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Imiquimod is a cream that the clinic may suggest if podophyllotoxin does not work.

It is applied three times a week before you go to sleep so it can remain on the skin for about 8 hours before being washed off next morning,.

The disadvantage is that itching, redness and soreness often occur.

Its effect is slow and it may be several weeks before you notice any improvement.

But HPV 16 and 18 do not usually cause visible warts.

Therefore if you have genital warts, you are not at a particularly increased risk of cervical cancer.

In women, genital warts usually occur around the opening of the vagina (vulva), but they may occur in the folds of skin alongside the vaginal opening, or between the vagina and the anus, and around the anal opening.

The figures ( In women, genital warts begin as small, gritty-feeling growths, which then enlarge and become more frond-like.

At present, you cannot be tested under the NHS in the UK to see if you are a carrier of types 16 or 18, but the Department of Health is investigating the possibility.Annoyingly, whatever the treatment, there is a 30% chance that the warts will come back usually after a few weeks or months.This is because the treatments destroy the wart itself, but cannot get rid of the HPV in the skin beneath the wart.There are about many different types of HPV, of which about 40 types can infect the genitals. Visible genital warts are usually caused by HPV types 6 and 11.There is a strong link between HPV types 16 and 18 and cervical cancer.

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