Anal warts also called "condyloma acuminata" are a condition that affects the area around and inside the anus. They may also affect the skin of the genital area. They first appear as tiny spots or growths, perhaps as small as the head of a pin, and may grow quite large and cover the entire anal area. They usually appear as a flesh or brownish color. Usually, they do not cause pain or discomfort and patients may be unaware that the warts are present. Warts are caused by the human papilloma virus HPV , which is transmitted from person to person by direct contact.
Anal Warts | ASCRS
What are anal warts? Anal warts, also known as condyloma, are growths found on the skin around the anus rectal opening or in the lower rectum. What causes 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. The same type of warts may occur on the penis, scrotum, vagina or labia.
I love bottoming, and am not using condoms for anal sex. And I have anal warts. For a bit of context: I come from California and live in Berlin, Germany. I am a gay man in my mids, love to bottom, and have been taking PrEP for the last two years.