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What test is done for women for genital warts?

Updated: 8/18/2019
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There is no special test done for women with genital warts, other than testing for STDs in general.

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Q: What test is done for women for genital warts?
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Genital warts?

DefinitionGenital warts are soft, wart-like growths on the genitals caused by a virus. Genital warts are a type of sexually transmitted infection (STI).Alternative NamesCondylomata acuminata; Penile warts; Human papilloma virus (HPV); Venereal warts; Condyloma; HPV DNA test; Sexually transmitted disease (STD)Causes, incidence, and risk factorsThe virus responsible for genital warts is called human papilloma virus (HPV). More than 70 different types of HPV exist. Several types cause genital warts.Genital warts may be found on the penis, vulva, urethra, vagina, cervix, larynx, and around and in the anus.Other types of HPV are associated with common or flat warts found on other parts of the skin, such as the hands. However, people will not get genital warts from contact with warts on the hands or other parts of the body.HPV infection around the genitals is common, although most people have no symptoms. Even if you do NOT have symptoms, however, you must be treated to prevent complications and spreading the condition to others.In women, HPV can invade the walls of the vagina and cervix. These warts are flat and not easy to see without special procedures.Certain types of HPV can lead to precancerous changes in the cervix, cervical cancer, or anal cancer. These are called high-risk types of HPV.The following are important facts about how HPV and genital warts can be spread:HPV infection is passed from one person to another through sexual contact involving the anal, oral, or vaginal skin or mucus membrane. It is possible for genital warts and HPV to be spread, even when no warts are visible.You may not see warts for at least 6 weeks to 6 months after becoming infected with HPV. It may also take longer, even years. Because of this, when you first notice genital warts, it does not mean that you or your partner has had sexual contact with someone outside of your relationship.Not everyone who has been exposed to the HPV virus and genital warts wil develop them.The following factors put you at higher risk for getting genital warts, having them spread more quickly, having them return, or having other complications of HPV:Having multiple sexual partnersNot knowing whether someone you had sex with had STIsBecoming sexually active at an early ageUsing tobacco and alcoholHaving stress and other viral infections (such as herpes) at the same timeBeing pregnantHaving an immune system that does not work well, such as during cancer treatment or AIDSIf a child has genital warts, you should suspect sexual abuse as a possible cause.SymptomsGenital warts can be raised or flat, and are usually flesh-colored. They may appear as cauliflower-like growths. Sometimes they are so small and flat that they cannot be seen with the naked eye.Common places to find genital warts:Females most often have warts inside or around the vagina or anus, on the skin around these areas, or on the cervix.Males most often have warts on the penis, scrotum, groin area, or thighs, as well as inside or around the anus in those who have anal intercourse.Both males and females may have warts on the lips, mouth, tongue, palate, or throat (larynx)Other symptoms are rare, but may include:Increased dampness or moisture in the area of the growthsIncreased vaginal dischargeItching of the penis, scrotum, anal area, or vulvaVaginal bleeding, with or after sexual intercourseHowever, many people with HPV infection often have no symptoms.Signs and testsA genital examination reveals flesh-colored to white, flat or raised, single or clustered lesions anywhere on the genitalia.In women, a pelvic examination may reveal growths on the vaginal walls or cervix. Magnification (colposcopy) may be used to see lesions that are invisible to the naked eye. The tissue of the vagina and cervix may be treated with acetic acid (dilute vinegar) to make the warts visible.A Pap smear may note changes caused by HPV. Women with these types of changes often need more frequent Pap smears for a period of time.An HPV DNA test can identify the high-risk types of HPV that are known to cause cervical cancer. It may be done as a screening test for women over age 30, or for women of any age who have a slightly abnormal Pap test result.TreatmentGenital warts must be treated by a doctor. Do NOT use over-the-counter remedies meant for other kinds of warts.Your doctor may treat genital warts by applying a skin treatment in the office. Or, the doctor may prescribe a medication that you apply at home several times per week. These treatments include:Imiquimod (Aldara)Podophyllin and podofilox (Condylox)Trichloroacetic acid (TCA)Surgical treatments include:CryosurgeryElectrocauterizationLaser therapySurgical excision (cutting them out)If you develop genital warts, all of your sexual partners must be examined by a health care provider and treated if genital warts are found.After your first treatment, your doctor will schedule follow-up examinations to see if the warts have returned.Women who have had genital warts, and women whose partners have ever had genital warts, should have Pap smears at least once a year. For warts on the cervix, women may be advised to have Pap smears every 3 to 6 months after initial treatment.Women with precancerous changes caused by HPV infection may need further treatment.Young women and girls ages 9 - 26 shoul be vaccinated against HPV.Expectations (prognosis)Most sexually active young women become infected with HPV, but very few remain infected for more than 5 years. In many cases, HPV goes away on its own.Most men who become infected with HPV never develop any symptoms or problems from the infection. However, they can pass it on to current and sometimes future sexual partners.Even after you have been treated for genital warts, you may still infect others.Certain types of genital warts increase a woman's risk for cancer of the cervix and vulva.ComplicationsSome types of HPV have been found to cause cancer of the cervix and vulva. They are the main cause of cervical cancer.The types of HPV that can cause genital warts are not the same as the types that can cause penile or anal cancer.The warts may become numerous and quite large, requiring more extensive treatment and follow-up procedures.Calling your health care providerCall your doctor if a current or past sexual partner is found to have genital warts. Call if you have visible warts on your external genitals, itching, discharge, or abnormal vaginal bleeding. Keep in mind that genital warts may not appear for months to years after having sexual contact with an infected person.Call your doctor if a young child is thought to possibly have genital warts.Women should begin to have Pap smears at age 21.PreventionTotal abstinence is the only foolproof way of avoiding genital warts and other STIs. You can also avoid STIs by having a sexual relationship with only one partner who is known to be disease-free.Skin near the warts and around the genitals, anus, and other areas can pass the virus from one person to the next. Therefore, male and female condoms cannot fully protect you. Nonetheless, condoms reduce risk and should still be used. They reduce your chances of getting or spreading STIs. These precautions must be taken at all times. HPV can be passed from person to person even when there are no visible warts or other symptoms. See: Safe sexStop smoking.Two vaccines are available that prevent infection against four of the HPV strains responsible for the majority of cervical cancer in women. The vaccine is given as a series of three shots. It is recommended for girls and women ages 9 to 26. See: HPV vaccine for more detailed information.ReferencesDiaz ML. Human papilloma virus: prevention and treatment.Obstet Gynecol Clin North Am.2008;35(2):199-217.Mayrand MH, Duarte-Franco E, Rodrigues I, Walter SD, Hanley J, Ferenczy A, et al. Human papillomavirus DNA versus Papanicolaou screening tests for cervical cancer. N Engl J Med. 2007;357:1579-1588.Kahn JA. HPV vaccination for the prevention of cervical intraepithelial neoplasia. N Engl J Med. 2009;361:271-278.HPV and Men - CDC Fact Sheet. April 3, 2008. Accessed December 20, 2009.


Does chlamydia show up on a vaginal swab?

Chlamydia can be detected with a specific chlamydia test done with a vaginal swab. A routine genital culture will not be able to detect chlamydia.


What is the percentage of women not having a smear test done?

The answer will vary from country to country and between different age groups.


What are the consequences of HPV?

AnswerGardasil provides immunity to several different types of HPV. If you have HPV it will not affect that infection, but it will prevent you getting infected with other types.


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Can you test negative for herpes and have the virus?

First, there are STDs for which there's no reliable test:There is no commerically available test to tell someone they don't have HPV. HPV can be diagnosed if a person has genital warts, or may be found during a cervical HPV test or biopsy, but there's no way to say that someone doesn't have HPV. The overwhelming majority of people who have sex have had HPV at some point in their lives.It is difficult to say that someone has or doesn't have genital herpes if they don't have symptoms. A blood test can tell you if you have antibodies to type 1 or type 2 herpes, but can't tell you if the infection is genital or found elsewhere.In addition, there are a few circumstances that might lead to a negative STD test when the STD is present.You can get tested too soon and you may not be able to tell what you have yet it would be too early to know.Tests are almost never 100% accurate. You shouldn't necessarily start doubting the tests but you should be tested regularly.


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Why won't planned parenthood test for hpv till age 21?

The standard of care nationwide is to start screening for cervical cancer at age 21. The usual tools for screening are Pap smear with HPV testing done only if the Pap diagnosis is unclear (i.e. a diagnosis of ASCUS). HPV testing in pap screening is not done to tell you if you do or don't have HPV; it only tells you if you have high-risk (cancer-causing) subtypes of HPV on your cervix. The standard was changed to 21 years old because younger women generally clear HPV and cervical abnormalities without treatment, and treatment options may affect future fertility. If you're interested in this decision, visit the ACOG website to read about the cervical cancer screening standards and the nationwide move to a later Pap start age.There is no test to determine if a person has been exposed to HPV or is currently carrying HPV somewhere in their body. Because of the widespread infection rate with HPV, it is safest to assume that if you have been sexually active with anyone who has had genital/genital contact with someone else, you are likely to have it. Getting immunized against HPV is an important strategy to reduce the risk of cervical and other cancers; some HPV immunization options also lower the risk of genital warts.