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Genital warts are soft growths on the penis, scrotum, groin or around the anus caused by the human papillomavirus. They are among the most common sexually transmitted infections worldwide and are entirely treatable, but they are also the condition men most often try to hide, self-treat or ignore. Consultation at Intimate Clinic is fully confidential, and most cases are cleared in a single daycare sitting.
HPV enters through microscopic breaks in the skin during sexual contact and causes the surface cells to proliferate, producing small flesh-coloured, pink or greyish growths that may be flat, raised or cauliflower-shaped. Low-risk HPV types 6 and 11 cause around 90 percent of visible warts. High-risk types such as 16 and 18 do not usually produce warts but can be present simultaneously and are associated with penile, anal and oropharyngeal cancers.
1. Skin-to-skin sexual contact, including contact that does not involve penetration
2. Condoms reduce but do not eliminate transmission, since they do not cover all affected skin
3. Multiple partners or a new partner
4. Reduced immunity from diabetes, HIV or immunosuppressive drugs
5. Smoking, which impairs local clearance of the virus
6. An incubation period of weeks to months means the source contact is often not the most recent one
1. Small painless lumps on the shaft, glans, foreskin, scrotum, groin or perianal area
2. Clusters with a rough cauliflower-like surface
3. Itching, mild burning or occasional bleeding after intercourse
4. Warts hidden under the foreskin, which are easily missed
5. Frequently no symptoms at all beyond the visible growth
See a specialist as soon as you notice any growth in the genital area. Do not use wart paints sold for hands and feet, which cause chemical burns on genital skin. Any growth that bleeds, ulcerates, is fixed to deeper tissue or fails to respond to treatment must be biopsied. Full screening for other sexually transmitted infections is advised, and partners should be examined even if they appear normal.
1. Laser ablation: Precise, bloodless removal in a single daycare sitting with excellent cosmetic results, preferred for multiple or extensive warts.
2. Topical immunotherapy: Imiquimod or podophyllotoxin applied under supervision for small external lesions.
3. Cryotherapy and electrocautery: Effective alternatives for limited disease.
4. Circumcision: Considered where recurrent warts sit under a tight foreskin, which also lowers HPV persistence. See our laser circumcision page.
5. HPV vaccination: Recommended for eligible men to protect against the types not yet acquired and reduce recurrence.
6. Partner evaluation and STI screening: An essential part of complete treatment.
Genital warts multiply. A couple of small lesions can become dozens within months, extending under the foreskin and into the anal canal where they are far harder to clear and more likely to recur after treatment. Large clusters can obstruct the foreskin, cause bleeding and interfere with intercourse. Throughout this period you remain infectious to partners. And persistent high-risk HPV infection, left unmonitored over years, carries a small but real risk of malignant change. Early treatment is faster, more complete and far less likely to need repeating.

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