genital region (i.e., the penis, vagina, anus, and perineum) and the thighs.

The location of genital warts does not always match up with areas of sexual contact. Warts usually appear at the site of reported contact. However, they can also be found at sites where people report no history of sexual contact. 7

Genital warts can be spread even when no warts are visible.

In most cases, healthcare providers can diagnose genital warts just from visual inspection. However, some lesions can be hard to identify. In those cases, practitioners may do a biopsy (removing a sample of tissue for examination in a lab) to confirm the diagnosis. The biopsy can confirm the presence of HPV and identify the subtype of the virus. 8

In addition, a special test (called a colposcopy ) using a magnified scope to look at the genitals can help healthcare providers to better see lesions inside the vagina and on the cervix.

The Centers for Disease Control and Prevention (CDC), in its 2021 guidance for screening and prevention of STIs, states that vaccination is the primary strategy for preventing HPV. Vaccination with Gardasil 9 is recommended as part of routine care beginning at age 11 or 12.

The HPV vaccine is approved to be administered as early as 9 years old. It can also be given, in some cases, up to age 45. 2

Genital warts may go away on their own without treatment, often within one year. But it is also possible that they will grow and spread. They can also stay and remain the same size. 7

Treatments include prescription creams or gels you apply yourself, such as Aldara (imiquimod) and Condylox (podofilox) . 8 Your healthcare provider can also remove warts using cryotherapy or use a laser or electrosurgery (electric current) to burn them off. 7

With treatment, visible warts will usually go away. For some people, genital warts come back even if they follow all the steps for treatment. Even after treatment and without visible warts, you may still be able to pass HPV to sexual partners. 7

Over-the-counter (OTC) wart treatments that contain ingredients like salicylic acid and benzoyl peroxide should not be used for genital warts. These products are not designed for treating warts in the delicate genital areas.

Seeing a healthcare professional is the best way to ensure you receive the appropriate treatment for genital warts. Some home remedies claim to help get rid of warts, but many of these are not supported by evidence and may be unsafe to try on genital warts.

One folk remedy for treating warts is the duct tape method . Some research does show that it may be effective. 9 But this method is more appropriate for common warts on areas like the hands, feet, and arms. It should not be used on genital warts.

Some people also suggest using apple cider vinegar and tea tree oil to treat warts. However, there is a lack of research about their effectiveness in general and specifically on genital warts. In addition, these remedies may cause burning and irritation.

The most natural and evidence-supported at-home remedy for genital warts is the application of a green tea extract known as sinecatechins . Experts believe this green tea extract may have antiviral and anti-inflammatory properties that help eliminate genital warts. 10

Topical sinecatechins 15% ointment (sold under the brand name Veregen) is the first botanical drug approved by the Food and Drug Administration (FDA) for treating genital warts. 10 It is prescribed by a healthcare professional and typically self-applied.

If you think you have genital warts, see a healthcare provider for diagnosis and treatment. Self-identification and home-based remedies may be unsafe and are unproven. Medical professionals are trained to examine and treat private areas of the body.

Genital warts are a symptom of infection from certain types of HPV. They typically appear on the genitals but can also be found on the anus and perineum.

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