In women, lesions most commonly appear in the genital area. The lesions can become very large and disseminate to other areas of the skin. If herpes disseminates or spreads, the treatment will be intravenous and may require hospitalization. It is important to know that during an active outbreak, herpes is contagious. It can be transmitted sexually even if one is using a barrier method.
Warts can also appear externally on the vaginal lips or around the anus.
Warts are cauliflower-like lesions and become quite painful. They often bleed, especially with sex. If you get itching or bleeding with penetration you need to suspect cervical warts. Type 16 and 18 are the most common ones that can result in cervical cancer. There are several other subtypes of HPV that are related to cervical cancer.