Hello, Thank you for your question and welcome to Healthcare Magic. I read your query and I understand your concern. Genital condiloma (genital warts) is caused by a virus called Human Papilloma Virus (HPV). In most of cases, condyloma that can be seen with eye, can be diagnosed by history and physical examination. If the condyloma is inside the vagina it can be diagnosed by colposcopy. During colposcopy doctor uses an instrument called colposcope to examine your cervix, vagina and vulva. Application of 3–5% solutions of acetic acid may help in the visualization of condiloma , but it is not very effective way to make the diagnosis. Pap- test can easily make the diagnosis of HPV. Other way for make the diagnosis is the biopsy of the lession. The doctor take a sample of condyloma and examine it . Beside this the most specific tests are virologic tests, which use special techniques such as polymerase chain reaction or the hybrid capture assay for identifing viruses. These tests may detect the presence of virus and identify the specific virus type. HPV vaccination is recommended for 11 and 12 year-old girls. It is also recommended for girls and women age 13 through 26 years of age who have not yet been vaccinated or completed the vaccine series. The HPV vaccine isn t recommended for people over age 26, because it hasn t been studied well enough in this age group. In case that you are HPV positive, frequently used therapies include cryosurgery, application of caustic agents, electrodesiccation, surgical removal, and removal with a laser.Cryosurgery is the initial treatment of choice for condyloma acuminatum. Both failure and recurrence have been documented with all of these methods of treatment. You can also use topical medications such as Podofilox or Imiquimod. Podofilox, 0.5% solution or gel twice daily for 3 days, followed by 4 days without therapy. This cycle may be repeated four times. Imiquimod, 5% cream 3 times per week for up to 16 weeks. You can make the right choice talking with your doctor. Hope I helped with my answer. For further concerns or follow up questions, feel free to write again, I will be pleased to answer you again. Take care, Dr. Artiona