Certain types of human papillomavirus HPV cause genital warts. The types of HPV that cause genital warts are usually spread by direct skin-to-skin contact during vaginal, anal, or possibly oral sex with someone who has this infection. In females, warts may appear around the vulva oral sex and genital warts
outer female genital areain or around the vagina, in or around the anus, the groin where the genital area meets the inner thigh ,or the cervix although this is less common than external warts. In oral sex and genital warts,
warts may appear on the penis, scrotum ballsin or around the anus, or the groin area. Genital warts appear as growths or bumps. Warts may be raised or flat, single or multiple, small or large.