Once you are infected with HPV it may take two or three months or, in some cases, much longer before any warts appear. In some people the warts may show up much sooner, or much later. When warts appear, they can cause itching, irritation or bleeding, but many do not. In some cases, you can spot warts by careful examination of the area around genitals and anus. Warts outside the genital area are often firm and dark pink, or they may form a cluster resembling cauliflower.
Warts are often microscopic and can be seen only with appropriate diagnostic procedures.
All partners of patients with warts should be seen and evaluated by a clinician. Other procedures may require surgery using general anesthesia. Use latex condoms, lubricated with spermicide or use condoms in conjunction with contraceptive foam, jelly or cream. Know your partner. If you are unsure of your partner's contacts outside of your relationship, insist that a condom be used during sex.