Anal warts is not just a skin condition because anus is part of digestive system and HPV in anus increase the chance of carcinoma. It is imperative that physician with experience to evaluate and make aforementioned diagnosis. It must be diagnosed by your medical doctor only. Various Diagnostic instrument might be used to visualize Anal warts. Beside visual diagnosis, tissue biopsy and pathology is important aspect of diagnosis.

Experience is major factor in diagnosis warts early and treating them immediately for more successful outcome. If you have genital warts and it is spreading then you need to make diagnosis quickly and initiate treatment asap. There is no blood test for HPV or genital warts, so we can't tell the overall status of an individual's HPV. The virus does not circulate in blood and that is why we do not do blood test for the diagnosis. There is limited testing for female consisting of an element of typing for cervix but not for men. If the HPV causes visible genital skin growth, then the doctor examination is the most important factor.

1. You have Anal, perianal or genital warts and you have normal Pap Smear with Negative HPV DNA Test
2. You have Anal, perianal or genital warts and you have abnormal Pap Smear results with Negative or Positive HPV DNA Test
3. You have no Anal, no perianal and no genital warts and you have abnormal Pap Smear results with Negative or positive HPV DNA Test

The first step to removing the psychological impact is to remove these visible STDs successfully.

Cosmetic Concern: Most of the infected genital wart patients are anxious about the cosmetic aspect of their genital wart. Nobody likes to have disfiguring growth, especially on his/her genitalia. Many patients worry about explaining their genital warts when meeting new partners. Genital warts are noticeable and not avoidable. It is the most common sexually transmitted disease and we understand the psychological aspect of this disfiguring infection. We always keep the cosmetic of genitalia in mind while treating these difficult lesions.

Please Click Here To See Our Before & After Pictures

Location of Genital Warts:

This effects both females and males. In addition to the scrotum, the penis, vulva, perineum, and perianal skin, genital warts can also occur on the cervix, uterine in the vagina, urethra, anus, and mouth. Intra-anal warts are seen predominantly in patients who have had receptive anal intercourse; Anoscopy or anal Pap Smears might be needed for these patients. These warts are distinct from perianal warts, which can occur in both men and women who have never had anal sex. We diagnose and treat most of those external wart.

How about Condoms?

Although condom use is a must it unfortunately does not protect you totally from genital warts. Condoms provide protection above the base of the penis but does not provide protection for your penile base (where there is no condom coverage), pubic area and scrotum area. Many patients have their original genital warts in those areas but the disease can spread to the penile shaft later.

According to CDC, While available scientific evidence suggests that the effect of condoms in preventing HPV infection is unknown, condom use has been associated with lower rates of the HPV-associated diseases of genital warts and cervical cancer.

"The available scientific evidence is not sufficient to recommend condoms as a primary prevention strategy for the prevention of genital HPV infection. There is evidence that indicates that the use of condoms may reduce the risk of cervical cancer."

"I am straight and I have never had anal sex"

You don't have to have anal intercourse, although, anal intercourse increases your chance of infection. Regarding the female anatomy; the vaginal opening is in close proximity to the anus, so the male genital area could be in contact with the perianal area during intercourse.

Unfortunately, the treatment of anal warts is much more difficult than genital warts , They are more stubborn due to anal anatomy and physiology. Many routine treatment routes can not be use in anus which could lead to significant discomfort and complication such as as topical acid application, etc. In many cases anal warts need to be treated in hospital setting, so It is imperative for patient to seek care as soon as getting infected with one before too late.

Before & After Pictures »

Look for well known specific doctor and not just a clinic name. You make sure to ask to see before and after pictures and ask to see lots of them. A physician with great experience of HPV treatment should have treated many warts with great success and should have many cases to support that. The key is not just treating but treating with success. Having years and decades of experience in practicing medicine does not mean he/she can successfully remove and eliminate your warts. Ask how confidence your physician is to remove your warts. That is all. These 2 simple easy patients understanding element could assist you to find the right expert.

1. Possible extension to urethra causing urinary obstruction
2. Possible extension to anus causing anal bleeding, fecal incontinence
3. Disfiguring genital
4. Loosing elasticity of genital skin, this is very important as the penis needs elasticity of skin for erection and vaginal entry needs to be stretched for penetration
5. Decrease sexual sensation of genital skin
6. Itching, bleeding, sloughing

Urethra is a small diameter tube in millimeter and not centimeter and it dilate when urine pass so it is even narrower at rest. Having growth in that narrow tube would create significant mechanical and physiological issue as follow:

1. urinary passage obstruction
2. bleeding
3. urethral damage
4. Pain upon sex and urination

Considering difficulty of HPV wart treatment secondary to relapse rate then urethral wart make this ordeal more difficult because the accessibility issue.

Treatment issue:

Urethral wart would bleed significantly if incised, liquid nitrogen is unable to target the urethral, Acid and topical application would damage the urethra and cause excruciating pain, laser plume may spread HPV further, cautery probe has difficulty to reach the urethral wart. In conclusion, clinician should be very cautious of targeting urethral wart growth. Please click here to see our before and after urethral wart photo

1. Preference of patients : We always discuss the treatment plan with the patient before a procedure
2. Available resource: Our clinic is not only equipped with freezing device, but we also have wide range of modalities and equipment for genital treatment to choose from:
   • Surgical removal tangential scissor excision or tangential shave excision
   • Electro surgery cautrey
   • Bipolar
   • Hyfrecator
   • Infra red
   • Thermal cautery
   • Cryotherapy device (freezing)
   • TCA
3. Health care provider experience: Dr. Arani has treated many patients with genital warts - patient happiness is our ultimate goal.

Out of state patient may accommodate in the nearby Radisson Hotel

3540 South Figueroa Street, Los Angeles California 90007

Reservations: (888) 201-1718 US Toll Free

G Vaccine made by Merck introduced in 2006 covers 4 different HPV Types 6, 11, 16, and 18. First 2 types are responsible for majority of genital warts and last 2 are responsible for cervical cancer. In other words, type 6 and 11 are low risk and 16 and 18 are high risk HPV. The main components of the vaccine are purified inactive proteins from aforementioned HPV. The vaccine will not infect you, but will boost your immunity to fight against the virus. Vaccine are given in series of 3 shots on day 0, 2 months and 6 months. We have this vaccine available in our medical center for administration.

C Vaccine is made by Glaxo Smith received FDA approval in 2009. It will cover Type 16 and 18. We usually prefer G Vaccine for our patients as our practice focus on Genital warts and G Vaccine will cover that, However, C Vaccine remain as approved Vaccine for prevention of cervical cancer please consult with your physician to choose which one is right for you.

Dr. Arani's lecture on HPV Vaccine

For More Before & After Pictures Please Click Here

Choosing a clinic offering discounted services may save you money but also result in detrimental skin damage and low success rate, negatively impacting your health and life. Physician reputation and skill should be your top priority when choosing the right treatment in your country or your area. Dr. Arani’s skills and artistry work are the hallmark of our center’s reputation and name.

For Anogenital warts treatment. We primarily specialize in and focus on treating HPV genital warts and other STD-related conditions. We don't treat other skin conditions such as moles or skin tags. Most of our patients can be treated in only one session with our innovative technique.

According to Food and Drug Administration (FDA)

"Be Suspicious"

Promoters of fraudulent health-care products often use similar claims and practices to lure consumers into buying their goods. The FTC and FDA advise consumers to be suspicious of:

Claims that the product is "natural" or "non-toxic," suggesting it does not have side effects. "Natural" or "non-toxic" does not necessarily mean safe. Some "natural" supplements contain potent stimulants; others can result in negative interactions with medicines. Testimonials from people who claim amazing results. Testimonials often are undocumented and are not a substitute for scientific proof. Claims that a product is a "scientific breakthrough," "miraculous cure," "secret ingredient" or"ancient remedy."Claims that the product is an effective cure for a wide range of ailments. Claims that use impressive-sounding medical terms. Claims that the product is available from only one source, and payment is required in advance. Claims of a "money-back" guarantee. Web sites that fail to list the company's name, physical address, phone number or other contact information.î

How to spot health fraud: READ HERE

Example of warning letter for Silver product: READ HERE

Based on currently available science, the following recommendations summarize the strategies most likely to be effective in preventing future infections with genital HPV infection and cervical cancer.

• The surest way to eliminate the risk for future genital HPV infections is to refrain from any genital contact with another individual.
• For those who choose to be sexually active, a long-term, mutually monogamous relationship with an uninfected partner is the strategy most likely to prevent future genital HPV infections. However, it is difficult to determine whether a partner who has been sexually active in the past is currently infected.
• For those choosing to be sexually active and who are not in long-term mutually monogamous relationships, reducing the number of sexual partners and choosing a partner less likely to be infected may reduce the risk of genital HPV infection. Partners less likely to be infected include those who have had no or few prior sex partners.
• While available scientific evidence suggests that the effect of condoms in preventing HPV infection is unknown, condom use has been associated with lower rates of the HPV-associated diseases of genital warts and cervical cancer. The available scientific evidence is not sufficient to recommend condoms as a primary prevention strategy for the prevention of genital HPV infection, but it does indicate that the use of condoms may reduce the risk of cervical cancer.
• Regular cervical cancer screening for all sexually active women and treatment of pre cancerous lesions remains the key strategy to prevent cervical cancer.
• In the future, receiving a safe and effective HPV vaccine to help prevent genital HPV infection as well as the HPV-associated diseases of genital warts and cervical cancer would be an important prevention measure. However, an effective HPV vaccine would not replace other prevention strategies.