If your warts aren't causing discomfort, you may not need treatment. But if your symptoms include itching, burning and pain, or if visible warts are causing emotional distress, your doctor can help you clear an outbreak with medications or surgery. However, the lesions are likely to come back after treatment. There is no treatment for the virus itself.
Genital wart treatments that can be applied directly to your skin include:
Imiquimod (Aldara, Zyclara). This cream appears to boost your immune system's ability to fight genital warts. Avoid sexual contact while the cream is on your skin. It may weaken condoms and diaphragms and may irritate your partner's skin.
One possible side effect is redness of the skin. Other side effects may include blisters, body aches or pain, cough, rashes, and fatigue.
Podophyllin and podofilox (Condylox). Podophyllin is a plant-based resin that destroys genital wart tissue. Your doctor must apply this solution. Podofilox contains the same active compound, but can be safely applied by you at home.
Your doctor may want to administer the first application of podofilox, and will recommend precautionary steps to prevent the medication from irritating surrounding skin. Never apply podofilox internally. Additionally, this medication isn't recommended for use during pregnancy. Side effects can include mild skin irritation, sores or pain.
- Trichloroacetic acid (TCA). This chemical treatment burns off genital warts, and can be used for internal warts. Side effects can include mild skin irritation, sores or pain.
- Sinecatechins (Veregen). This cream is used for treatment of external genital warts and warts in or around the anal canal. Side effects are often mild and may include reddening of the skin, itching or burning, and pain.
Don't try to treat genital warts with over-the-counter wart removers. These medications aren't intended for use in the moist tissues of the genital area. Using over-the-counter medications for this purpose can cause even more pain and irritation.
You may need surgery to remove larger warts, warts that don't respond to medications or — if you're pregnant — warts that your baby may be exposed to during delivery. Surgical options include:
- Freezing with liquid nitrogen (cryotherapy). Freezing works by causing a blister to form around your wart. As your skin heals, the lesions slough off, allowing new skin to appear. You may need repeated cryotherapy treatments. The main side effects include pain and swelling.
- Electrocautery. This procedure uses an electrical current to burn off warts. You may have some pain and swelling after the procedure.
- Surgical excision. Your doctor may use special tools to cut off warts. You'll need local or general anesthesia for this treatment, and you may have some pain afterward.
- Laser treatments. This approach, which uses an intense beam of light, can be expensive and is usually reserved for very extensive and tough-to-treat warts. Side effects can include scarring and pain.
Nov. 19, 2016
- Habif TP. Sexually transmitted viral infections. In: Clinical Dermatology: A Color Guide to Diagnosis and Therapy. 6th ed. Edinburgh, U.K.; New York, N.Y.: Mosby Elsevier; 2016. https://www.clinicalkey.com. Accessed Sept. 9, 2016.
- Genital HPV infection: Fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/std/HPV/STDFact-HPV.htm. Accessed Sept. 9, 2016.
- Breen E, et al. Condylomata acuminata (anogenital warts). http://www.uptodate.com/home. Accessed Sept. 9, 2016.
- Bennett JE, et al. Papillomaviruses. In: Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2015. https://www.clinicalkey.com. Accessed Sept. 9, 2016.
- Goldman L, et al., eds. Papillomavirus. In: Goldman-Cecil Medicine. 25th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed Sept. 9, 2016.
- Gynecologic cancers: What should I know about screening? Centers for Disease Control and Prevention. http://www.cdc.gov/cancer/cervical/basic_info/screening.htm. Accessed Sept. 9, 2016.
- Human Papillomavirus (HPV). Centers for Disease Control and Prevention. http://www.cdc.gov/hpv/parents/questions-answers.html. Accessed Sept. 9, 2016.