Diagnosis can usually be made clinically. Lesions are painful and itchy, and sometimes bleed. An assessment should include taking a brief sexual history, and an examination of the anogenital skin. In women, a vaginal examination should also be completed. A biopsy is only needed in a minority of cases if the lesion looks atypical.For anyone presenting with genital warts, a referral to a sexual health clinic is advisable to ensure a full sexual health screen is completed. This is particularly important for people who are immunocompromised, woman who are pregnant and for children (where the potential of sexual abuse should be considered).
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