Sunday Times

Let’s Talk About Sex

- DR TLALENG MOFOKENG Dr Tlaleng Mofokeng (MBChB), sexual and reproducti­ve health practice, Disa Clinic, safersex.co.za E-mail your questions to lifestyle@sundaytime­s.co.za with SEX TALK as the subject. Anonymity is assured.

What is the cause of genital warts and how dangerous are they? Is there an over-the-counter medication one can use?

Genital warts appear on the skin around your genitals and anus. They’re caused by certain strains of human papilloma virus, which cannot be cured and are divided into high-risk and low-risk types. These strains of HPV can cause skin-coloured warts or whitish growths that show up on the vulva, vagina, cervix, rectum, anus, penis or scrotum.

The warts may itch and most of the time they are not painful. Other people do not develop warts but still carry the infection. The number of warts or growths differ from area to area. There may be just one or a bunch of them, and they can vary in size from very small to big. They have been said to resemble a cauliflowe­r.

VIRUS LURKS UNSEEN

If you develop genital warts, it’s not necessaril­y the case that the infection happened in the recent past; it can be weeks, months or even years after the initial transmissi­on and sexual contact before warts appear. It is possible that you or your partner might have gotten the infection a long time ago.

Your body’s immune system may fight off the virus that causes genital warts, and they may go away without any further treatment. If not, they can be uncomforta­ble and persistent and can even increase in size and in number.

Using barrier protection such as condoms and dental dams will reduce skin-to-skin contact and therefore the risk of transmissi­on of HPV.

There are many ways to treat genital warts, depending on where they are and how much of your skin they cover. The treatment options available can have different side-effects and costs. They range from simple creams to invasive surgery.

Remember that not all bumps on the genitals are warts and that a proper examinatio­n and often blood tests may be required. A dermatolog­ist may perform a skin biopsy if there are indication­s.

 ??  ?? The papilloma virus, left, may cause genital warts
The papilloma virus, left, may cause genital warts
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