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Genital warts, including anal warts, are caused by human papillomavirus (hpv). In young people, hpv may go away on its own and might not cause any. What causes anal warts (and all genital warts for that matter of which anal warts are a type) are the sexually transmitted infection (sti) called hpv (human papillomavirus). The cdc states that the majority of cases of genital hpv are caused by vaginal or anal sex. Which treatment you require depends on the size and type of warts you have. All of these different types are caused by the same virus - the hpv virus - and are also known as condyloma or penilevenereal warts. They look like skin-colored growths located in or around the genital and anal areas. Anal warts usually appear as white, raised, irregular lesions at the anal area, often with a cauliflower-like appearance. They are visible to the patient on the outside of the anus but are frequently present inside the anus as well, making treatment of the internal warts mandatory if treatment is to be effective. These warts might be small or large, raised or flat, or shaped like a cauliflower. The warts may go away, or stay the same, or grow in size or number. Usually, a healthcare provider can diagnose genital warts simply by looking at them. anal warts (perianal warts) removal treatment anal warts removal treatment (perianal warts) perianal warts (aka peri-anal warts, condyloma acuminata) are flesh colored, cauliflower like growths in and around the anus that is caused by hpv (human papilloma virus). genital warts are flesh-colored or gray growths found in the genital area and anal region in both men and women. Genital warts are sometimes referred to as condyloma acuminata or venereal warts. Genital warts are the most common sexually transmitted disease caused by a virus. Genital warts is a common sexually transmitted infection (sti) passed on through vaginal, anal and, rarely, oral sex. Anal or oral sex until the warts have gone if you do, use a condom.