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Internal warts, and yet nothing external?
Mar 2, 2001

How do you get internal warts and not have them externally? I certainly understand if your (bottom -- receiver) but if not why wouldn't they be on your genitals or external to the anus (in additional to internally)? I heard they are not systemic? So what gives?

Response from Dr. Dezube

Usually internal and external warts go hand in hand. In fact, I think it's a good idea for anyone with external anal warts to have an internal examination performed to check for internal warts. HOWEVER, it is indeed possible to get internal warts and not to have them externally. Basically warts are caused by a human papillomavirus infection. If you have anal warts, whether internal or external, then typically the whole area is infected by this virus. In some the virus will cause warts internally, in others externally, in others in both locations, and yet in others the virus will not cause warts.

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