Genital Warts

Genital Warts

It is one of the most common health problems among sexually transmitted diseases. In this article, we will examine the causes, symptoms, and transmission routes of wart formation in the genital area. We will also discuss treatment methods and the services we provide as A Life Sağlık Grubu in detail.

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What Are Genital Warts?

Human papillomavirus, or HPV infections, are usually small flesh-like protrusions seen in the genital area. There are many subtypes of HPV. The types that most commonly cause genital warts are HPV 6 and HPV 11.

Genital warts can be seen around the vagina, vulva, cervix, and anus in women; and around the penis, scrotum, and anus in men. They are often painless but can cause itching, discomfort, and aesthetic problems.

How Do Genital Warts Spread?

One of the most frequently asked questions is "How do warts spread?" Genital warts are mostly transmitted through sexual intercourse.

The HPV virus can spread through direct contact with the infected person's skin or mucous membranes. Unprotected sexual contact and having multiple sexual partners increase the risk of virus transmission. Additionally, sharing sexual toys can also facilitate transmission.

In some cases, the virus can remain in the body without showing symptoms for a long time. This can cause the person to unknowingly transmit it to others.

Why Do Warts Occur in the Vagina?

The question "Why do warts occur in the vagina?" is especially curious for women. In women, genital warts usually develop as a result of the sexual transmission of low-risk types of HPV.

The vaginal mucosa provides a suitable environment for the virus to settle and multiply. Wart formation in the vagina is more common in individuals with weakened immune systems.

What Are the Symptoms of Genital Warts?

Genital wart symptoms can vary from person to person. While some individuals may not experience any symptoms, others may develop the following complaints:

  • Small, flesh-colored or grayish bumps
  • Warts with a cauliflower-like appearance
  • Itching or burning sensation
  • Pain during sexual intercourse
  • Warts around the anus
  • Bleeding of the warts

When warts form in the genital area, it is essential to consult a specialist.

What Causes Genital Warts?

The answer to the question “What causes genital warts?” is primarily infection with the HPV virus. However, there are certain risk factors that contribute to the development of genital warts in the body:

  • Weak immune system
  • Smoking and alcohol consumption
  • Regular unprotected sexual intercourse
  • Stress and lack of sleep
  • Presence of other sexually transmitted diseases

The answer to the question “How do genital warts form?” is that HPV settles in skin cells, proliferates, and causes abnormal growth of these cells.

Genital Warts in Men

Genital warts in men are generally seen on the penis, scrotum, and around the anus. Men are often carriers and can transmit the virus to their sexual partners even if they show no symptoms. Therefore, even if genital warts are noticed in male individuals, they must be treated.

How Is Genital Wart Treated?

Genital wart treatment is carried out to eliminate the warts caused by the infection, prevent the spread of the virus, and avoid recurrences. The HPV virus cannot be completely eliminated from the body. However, with treatment, the warts can be brought under control. Symptoms can be alleviated and the risk of transmission can be reduced.

The treatment plan is determined based on the number of warts, their size, the area of spread, the patient’s immune status, and individual preferences. Let’s take a detailed look at the most commonly used methods in genital wart treatment:

Topical Treatment (Creams and Solutions)

Genital wart creams and topical solutions are usually used as the first line of treatment. This treatment is suitable for small and few warts. These medications are applied directly to the warts and are typically used in treatment cycles that last for several weeks. The most commonly used topical agents for genital warts include:

Imiquimod (Aldara® Cream)

  • Stimulates the immune system to help the body fight the virus.
  • Typically applied three times a week.
  • Treatment duration may last between 8–16 weeks.
  • Suitable for both men and women.
  • May cause mild burning, redness, and irritation at the application site.

Podofilox (Condylox® Solution or Gel)

  • Destroys wart cells by affecting their DNA.
  • Usually applied twice daily for 3 consecutive days, followed by 4 days off.
  • Can be used for up to 4 weeks.
  • Should be used cautiously in women as it may irritate the vaginal mucosa.

Trichloroacetic Acid (TCA)

  • Destroys warts by chemically cauterizing them.
  • Generally applied by a physician.
  • Preferred in sensitive areas such as around the anus.

Advantages: It is a non-invasive treatment method and can be applied at home by the patient.

Disadvantages: Requires consistent and long-term use to be effective. May cause skin irritation.

Surgical Interventions (Physical Methods)

Surgical treatment is applied for large, widespread, recurrent, or treatment-resistant genital warts. These methods physically remove the warts and are typically performed by a physician in a clinical setting.

a. Cryotherapy (Freezing Method)

  • The wart tissue is frozen using liquid nitrogen.
  • Frozen cells fall off on their own within a few days.
  • Multiple sessions are often required.
  • Stinging or burning sensations may occur during application.

b. Electrocauterization (Genital Wart Cauterization Method)

  • Warts are burned using electric current.
  • Performed under local anesthesia.
  • Scabbing and mild pain may occur after the procedure.
  • An antibiotic ointment may be recommended to reduce infection risk.

c. Laser Ablation

  • Used especially for widespread and deeply located warts.
  • Warts are vaporized using carbon dioxide (CO₂) laser.
  • One of the most precise and effective surgical methods.
  • May require anesthesia.
  • Healing time is faster.

d. Excision (Surgical Removal)

  • The wart is removed with a scalpel or scissors.
  • Preferred for large warts or lesions suspected of malignancy.
  • Usually performed under local anesthesia.

Advantages: Provides fast results, effective in resistant warts.

Disadvantages: May cause pain, bleeding, scarring, and recurrence. Must be performed in a clinical environment.

Immunotherapy and Supportive Treatments

One of the key features of HPV infection is its higher tendency to cause warts in individuals with weakened immune systems. Therefore, strengthening the immune system plays a critical role in preventing wart recurrence during treatment.

Interferon Alpha

  • Injected subcutaneously or directly into the wart tissue.
  • Enhances the body's antiviral defense.
  • The treatment process should be conducted under specialist supervision.

Oral Immune Boosters

  • Vitamin supplements (especially vitamins A, C, D, and E)
  • Mineral supplements (such as zinc, selenium)
  • Herbal support products (echinacea, propolis, etc.)

Psychological and Social Support

Genital warts are not only a physical condition but also have psychological effects. They can impact sexual life and lead to loss of self-confidence. During this process:

  • Receiving psychological counseling services
  • Informing the partner and undergoing treatment together
  • Postponing sexual activity for a while or opting for protected intercourse is recommended.
Follow-Up and Monitoring

After the treatment process is completed, regular follow-ups are very important to check whether the warts have recurred. Since HPV can remain silent in the body:

  • Pap smear and HPV DNA tests in female patients
  • Physical examination and dermatoscopic evaluation in male patients should be performed.

Follow-up every 3–6 months is recommended until it is certain that the warts have completely resolved.

Prevention and Recurrence Control with HPV Vaccine

In addition to the current genital wart treatment, protective vaccines against HPV can also be administered. The vaccine is not therapeutic but protective. However, it is recommended to prevent recurrence after treatment and to protect against other types of HPV.

  • Gardasil 9® vaccine provides protection against HPV types 6, 11, 16, 18, and other high-risk strains.
  • It can be administered to both males and females between the ages of 9 and 45.
  • It is given in 3 doses.
Which Department Handles Genital Warts?

The answer to the question "Which department handles HPV genital warts?" may vary according to specialization. In female patients, obstetrics and gynecology specialists perform diagnosis and treatment, while in male patients, urology specialists are responsible. Dermatology specialists can also be consulted for skin lesions.

Do Genital Warts Resolve Spontaneously?

Some mild cases can positively answer the question of whether genital warts resolve spontaneously. However, if untreated, warts can grow, spread, and increase infectivity. Additionally, some HPV types can lead to cancers in the long term. Therefore, treatment should not be neglected.

Is Genital Warts Contagious?

Yes, the answer to whether genital warts are contagious is definitely yes. They are transmitted directly through sexual contact, and even condom use cannot completely prevent transmission. Therefore, benefiting from the preventive effect of the HPV vaccine is one of the most effective protection methods.

How to Prevent Genital Warts?
  • Limit the number of sexual partners
  • Use condoms
  • Get the HPV vaccine
  • Have regular gynecological and urological check-ups
How to Get Rid of Genital Warts?

The answer to "how do genital warts go away?" is possible with personalized treatment. At A Life Health Group, our expert team creates individualized treatment plans. We determine the most suitable method to eliminate genital warts and manage the process meticulously.

Genital Wart Treatment at A Life Health Group
  • Detailed diagnosis and personalized treatment plans by expert physicians
  • Safe and effective treatment methods with modern medical devices
  • Service approach based on confidentiality principles
  • Patient-specific psychological support and education
Make an Appointment Immediately

If you notice warts in the genital area or experience symptoms of genital warts, A Life Sağlık Group is ready to support you. Schedule an appointment to consult with our specialists and get examined without delay.

Genital wart treatment should not be postponed. Remember, early diagnosis and correct treatment help prevent both the spread of the virus and the risk of cancer.

Prepared by A Life Medical Editorial Board.

Last Updated: 6 Kasım 2025 14:05

Publish Date: 24 Nisan 2024 17:41

Genital Warts

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