Genital Warts hpv stds More than 30 types of HPV can infect the genital tract , stds , condyloma , genital warts , hpv , herpesMost HPV infections are asymptomatic, unrecognized, or subclinical , stds , condyloma , genital warts , hpv , herpesVisible genital warts usually are caused by HPV types 6 or 11 , stds , condyloma , genital warts , hpv , herpes11 , stds , condyloma , genital warts , hpv , herpesOther HPV types in hpv the anogenital region (e.g., types 16, 18, 31, 33, and and 35) have been strongly associated with cervical neoplasia , stds , condyloma , genital warts , hpv , herpesDiagnosis of genital warts can be confirmed by biopsy, although biopsy biopsy is needed only under certain circumstances (e.g., if hpv stds the diagnosis is uncertain; the lesions do not respond to standard therapy; the disease worsens during therapy; the patient is immunocompromised; immunocompromised; or warts stds are pigmented, pigmented, indurated, fixed, and ulcerated) hpv , stds , condyloma , genital warts , hpv , herpesNo data support the use of type-specific HPV nucleic acid tests in the routine diagnosis or management of visible genital warts , stds , condyloma , genital warts , hpv , herpes In addition to the external genitalia genitalia (i.e., hpv the penis, vulva, scrotum, perineum, and perianal skin) skin) stds , genital warts can occur on the uterine cervix and in the vagina, urethra, anus, and mouth; these warts are sometimes symptomatic , stds , condyloma , genital warts , hpv , herpesIntra-anal warts warts hpv are seen predominantly in patients who have had receptive anal intercourse; these warts are distinct from perianal warts, which can occur in men and and women who do not have a history of anal anal sex , stds , condyloma , genital warts , hpv , herpesIn addition to hpv stds the genital area, HPV types 6 and 11 have been associated with conjunctival, nasal, oral, and laryngeal warts , stds , condyloma , genital warts , hpv , herpesHPV types 6 and 11 rarely are associated with invasive squamous squamous cell carcinoma of hpv the stds the external genitalia , stds , condyloma , genital warts , hpv , herpesDepending on the size and anatomic location, genital warts can be painful, friable, and pruritic, although they are commonly asymptomatic , stds , condyloma , genital warts , hpv , herpes HPV types 16, 18, 31, 33, 33, and 35 hpv are found occasionally in visible genital warts and have been associated with external genital (i.e., vulvar, penile, penile, and anal) squamous intraepithelial neoplasia (i.e., squamous cell carcinoma in situ, bowenoid papulosis, Erythroplasia Erythroplasia of Queyrat, or Bowen's disease of hpv stds the genitalia) , stds , condyloma , genital warts , hpv , herpesThese HPV types also have been associated with vaginal, anal, and cervical intraepithelial dysplasia and squamous cell carcinoma , stds , condyloma , genital warts , hpv , herpesPatients who have visible genital warts warts warts can be infected simultaneously with multiple HPV types , stds , condyloma , genital warts , hpv , herpeshpv stds Treatment The primary goal of treating visible genital warts is the removal of symptomatic warts , stds , condyloma , genital warts , hpv , herpesIn most patients, treatment can induce wart-free periods , stds , condyloma , genital warts , hpv , herpesperiods , stds , condyloma , genital warts , hpv , herpesIf left untreated, visible genital warts may resolve on their own, remain unchanged, or increase increase in size or number , stds , condyloma , genital warts , hpv , herpesDetermining whether treatment of genital warts will reduce transmission is difficult, because no laboratory hpv laboratory marker of infectivity has been established and because clinical studies evaluating hpv stds the persistence of HPV DNA in genital tissue after treatment have shown variable results , stds , condyloma , genital warts , hpv , herpesExisting data indicate that stds that currently available therapies for for genital warts may reduce, but probably do not eradicate, infectivity , stds , condyloma , genital warts , hpv , herpesWhether hpv the reduction in viral DNA that results from current treatment regimens impacts future transmission remains unclear , stds , condyloma , genital warts , hpv , herpesNo evidence indicates that either the hpv the presence of genital warts or their treatment is associated associated with stds the development of cervical cancer , stds , condyloma , genital warts , hpv , herpes Regimens Treatment of genital warts should be guided by the preference of the patient, the available available resources, and hpv the experience of the health-care provider , stds , condyloma , genital warts , hpv , herpesNo definitive evidence suggests that any of the available treatments is superior to the others, and and no single treatment is ideal for all patients or or all warts , stds , condyloma , genital warts , hpv , herpeshpv stds The use of locally developed and monitored treatment algorithms has been associated with improved clinical outcomes and should be encouraged , stds , condyloma , genital warts , hpv , herpesBecause of uncertainty regarding the effect of treatment on future transmission transmission and hpv the possibility for for spontaneous resolution, an acceptable alternative for some patients is to forego treatment and await spontaneous resolution , stds , condyloma , genital warts , hpv , herpesstds Most patients have <10 genital warts, with a total wart area of of 0.5--1.0 cm2 , stds , condyloma , genital warts , hpv , herpesThese warts respond to most treatment modalities , stds , condyloma , genital warts , hpv , herpesFactors hpv that may influence selection of treatment include wart size, size, wart number, anatomic site of wart, wart morphology, patient preference, cost of treatment, convenience, convenience, adverse effects, and provider experience , stds , condyloma , genital warts , hpv , herpesMany patients require a course of therapy rather than a single treatment , stds , condyloma , genital warts , hpv , herpesIn general, warts located on moist surfaces and/or in intertriginous areas respond better to topical treatment hpv treatment stds |