Noticing a new lump or bump in a sensitive area can feel unsettling. If you have identified small, flesh-coloured growths around the anus, these may be anal warts. Anal warts are common and are caused by certain strains of the human papillomavirus (HPV).
Although many people feel embarrassed raising concerns like this, managing anal warts is a routine part of sexual health care. There are effective treatment options available, including prescribed creams that can be used at home in suitable cases.
Understanding Anal Warts
Anal warts (also called perianal warts) can appear as small individual bumps or as larger, cauliflower-like clusters. They are often painless but may cause itching, irritation, a feeling of moisture, or occasional bleeding.
Because the anal area has delicate skin, it is important to confirm the diagnosis before starting treatment. Conditions such as haemorrhoids, skin tags, or other benign skin changes can sometimes look similar. A professional assessment ensures that the treatment chosen is appropriate and safe.
How Anal Warts Treatment By Cream Works
Anal warts treatment by cream involves prescription medications that act locally on the affected skin. These treatments are designed either to destroy wart tissue directly or to stimulate the immune system to clear the virus.
The two most commonly used options are:
Podophyllotoxin
This medication works by stopping wart cells from dividing. Over time, the treated tissue breaks down and is replaced with healthy skin. It is usually applied in short treatment cycles with rest periods in between.
Imiquimod
Imiquimod works by stimulating the body’s local immune response to recognise and fight HPV. It is applied several times per week over a longer period.
Cream-based treatment allows privacy and home use, but it requires consistency and patience. Results usually develop over several weeks rather than immediately.
What to Expect During Treatment
Your clinician will provide clear instructions on how to apply the cream accurately to minimise irritation to the surrounding skin.
Common side effects may include:
- Redness or mild swelling
- Tingling or burning sensations
- Soreness or flaky skin
These effects are usually expected and indicate that the medication is working. However, if irritation becomes significant or uncomfortable, medical advice should be sought.
Cream treatment versus in-clinic removal
Cream treatment is effective for many people, particularly when warts are small or limited in number. However, some patients prefer faster resolution.
For those seeking immediate removal, hyfrecation is available. This is a minor procedure that removes wart tissue using a precise electrical current under local anaesthetic. Unlike creams, which act gradually, hyfrecation often clears warts in one or two sessions.
During consultation, your clinician will discuss both options and help you choose the approach best suited to the size, number, and location of the warts, as well as your personal preferences.
Your Care Pathway
We aim to make care discreet and straightforward:
- Before your visit
You will complete a pre-appointment questionnaire to allow initial clinical review. In some cases, secure photo submission may be requested to assist assessment and planning.
- During your appointment
You will be seen in a respectful, non-judgemental setting. Treatment options will be clearly explained so you can make an informed decision.
- Aftercare and follow-up
If using cream treatment, follow-up support is available to monitor progress. If a procedure is performed, an aftercare pack is provided and a follow-up appointment within four weeks is included.
Confidentiality and Wellbeing
Sexual health care in the UK is protected by strict confidentiality standards. Your privacy is always respected.
In addition to treating existing warts, we can discuss prevention, including HPV vaccination, which offers protection against common wart-causing strains and some HPV-related cancers.
Final reassurance
Anal warts are common, treatable, and nothing to be ashamed of. While treatment by cream can be an effective option for some, professional assessment is essential to ensure correct diagnosis and safe management.
Whether you choose home-based treatment or in-clinic removal, our Specialists are here to support you with clear advice, evidence-based care, and sensitivity throughout your journey.
