Genital warts

Caused by human papillomavirus (HPV).

Usually sexually transmitted,

In women, CIN is related to infection with HPV types 16 and 18, but 90% of genital warts are caused by HPV types 6 or 11.

Presentation in women Often asymptomatic but may be associated with itching or vaginal discharge.

Warts are usually seen on the vulva or introitus.

Warts enlarge during pregnancy.

Warts are usually found on the penis or perianal region.

Diagnosis

Clinical

Management 

Treatment does not eradicate the virus but removes lesions. Barrier contraception is needed for at least 3mo after the warts are gone.

Podophyllotoxin  –  Apply 2x/d for 3days, followed by 4 days of rest. This cycle is repeated 4–5 times.