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They start as small bumps that may be no larger than the head of a pin. 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. Treatment may involve topical medications, liquid nitrogen, or surgical removal. Anal warts are a form of genital warts affecting the anus, rectum, taint and butt. It can be cured with natural and doctor administered remedies. Anal warts (condyloma acuminata) are caused by the human papilloma virus (hpv), the most common sexually transmitted disease (std). The warts affect the area around and inside the anus, but may also develop on the skin of the genital area. Anal warts, condyloma acuminata, affect the area around and inside the anus. The warts first appear as tiny growths, as small as a pinhead, eventually growing to the size of a pea. Because they dont typically cause pain, patients often dont even realize they have them. Symptoms although anal warts often go unnoticed, some patients will experience some outward symptoms. Genital warts is a common sexually transmitted infection (sti) passed on through vaginal, anal and, rarely, oral sex. Anal warts are caused by the human papilloma virus, which is usually transmitted through sexual contact but not necessarily through anal intercourse. There are many types of human papilloma virus some cause warts on the hands and feet and others cause genital and anal warts.