(Anogenital Warts; Condyloma Acuminata; Human Papillomavirus [HPV]; Penile Warts; Venereal Warts; Warts, Genital)
- On the vulva
- In or around the vagina or anus
- On the cervix
- On the penis, scrotum, groin, or thigh
- In the mouth or throat (rare)
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- Multiple sexual partners
- First male sexual partner has had two or more previous sexual partners (for women)
- Sex without condoms
- Having a weakened immune system
- Sex at an early age
- Skin-to-skin contact with an infected partner
- Previous history of genital warts or other STIs
- Vulva or vagina
- Inside or around the vagina or anus
- Tip or shaft of the penis
- Around the anus
Complications of HPV
- If you are aged 21-29 years—Pap test every three years
- If you are aged 30-65—Pap test along with the HPV test every five years or you can continue to have just the Pap test every three years
- If you are aged 65 or older—you may be able to stop having Pap and HPV tests if you have had three normal results in a row and no abnormal results in the past 10 years
Colposcopy and Biopsy
- Imiquimod cream
- Sinecatechins ointment
- Podophyllin resin
- Podofilox solution
- Trichloroacetic acid or bichloroacetic acid
Cryosurgery, Electrocautery, or Laser Treatment
- Cryosurgery (freezing)
- Electrocautery (burning)
- Laser treatment
- Abstain from sex
- Have a monogamous relationship
- Get regular check-ups for STIs
Centers for Disease Control and Prevention http://www.cdc.gov
Planned Parenthood http://www.plannedparenthood.org
Health Canada http://www.hc-sc.gc.ca
Sex Information and Education Council of Canada http://www.sieccan.org
Genital Warts. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/std/treatment/2010/genital-warts.htm. Updated January 28, 2011. Accessed October 7, 2012.
American College of Obstetricians and Gynecologists. First cervical cancer screening delayed until age 21 less frequent Pap tests recommended. American College of Obstetricians and Gynecologists website. Available at: http://www.acog.org/~/media/For%20Patients/faq085.pdf?dmc=1&ts=20130205T1433163887. Published November 20, 2009. Accessed October 7, 2012.
Baker CJ, Pickerling LK, et al. Advisory Committee on Immunization Practices. Recommended adult immunization schedule: United States, 2011. Ann Intern Med. 2011;154(3):168-173.
Batista CS, Atallah AN, et al. 5-FU for genital warts in non-immunocompromised individuals. Cochrane Database Syst Rev. 2010 Apr 14;4:CD006562.
Behrman RE, Kliegman RM, et al. Nelson Textbook of Pediatrics. 17th ed. Philadelphia PA: Saunders; 2004.
Centers for Disease Control and Prevention. Recommended immunization schedules for persons aged 0-18 years—United States, 2011. MMWR. 2011;60(5).
Centers for Disease Control and Prevention. Sexually Transmitted Diseases Treatment Guidelines, 2010. MMWR. 2010;59(No. RR-12):1-110.
Condyloma acuminatum. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated September 28, 2012. Accessed October 7, 2012.
Dunne EF, Markowitz LE. Genital human papillomavirus infection. Clin Infect Dis. 2006; 43:624.
Hanna E, Bachmann G. HPV vaccination with Gardasil: a breakthrough in women's health [review]. Expert Opin Biol Ther. 2006;6:1223-1227.
HPV vaccine information for young women. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/hpv. Accessed October 7, 2012.
HPV vaccine: what you need to know. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-hpv-gardasil.pdf. Updated February 22, 2012. Accessed October 7, 2012.
Human papillomavirus and genital warts. National Institute of Allergy and Infectious Disease website. Available at: http://www.niaid.nih.gov/topics/genitalwarts/Pages/default.aspx. Updated October 21, 2012. Accessed October 7, 2012.
Lowy DR, Schiller JT. Papillomaviruses and cervical cancer: pathogenesis and vaccine development. J Natl Cancer Inst Monogr. 1998;23:27-30.
McLemore MR. Gardasil: introducing the new human papillomavirus vaccine. Clin J Oncol Nurs. 2006;10:559-560.
New vaccine prevents cervical cancer. FDA Consum. 2006;40:37.
1/4/2011 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: The FUTURE II Study Group. Quadrivalent vaccine against human papillomavirus to prevent high-grade cervical lesions. N Engl J Med. 2007;356:1915-1927.
1/4/2011 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Winer RL, Feng Q, Hughes JP, O'Reilly S, Kiviat NB, Koutsky LA. Risk of female human papillomavirus acquisition associated with first male sex partner. J Infect Dis . 2008;197:279-282.
1/4/2011 DynaMed Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: FDA approves new indication for Gardasil to prevent genital warts in men and boys. US Food and Drug Administration website. Available at: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm187003.htm. Published October 16, 2009. Accessed October 22, 2009.
1/4/2011 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Screening for cervical cancer. United States Preventive Services Task Force website. Available at: http://www.uspreventiveservicestaskforce.org/uspstf/uspscerv.htm. Published March 2012. Accessed March 19, 2012.
Saslow D, Soloman D, et al. American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer. CA: A Cancer Journal for Clinicians. 2012 Mar 14 early online.
- Reviewer: Brian Randall, MD
- Review Date: 09/2012 -
- Update Date: 00/93/2012 -