Content Map Terms

Genital Warts (Human Papillomavirus)

British Columbia Specific Information

Human Papillomavirus (HPV) is one of the most common sexually transmitted infections (STIs). HPV is transmitted through intimate skin-to-skin contact and can cause a variety of cancers as well as genital warts. HPV can cause genital warts and cancers of the anus, cervix, mouth and throat, penis, vagina and vulva.

The HPV vaccines protect against infection from certain types of HPV. The HPV vaccine is a cancer-preventing vaccine that can benefit you, no matter your sex, gender, or sexual orientation, or sexual activity status. The HPV vaccine is part of the recommended vaccination schedule for all youth in British Columbia. To be eligible for the free, publicly funded vaccine, people in B.C. need to have their first dose before they turn 19 and their last dose before they turn 26. The exception is for those that have been given the extension to June 30, 2024. 

For more information about the HPV vaccine, visit:

To learn more about HPV infection, read HealthLinkBC File #101a Human Papillomavirus (HPV) Infection and Genital Warts. For more information on STIs, sexual health information, where to get tested and other sexual health services in your area, visit Sexually Transmitted Infections.

Condition Basics

What are genital warts?

Genital warts are skin growths in the groin, genital, or anal areas. They can be different sizes and shapes. Some look like flat white patches, and others are bumpy, like tiny bunches of cauliflower. Sometimes you can't see the warts at all.

What causes them?

Genital warts are caused by the human papillomavirus (HPV). Over 100 types of HPV have been found. Some types cause genital warts. Types 6 and 11 cause most genital warts.

HPV and genital warts can be spread through sex or skin-to-skin genital contact with someone who has the virus. The virus can be spread to or from the genitals, anus, mouth, or throat during sexual activities. You can spread the virus even if you don't have symptoms.

What are the symptoms?

Genital warts can be different sizes and shapes. They may be large, or they may be too small to be seen. They may appear alone or in groups. Warts may look like tiny bunches of cauliflower or like flat, white areas that are very hard to see.

Genital warts may appear in the groin, on and around the genitals, in the urethra, or in the rectum or anus.

How are they diagnosed?

A doctor checks for genital warts by looking closely at the genital and anal areas. The doctor may ask you questions about your symptoms and risk factors. Risk factors are things that make you more likely to get an infection. Sometimes the doctor takes a sample of tissue from a wart for testing.

How are genital warts treated?

There are ways to treat genital warts. But the warts may come back because treatment doesn't kill the HPV infection that causes them.

Talk to your doctor if you want to treat visible genital warts. The warts usually go away with no treatment, but they may also spread. Some people decide to treat them because of the symptoms or because of how the warts look. But if you don't have symptoms and are not worried about how the warts look, you can wait and see if they go away.

If you decide to treat genital warts, talk to your doctor. There are medicines that you or your doctor can put on the warts. Or your doctor can remove them with lasers or surgery or by freezing them off.

Surgery to remove genital warts may be done when:

  • Medicine treatment has failed and the removal of warts is thought to be needed.
  • Warts are large.

How can you prevent sexually transmitted infections (STIs)?

Here are some ways to help prevent STIs.

  • Limit your sex partners. Sex with one partner who has sex only with you can reduce your risk of getting an STI.
  • Talk with your partner or partners about STIs before you have sex. Find out if they are at risk for an STI. Remember that it's possible to have an STI and not know it.
  • Wait to have sex with new partners until you've each been tested.
  • Don't have sex if you have symptoms of an infection or if you are being treated for an STI.
  • Use a condom every time you have sex. Condoms are the only form of birth control that also helps prevent STIs.
  • Don't share sex toys. But if you do share them, use a condom and clean the sex toys between each use.

Vaccines are available for some STIs, such as HPV. Ask your doctor for more information.

HPV vaccine

The vaccines available in Canada help to prevent some types of HPV, including the ones that cause 70 to 90% of anal and genital cancers and 90% of genital warts. 

In Canada, HPV vaccination is recommended for females aged 9 to 45 and for males aged 9 to 26. For best protection from the vaccine, it should be given before someone becomes sexually active. To find out more, speak to your health care provider or your Public Health Unit. 
 

Credits

Adaptation Date: 9/20/2023

Adapted By: HealthLink BC

Adaptation Reviewed By: HealthLink BC