Most patients with HPV infection have no signs or symptoms at all!
If present, visible genital warts have various shapes and sizes, and can appear after infection of the vulva, vagina, cervix, anus, rectum or penis. In girls, the skin at the opening of the vagina is the most common site of infection, and the anal area the second most common. Warts in these areas are usually small, soft, cauliflower-shaped, grayish protrusions. Multiple small cauliflower condylomas can coalesce (group together) to form one large condyloma (click picture below). Warts can also present as small, smooth, skin-colored, dome shaped lesions or they might just appear as slight flat protrusions in the affected area. In boys, warts are generally found on the penis and pubic area, but can also be found in the bladder, urethra, rectum and anal area. In over 50% of HPV cases, lesions are located in multiple locations.