What Happens
Genital warts may or may not be visible, depending on
the type of
human papillomavirus (HPV).
- Common
HPV
types 6 and 11 produce visible warts that may disappear without
treatment.
- Other HPV types, such as 16 and 18, do not produce
visible genital warts. These types, which may be found with a
Pap test, are associated with precancerous cervical
cell changes and
cervical cancer.
HPV infection and cervical cell changes
In women, most precancerous or cancerous cell changes associated
with HPV infection occur on the
cervix. This is because the cells of the cervix
naturally undergo changes in an area called the
transformation zone. This process can cause cervical
cells to become abnormal when infected with HPV.
High-risk factors and infection with high-risk types
of HPV increase the chance that a woman with HPV will develop abnormal cervical
cell changes. This type of infection is more likely if your partner or you have
multiple sex partners.
HPV infection during pregnancy
A
pregnant woman infected with HPV may have more
complicated warts than a woman who is not pregnant. Genital warts may increase
in size, bleed, or become infected with bacteria. Your health professional may
recommend treatment. Warts may be passed onto the newborn, but this is
rare.
HPV infection and cancer in men
It is not clear whether men who are infected with HPV on the
penis are more likely to have precancerous or cancerous changes on the penis
than men who are not infected. Because HPV does cause cell changes, more
research is being done to determine whether HPV increases the risk of penile
cancer. In the United States, cancer of the penis is extremely rare (fewer than
1 case in 100,000 occurs each year). Studies have shown that the risk of penile
cancer is extremely low in circumcised men.
Among men who receive anal sex, HPV infection of the anal canal
is associated with an increased risk of anal cancer; this risk may be
especially high in men who also have
HIV infection.2