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Pediatric condyloma (genital warts)
What is pediatric condyloma (genital warts)?
Condyloma and genital warts are caused by human papillomavirus (HPV). In children, genital warts can be transmitted from an infected mother or other caregiver to the infant. Condyloma is a sexually transmitted infection (STI).
It’s important to note, also, that if a child has genital warts – it may or may not be a sign of sexual abuse or early sexual activity. The HPV vaccine for girls (and boys) helps protect against HPV infection and cervical cancer.
What are the signs and symptoms of pediatric condyloma (genital warts)?
- Small, flesh-colored or gray, raised or flat spots in the genital area
- Several warts close together (cauliflower-type shape)
- Itching or discomfort in the genital area can occur when lesions are present
- Increased vaginal discharge can occur when lesions are present
How is pediatric condyloma (genital warts)] diagnosed?
If your daughter’s doctor suspects condyloma, they may conduct:
- A visual exam
- A biopsy, or full excision, in some cases
- Testing for other sexually transmitted infections (STI)
How is pediatric condyloma (genital warts) treated?
In a few patients, condyloma will resolve over time without treatment.
If your daughter requires treatment, her doctor may offer:
- Prescription topical medications
- Cryotherapy – freezing off warts with liquid nitrogen
- Laser treatments
- Surgical removal
Pediatric condyloma (genital warts) doctors and providers
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Nirupama De Silva, MD Pediatric Gynecologist -
Michele Gifford, MD Pediatric Gynecology -
Jason Jarin, MD Pediatric Gynecologist
Frequently Asked Questions
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How did my daughter contract condyloma?
In adults, sexual contact is the most common form of transmission. But, in children, they can also be transmitted from an infected mother or other caregiver to the infant.
It’s important to note, also, that if a child has genital warts – it may or may not be a sign of sexual abuse or early sexual activity.
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How will my daughter’s doctor treat condyloma?
Condyloma may resolve on its own, or the doctor may prescribe prescription medications or surgery.
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My daughter doesn’t have condyloma – how can we prevent it? Or, how can we prevent our other daughters from acquiring the condition?
The Centers for Disease Control and Prevention (CDC) recommend that all children by age 11 or 12 get the three-dose series of HPV vaccine, which protects against HPV infection, genital warts, and the viral strains that can lead to cervical, vulvar, vaginal, or anal cancer. The vaccine is now approved for females and males from the ages of nine to 45.
It’s also important to talk to your child about safe sex, if they are going to be sexually active. For advice on how to approach this subject, or for additional resources, talk to your child's doctor.
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Will the lesions recur?
Condyloma can recur, and it is important to be on the lookout for recurrence over the next few years.