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GENITAL WARTS - (condylomata acuminata)
Where do they come from? How do I get them?
How long do they take to show? What might I notice?
What tests would I have? What treatment is there?
What about my partner? Oral or anal sex & condoms
How can I avoid getting them?    
       
Where do they come from?
~ it comes from a virus called ‘Human Papilloma Virus’ (HPV)
~ there are approximately 73 different varieties – some cause warts on other parts of the body and some just in the genital area
How do I get them?
~ close physical or sexual contact
How long do they take to show?
~ any time from 3-18 months
What might I notice?
~ they can ‘lie dormant’ (sleeping) and you may not have any symptoms
~ they may only be found when a partner notices that they have them or they are told at another check-up ie smear test
~ there may be tenderness, general itching and inflammation ‘down below’ or around the ‘back passage’
~ there may be obvious visible warts or ‘cauliflower like’ clusters of warts
~ there may be a feeling of ‘lumps’ growing on the skin
~ there may be alteration in the strength and direction of your urine stream (‘wee’)
What tests would I have?
~ a doctor would look at the warts, perhaps with a magnifying glass under a good light
~ for women: smear tests may show the presence of wart virus at the neck of the womb
~ sometimes a woman may be asked to have a ‘colposcopy’ at the hospital, where the neck of the womb is viewed with a special magnifying glass/microscope
What treatment is there?
Men and women
~ some warts are painted with special medicine
~ others have to be frozen off or burnt off under local anaesthetic
~ some of the treatments can take several weeks and involve many visits to the clinic
Women
~ some warts on the neck of the womb, have to be treated by various minor surgical measures
What should I do after I finish the treatment?
~ be guided by the doctor treating you
What about my partner?
~ however much you may be embarrassed, it is important to tell your partner(s)
~ they should be checked at a GUM Clinic, even if no warts can be seen
Women
~ regular cervical smears are also strongly advised
~ these should be yearly for 3 years – then if clear, every 3 years
What about sex?
~ there is a risk of passing on the virus at any time but the most likely time is whilst warts are present – until given the ‘all clear’ is given by the doctor treating you, usually 3-6 months after the completion of the treatment
~ take the advice of the doctor treating you
~ some doctors advise abstaining (no sex or even masturbation) until the treatment is finished, as friction spreads warts
What about oral sex, anal sex and condoms?
~ warts can be passed by oral or anal sex, so it is essential to use condoms
What complications can come from having Genital Warts?
~ four varieties of wart virus are often found in cervical abnormalities - including pre-cancerous changes, when combined with other risk factors
~ babies of women with genital wart virus are at risk of contracting the virus during the birth process
~ if they are in the urine passage, the urine flow may be altered
~ they may become infected and bleed, making them painful and cause discomfort
~ they may spread around the genital area and cause great distress
~ Genital Warts can return
How can I avoid getting them?
~ the virus can ‘lie dormant’ (sleeping) for many months, so the risk is there for most people
~ don’t share towels or underwear
~ the use of condoms may help to prevent recurrence