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• Warts and Genital Warts

(Common viral skin growths caused by Human Papillomavirus (HPV))

What Are Warts?

Warts are benign skin growths caused by certain types of human papillomavirus (HPV). They can appear anywhere on the skin but are most common on the hands, fingers, feet, knees, and areas of minor skin trauma.

Warts are not cancer, but they can spread to other areas of your skin or to other people through contact.

Types of Warts

  • Common warts: rough bumps on fingers, hands, or knees
  • Plantar warts: warts on the soles of the feet; may feel like walking on a pebble
  • Flat warts: small, smoother bumps often on the face, arms, or legs
  • Periungual warts: around fingernails or toenails

What Are Genital Warts?

Genital warts are caused by certain HPV strains affecting the genital or anal area.

They may appear as:

  • Small flesh-colored bumps
  • Soft raised growths
  • Clusters resembling cauliflower-like bumps

Genital warts are considered a sexually transmitted infection (STI).

How Do Warts Spread?

Warts spread through:

  • Skin-to-skin contact
  • Shared surfaces or personal items
  • Small skin breaks
  • Sexual contact (genital warts)

The virus spreads more easily in:

  • Warm moist environments
  • Locker rooms
  • Shared showers
  • Areas of friction or shaving

How Are Warts Diagnosed?

Diagnosis is usually made during a skin examination.

Occasionally biopsy may be recommended if:

  • The lesion is unusual
  • Treatment fails
  • The diagnosis is uncertain

How Are Warts & Genital Warts Treated?

Treatment depends on:

  • Location
  • Size
  • Number of lesions
  • Patient preference

Common treatment options:

  • Cryotherapy (liquid nitrogen)
  • Prescription topical medications
  • Cantharidin in selected cases
  • Curettage or removal
  • Immune-stimulating therapies for stubborn warts

Genital wart treatment may involve:

  • Topical medications
  • Cryotherapy
  • Minor procedural removal

Multiple treatments are often needed.

Pre-Op Instructions

(Before wart treatment)

  • Do not cut or shave over warts.
  • Avoid picking or scratching lesions.
  • Tell us if you:
    • Have diabetes
    • Have poor circulation
    • Are immunocompromised
    • Are pregnant
    • Previously used wart treatments

For genital warts:

  • Avoid applying irritating products before the visit.
  • Avoid sexual contact if lesions are inflamed or irritated.

Post-Op Instructions

(After cryotherapy or wart treatment)

What’s normal
  • Redness
  • Swelling
  • Blistering
  • Crusting or scabbing
  • Mild soreness

Aftercare

  • Keep the area clean.
  • Avoid picking blisters or scabs.
  • Cover irritated areas with a bandage if needed.
  • Use medications exactly as prescribed.

Call the office if

  • Severe pain develops
  • Signs of infection occur
  • Fever develops
  • Significant swelling or drainage occurs

Frequently Asked Questions

Are warts contagious?

Yes. Warts can spread through direct contact or shared surfaces, especially when skin is broken or wet.

Yes. Genital warts are caused by certain strains of Human Papillomavirus (HPV).

Sometimes, especially in children, but it can take months to years.

Sometimes, especially in children, but some persist for months or years.

No. Most wart-causing HPV strains are low-risk and do not cause cancer.

Yes. HPV can remain in the skin even after visible warts are treated.

HPV vaccination helps protect against several HPV strains, including some associated with genital warts and certain cancers.

The virus lives within skin cells, and repeated treatment often helps stimulate the immune system to clear the infection.

Scarring is uncommon but can occur, especially after aggressive treatment or picking.