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Expert Q & A Answers About genital warts child abuse

What can cause genital warts in young children?

I’m looking for information about genital warts in children. My friend’s 4-year-old daughter was diagnosed with genital warts on her thighs and buttocks. The pediatrician brought up the possibility of sexual abuse. The parents don’t have any evidence of this, but the wart coincided with their daughter starting preschool. One day, the girl came home with different underwear provided by the school because she wet her pants. Could the underpants have transmitted the warts? The doctor gave them a cream to put on the warts but they are not going away and one is growing like cauliflower. Should the warts be removed? Should the mother be worried about getting warts on her hands when she applies the cream to her daughter? They also have three other young children who share the same bathroom...can genital warts spread to the other children via the toilet seat or towels? Any information you can provide would be very helpful!