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genital warts, including anal warts, are caused by human papillomavirus (hpv). Anal warts are a form of genital warts and similarly, start as tiny bumps and possibly can go for a little while without notice. We know no one says nice wart, can i touch it? But if someone does have warts, good idea to. in most cases, people develop anal warts as a result of having receptive anal intercourse with someone who has hpv. However, it is possible for a person to develop anal warts without having anal. so what exactly causes anogenital warts? As previously mentioned, warts appear as a physical symptom of hpv. This virus is transmitted through close physical contact or sexual activity and enters the body through openings of skin, such as cuts and scrapes. What are anal warts anal warts are small, soft, flesh-colored growths that form on the skin and mucous membranes of the anus. Anal warts may be flat, raised, smooth or cauliflower-like in appearance. While hpv can also be transmitted via non-penetrative sexual activity, it is less transmissible than via penetrative sex. There is conflicting evidence about the effect of condomson transmission of low-risk hpv. Some studies have suggested that they are effective at reducing transmission. Other studies suggest that condoms are not effective at preventing transmission of the low-risk hpv variants that cause genital warts. Anal warts appear first as tiny spots or growths that are flesh-colored or brownish in color. These spots may grow with time and may develop a cauliflower-like appearance. Left untreated, these warts could possibly cover the entire anal area. when i first learned i had anal warts i was optimistic they could be treated once and be gone, but it hasnt turned out that way. Through everything i have learned i am better able to accept the situation, and it no longer is a cause of anxiety. This condition is known as anal warts, and it mainly affects the inside and outside parts of the anus, although it may also appear in the genital area.