STI's - Anogenital warts

Question 1

what is it caused by?

Answer 1

HPV types 6 and 11 (and occasionally type 1)

Question 2

what are the symptoms?

Answer 2

• lumps with a surface texture of a cauliflower
• itching
• bleeding

Question 3

what is the epidemiology?

Answer 3

• > 90% of UK population have genital HPV infection at some point in life
• only about 20% of those infected with a wart-causing strain get warts

Question 4

how do you diagnose it?

Answer 4

• appearance

- biopsy if unusual (to exclude intraepithelial neoplasia)

Question 5

how do you treat it medically?

Answer 5

• Podophyllotoxin

- Imiquimod

Question 6

what procedures are involved in the treatment?

Answer 6

• Cryotherapy

- Diathermy (for bulky warts)