Treatment of Genital Warts

Genital warts are raised, asymptomatic lesions that occur on the vulva, mons pubis, or near the rectum.  They occur because of exposure to HPV, especially types 6 or 11.  Your doctor can usually make the diagnosis by looking at them or by doing a biopsy.

If genital warts are small, they may resolve on their own with time.  However, if they are large or there are multiple lesions, treatment may be needed.

The most common treatments for genital warts are:

Imiquimod:  This is a cream that you can apply at home three times per week for 3-4 months.  It stimulates your local immune system to fight the virus.

Trichloroacetic acid (TCA):  TCA is a chemical that destroys the warts.  It is applied by your doctor weekly until the lesions resolve.

Surgery:  Warts can be surgically removed or cauterized under anesthesia.  This treatment is recommended when the warts are especially large.