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They start as small bumps that may be no larger than the head of a pin. Human papillomavirus (hpv) that occurs in the mouth is a sexually transmitted infection (sti). It often has few or no symptoms, which is why getting regularly tested is important. Hello, my partner and i have both been diagnosed with anal warts (hpv). We are both pos (he with great numbers, me with poor numbers). Anal warts are a form of genital warts affecting the anus, rectum, taint and butt. It can be cured with natural and doctor administered remedies. Anal warts pictures what does an anal wart look like? Anal warts initially appear to look like really small, pin-like lesions. Over time they may grow larger in size, develop in groups or clusters, or form into unique shapes that often resemble cauliflowers. Treatment may involve topical medications, liquid nitrogen, or surgical removal. Anal warts first appear inside and around the anus in the form of tiny spots or growths, report doctors at the american society of colon and rectal surgeons 1. Anal warts, also referred to as condyloma acuminata, can start as small as a pinhead and grow to about the size of a pea. The presence of wart-like lesions on the genitals of young children has been suggested as an indicator of sexual abuse. However, genital warts can sometimes result from autoinoculation by warts elsewhere on the body, such as from the hands.