What Do Genital Warts Look Like? Symptoms and Information Explained

What do warts look like?

Hello Doctor: I have a question to ask you.
I do not engage in risky sexual behavior, and I always use a condom when having intercourse with my girlfriend.
Recently, while showering and examining my genital area, I noticed a few spots on the glans that look like moles, and there seem to be some very small white spots as well.
I don't feel any discomfort, but whenever I think about it, it feels strange.
I have been looking online and saw some information that seems to relate to warts.
So, I would like to ask how genital warts appear and what symptoms they have? Thank you, Doctor, and I wish you good health.

Xiao Ming, 20~29 year old female. Ask Date: 2004/10/12

Dr. Pan Zhenqin reply Urology

Based on your description, the spot-like lesions near your glans are likely just pearly penile papules and squamous epithelial hyperplasia, which are benign conditions caused by long-term accumulation of smegma and friction, and there is no need for concern.
As for the cauliflower-like growths, they are known as condyloma acuminatum, named for their rough, protruding appearance resembling a miniature cauliflower.
They commonly occur in moist areas of the skin, at the junction of mucous membranes and dry skin, such as the coronal sulcus at the junction of the glans and foreskin, the urethral meatus, the female vulva, inside the vagina, and even near the anus.
In the early stages, they are typically asymptomatic, causing no pain, itching, ulceration, or discharge; they simply grow larger and more numerous over time.
Wishing you health and safety from the Urology Department of Tainan Hospital, Ministry of Health and Welfare!

Reply Date: 2004/10/12

More Info

Genital warts, also known as condylomata acuminata, are a common sexually transmitted infection caused by certain strains of the human papillomavirus (HPV). They can appear as small, flesh-colored or gray growths in the genital area, including the vulva, vagina, cervix, penis, scrotum, and anus. In some cases, they may resemble tiny cauliflower-like bumps due to their irregular surface.
Symptoms of genital warts can vary significantly from person to person. Some individuals may not experience any symptoms at all, while others may notice the following:
1. Appearance: Genital warts can be small and flat or raised and bumpy. They may appear as single lesions or in clusters, which can give them a cauliflower-like appearance. The color can range from flesh-colored to gray or even darker shades.

2. Itching or Discomfort: While many people with genital warts do not experience any discomfort, some may feel itching, irritation, or tenderness in the affected area.

3. Bleeding: In some cases, warts may bleed, especially if they are irritated or scratched.

4. Changes in Urination: If warts develop inside the urethra, they may cause changes in urination, such as difficulty urinating or blood in the urine.

5. Other Symptoms: In some cases, genital warts can be associated with other sexually transmitted infections (STIs), which may present additional symptoms.

It’s important to note that genital warts are typically painless, and many individuals may not even be aware they have them until they are discovered during a self-examination or a medical check-up.
Given your description of small, mole-like spots on the glans (the head of the penis) and tiny white spots, it is crucial to consult a healthcare professional for an accurate diagnosis. While it is possible that these could be genital warts, other conditions such as pearly penile papules, Fordyce spots, or other benign skin lesions may also present similarly.
Pearly penile papules are small, harmless bumps that are often found around the corona of the glans and are a normal anatomical variation. Fordyce spots are small, painless, pale bumps that are sebaceous glands and are also harmless.
If you are concerned about the possibility of genital warts or any other sexually transmitted infection, it is advisable to seek medical attention. A healthcare provider can perform a physical examination and may conduct tests to confirm the diagnosis. If genital warts are diagnosed, treatment options are available, including topical medications, cryotherapy (freezing the warts), or surgical removal.

In conclusion, while your symptoms may be concerning, they do not necessarily indicate genital warts. A professional evaluation is essential for an accurate diagnosis and appropriate management. Remember, practicing safe sex, such as using condoms, is an effective way to reduce the risk of sexually transmitted infections, but it does not eliminate the risk entirely. Regular check-ups and open communication with your partner about sexual health are also important for maintaining overall well-being.

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