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Anogenital warts are caused by the human papillomavirus (HPV). There have been more than 90 HPV types sequenced. The common types causing genital warts are types 6 and 11. These are usually referred to as low risk HPV types indicative of their low or absent oncogenic potential.1 Both male and female patients independent of sexual orientation attending a genitourinary medicine clinic should have the anogenital skin examined under good light as part of a routine assessment. The presence of exophytic warts should be noted. Speculum examination of female patients is a routine component of female genitourinary examination and the presence of vaginal or cervical warts should be noted. Anogenital warts are essentially a cosmetic problem but often cause patients considerable psychological and psychosexual distress. They are therefore usually highly motivated to have warts detected and removed.
Visual examination, which may be aided by a magnifying glass, is the only …
Conflicts of interest: Dr Moore has acted as a consultant to 3M, Perstorp and Stiefel. Dr Sonnex has conducted clinical trials for 3M and Stiefel.