Cauliflower Warts: Men's Risk and Testing Options - Obstetrics and Gynecology

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Is it difficult for cauliflower ear to develop in men?


I recently found out that I have mild genital warts, but my boyfriend hasn't shown any symptoms.
A doctor mentioned that even if men have it, it's less likely to be visible, but once it develops, it can become serious.
How can men get tested for this? Is it through a blood test or something else?

jj, 20~29 year old female. Ask Date: 2006/10/29

Dr. Li Guanghan reply Obstetrics and Gynecology


Hello: Genital warts (condylomata acuminata) are not visible to the naked eye during the incubation period, for both men and women.
This is a disease caused by the human papillomavirus (HPV), and currently, there is no blood test available for diagnosis.
Hsinchu Hospital, Department of Obstetrics and Gynecology.

Reply Date: 2006/10/29

More Info


Cauliflower warts, commonly known as genital warts, are caused by certain strains of the human papillomavirus (HPV). These warts can appear as small, flesh-colored or gray growths in the genital area and can resemble cauliflower, hence the name. While they are often asymptomatic, they can cause discomfort and may lead to other complications if left untreated.
In terms of risk factors, men can indeed be carriers of HPV without showing any visible symptoms. This means that even if your boyfriend does not have any noticeable warts, he could still potentially transmit the virus to others. The risk of developing genital warts is higher in individuals who are sexually active, particularly those with multiple partners or those who do not consistently use protection during sexual activity.

Regarding testing options for men, there is no specific blood test for HPV itself. Instead, healthcare providers typically rely on visual examinations to identify genital warts. If warts are present, a doctor can usually diagnose them based on their appearance. In some cases, a biopsy may be performed to rule out other conditions or to confirm the diagnosis.
For men who are concerned about HPV or who have had sexual partners with HPV-related conditions, there are a few options available:
1. Visual Examination: A healthcare provider can perform a physical examination to check for any visible warts or lesions in the genital area.

2. Pap Test: While Pap tests are primarily used for women to screen for cervical cancer, men do not have a direct equivalent. However, men who are at higher risk, such as those who are HIV-positive or have multiple sexual partners, may benefit from regular check-ups.

3. HPV Testing: Currently, HPV testing is not routinely performed in men. However, some specialized clinics may offer HPV testing for men, particularly those who are at higher risk.

4. Vaccination: The HPV vaccine is recommended for both males and females to protect against the most common strains of the virus that cause genital warts and cervical cancer. Vaccination is most effective when given before the onset of sexual activity.

In terms of treatment, if genital warts are diagnosed, there are several options available, including topical treatments, cryotherapy (freezing the warts), laser therapy, or surgical removal. It's important to consult with a healthcare provider to determine the best course of action based on the severity and extent of the warts.

In conclusion, while men may not always show visible signs of HPV, they can still carry and transmit the virus. Regular check-ups and open communication with sexual partners are essential for managing sexual health. If you or your boyfriend have concerns about HPV or genital warts, it is advisable to seek guidance from a healthcare professional who can provide personalized advice and treatment options.

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