Physical examination for genital warts (human papillomavirus) for men

Examination Overview

A visual examination of the penis and anus is most important to diagnose genital warts in men. A magnifying glass may be used to help locate abnormal tissue.

Why It Is Done

A physical examination may be done if:

• You have visible genital warts.
• You suspect you may have a human papillomavirus (HPV) infection.
• Your sex partner has been diagnosed with genital warts.

A physical examination often is the only test needed to diagnose genital warts. Some health professionals will apply an acetowhite test to make the warts more visible. Your health professional may apply a vinegar solution (weak acetic acid) to the skin to show the difference between normal and abnormal tissue. A slight burning sensation may occur when the acetic acid is applied. The acetowhite test is not routinely recommended to confirm genital warts.

Results

Findings of the physical examination may include the following:

Normal

Genital warts are not found.

But HPV may be present even when the visual examination does not locate any warts. HPV can be present in tissue that appears normal.

Abnormal

Genital warts are found on or around the penis, scrotum, or anus.

Treatment is based on:

• The number, size, and location of warts.
• Any problems the warts cause (such as pain or bleeding).
• Your treatment preferences.

A sample (biopsy) of tissue may be taken if genital warts cannot be positively diagnosed with a physical examination. A biopsy can confirm an HPV infection.

What To Think About

Many men do not notice that they have genital warts, even when the warts are visible.

Treating genital warts may not cure a human papillomavirus (HPV) infection. The virus may remain inactive in the body after warts are removed. A person treated for genital warts may still be able to spread the infection. Condoms may help reduce the risk of getting HPV infection.

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Author:	Carrie Henley Robin Parks, MS	Last Updated: November 16, 2006
Medical Review:	Joy Melnikow, MD, MPH - Family Medicine Tom Bailey, MD - Family Medicine Jeanne Marrazzo, MD, MPH - Infectious Disease
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