Clinical warts may be a nuisance and so are usually treated. Treatment Treatment consists of removal of the wart. No anesthetic is necessary. Try to use less acid than you think will be effective since the patient would rather return for a second, third or fourth treatment than recover from a serious acid burn of the vulva. Don't use acid inside the vagina or on the cervix.
Cryosurgery can effectively remove warts.
Be careful not to freeze normal skin. Cryosurgery should not be done inside the vagina or on the cervix unless you have been specially trained to do this as damage to other structures can occur. Podophyllin application directly to the wart, followed by washing off the podophyllin several hours later is a standard, effective approach which runs the risk of podophyllin toxicity. This is a minor issue if the wart is very small and you use tiny quantities of podophyllin. If you use large amounts, or apply it inside the vagina, toxicity is a real issue.