Genital and Perianal Warts Treatment
Commonly treated with Imiquimod 5% Cream
Medication as Low as $55.00
How It Works
- Step 1Choose TreatmentSelect your treatment and quantity.
- Step 2Complete Health QuestionsAnswer a brief medical intake.
- Step 3Provider ReviewA licensed provider reviews your information.
- Step 4Pharmacy ShipsIf approved, your prescription is filled and shipped.
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Your Treatment Option
+ $30 provider review & $10 shipping only charged if approved
Refill up to 3 times without a new visit — fast processing.
- Only charged if a provider approves your prescription
- Estimated delivery: Thu–Fri, Oct 22–23
See price breakdown
How It Works
- Step 1Choose TreatmentSelect your treatment and quantity.
- Step 2Complete Health QuestionsAnswer a brief medical intake.
- Step 3Provider ReviewA licensed provider reviews your information.
- Step 4Pharmacy ShipsIf approved, your prescription is filled and shipped.
Choosing and Using Your Treatment
| Treatment | Choose this if… | How to Take |
|---|---|---|
| Imiquimod 5% Cream | Adults with external genital or perianal warts who prefer a patient-applied topical treatment. | Apply a thin layer to the affected area 3 times per week at bedtime, washing off after 6 to 10 hours, for up to 16 weeks. |
What is Genital and perianal warts?
Also called: External genital warts (condylomata acuminata)
Genital and perianal warts, also called condylomata acuminata, are soft growths that appear on or around the genitals and anus. They are caused by human papillomavirus (HPV), most often types 6 and 11, which spread through skin-to-skin sexual contact. Warts may be small and flat, raised, or clustered in a cauliflower-like shape, and they can appear weeks to months after exposure. Many people with HPV never develop visible warts but can still pass the virus to partners. Prescription topical medicines can remove visible external warts, though they do not eliminate the underlying virus, and warts can sometimes return after treatment. In-office options such as freezing, laser therapy, or surgical removal are also available for larger or harder-to-treat warts.
Common symptoms
- Small flesh-colored, pink, or brownish bumps on the genitals or around the anus
- Clusters of growths with a cauliflower-like appearance
- External genital and perianal warts that may be flat or raised
- Itching or discomfort in the genital or anal area
- Bleeding during intercourse or with irritation
- A feeling of a bump or growth that was not there before
- In many cases, no symptoms at all beyond the visible growths
Causes & risk factors
- Infection with human papillomavirus (HPV), most commonly types 6 and 11
- Vaginal, anal, or oral sexual contact with a person who has HPV
- Skin-to-skin genital contact, even without intercourse
- Having a partner whose HPV infection has no visible warts
- A weakened immune system, which makes warts more likely to appear and persist
- Having multiple sexual partners, which increases exposure risk
Treatment options for Genital and perianal warts
Compare the medications offered on this page. Your provider will choose the right one for you based on your answers.
Imiquimod 5% Cream
from $55Topical immune response modifier
- Good choice if
- Adults with external genital or perianal warts who prefer a patient-applied topical treatment.
- How it works
- Works by stimulating the body's local immune response in the skin rather than acting on cells directly.
- Typical dosing
- Apply a thin layer to the affected area 3 times per week at bedtime, washing off after 6 to 10 hours, for up to 16 weeks.
Prices are for the medication only. Provider review and shipping are shown at checkout.
When to see a doctor in person
Online treatment is a reasonable fit if you have previously been diagnosed with external genital or perianal warts, or you have small, typical-appearing external warts and no other concerning symptoms. You should be seen in person if this is your first episode and the diagnosis is uncertain, if warts are inside the vagina, urethra, cervix, or anal canal, if growths are large, bleeding, rapidly changing, ulcerated, or painful, if you are pregnant, or if you have a weakened immune system. Any genital sore accompanied by fever, severe pain, or spreading redness deserves prompt medical evaluation, and unusual or non-healing growths should always be examined to rule out other conditions.
Prevention & self-care
- Get the HPV vaccine, which protects against the types that cause most genital warts
- Use condoms consistently, though they do not cover all exposed skin
- Limit the number of sexual partners
- Avoid sexual contact while visible warts are present
- Talk openly with partners about STI history and testing
- Do not share towels or personal items that contact the genital area
- Avoid smoking, which is linked to more persistent HPV infection
Genital and perianal warts FAQ
What causes genital and perianal warts?
They are caused by human papillomavirus (HPV), most often types 6 and 11. The virus spreads through skin-to-skin sexual contact, including vaginal, anal, and oral sex. A partner can transmit HPV even when they have no visible warts.
What are the symptoms of external genital and perianal warts?
Common signs include small flesh-colored or pink bumps on the genitals or around the anus, sometimes in cauliflower-like clusters. Warts may itch, feel irritated, or occasionally bleed, but many cause no discomfort at all.
Can genital warts be cured?
Treatment can remove visible warts, but no treatment eliminates the HPV virus itself. In many people, the immune system clears the infection over time. Warts can return after treatment, and repeat courses are sometimes needed.
How does prescription treatment for genital warts work?
Imiquimod cream is an FDA-approved topical medicine that stimulates the local immune response to help clear external genital and perianal warts. It is applied at home on a set schedule prescribed by your provider. Clearing can take several weeks to a few months.
Are genital warts dangerous?
The HPV types that cause most genital warts (6 and 11) are considered low-risk and rarely lead to cancer. However, other HPV types can cause cervical, anal, and other cancers, so routine screening such as Pap tests remains important. See a provider for any growth that looks unusual, bleeds, or does not improve.
Can I spread genital warts to my partner?
Yes. HPV spreads through skin-to-skin contact, and transmission is possible even when warts are not visible. Condoms lower the risk but do not fully prevent it because they do not cover all exposed skin. The HPV vaccine can protect partners who have not yet been exposed.
Should I get the HPV vaccine if I already have warts?
The vaccine does not treat existing warts or infections, but it can still protect against HPV types you have not been exposed to. The CDC recommends vaccination through age 26, and some adults ages 27 to 45 may benefit after discussing it with their provider.
How Genital Warts Spread
HPV spreads through direct skin-to-skin contact during sexual activity, not through toilet seats, pools, or casual contact. Because the virus can be present on skin that looks normal, transmission is possible even when no warts are visible. It can take weeks to months after exposure for warts to appear, which makes it difficult to know exactly when or from whom the infection was acquired.
What to Expect from Treatment
Patient-applied topical treatment such as imiquimod works gradually by boosting the local immune response. Mild redness, itching, or irritation at the application site is common and often a sign the medicine is working. Many people see improvement within 4 to 8 weeks, though a full course can last up to 16 weeks.
- Warts may return: treatment removes visible warts but does not clear the virus, so recurrence is possible.
- Avoid sexual contact while the cream is on the skin; it can weaken condoms and diaphragms.
- Follow up with a provider if warts persist after a full course or if new symptoms develop.