If a person has genital warts, a doctor should be able to spot the problem through a direct visual examination. However, may deem it necessary to perform a colposcopy or a biopsy. In the former procedure, the doctor views the vagina and cervix through a magnifying instrument. In the case of a biopsy, a small sample of tissue is taken from the cervix and examined under a microscope. Abnormal Pap smear results could also indicate the presence of HPV infection and women who show such results should be examined further.
Some people choose to do nothing about the warts.
In such cases, the warts may disappear or may develop a fleshy, small raised growth with a cauliflower-like appearance. Since there is no way to tell whether the warts will stay or grow if left untreated, it is better to play safe and get them treated. If the warts recur, doctors may inject a drug interferon directly into the warts. It is important for women to have regular Pap smears as potentially pre-cancerous cervical disease is easily treated. In the case of pregnant women, genital warts may become enlarged during pregnancy making it difficult for the women to urinate.