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anal warts are found inside and around the area of the anus. They start as small bumps that may be no larger than the head of a pin. Deep kissing or oral sex with someone with hpvgenital warts could result in an infection in the throat or mouth. What do anal warts look like? If symptoms for anal warts do show up, often in the start, they are a small dot or lump that is not even visible to the eye. Anal warts, condyloma acuminata, affect the area around and inside the anus. The warts first appear as tiny growths, as small as a pinhead, eventually growing to the size of a pea. Because they dont typically cause pain, patients often dont even realize they have them. Symptoms although anal warts often go unnoticed, some patients will experience some outward symptoms. While hpv can also be transmitted via non-penetrative sexual activity, it is less transmissible than via penetrative sex. There is conflicting evidence about the effect of condomson transmission of low-risk hpv. Some studies have suggested that they are effective at reducing transmission. Other studies suggest that condoms are not effective at preventing transmission of the low-risk hpv variants that cause genital warts. anal warts very often spread through sexual contact, but it can also cause infection when you share a towel. If you are having sex with multiple partners and has frequent sexual activity with males who have genital warts you are likely to pick up anal warts. Anal warts are caused by the human papilloma virus, which is usually transmitted through sexual contact but not necessarily through anal intercourse. There are many types of human papilloma virus some cause warts on the hands and feet and others cause genital and anal warts. genital warts are a common sexually transmitted infection (sti) passed on by vaginal and anal sex, sharing sex toys and, rarely, by oral sex.