Papillomavirus (condylomas) Papillomavirus is a virus that causes growths (called condylomas or genital warts) and it is the most common STD in the U.S. Condylomas commonly accompany other STDs, such as gonorrhea. The virus is usually spread by direct contact with a wart from an infected person. Condylomas are fleshy growths that appear alone or in clusters. They usually break out in moist areas on or around the genitals (sex organs) and anus. Growths inside the genital organs are soft and red or pink. Outside growths are firm and dark. They are often no larger than the tip of a pencil, but they may combine to form large, cauliflower-like growths. Genital warts usually appear one to three months after contact, but some go undetected until they cause discomfort. Lesions can become infected and cause mild irritation or itching. Small condylomas may cause rectal pain or pain during intercourse. Papillomavirus may have a serious complication â?? the presence of condylomas has been linked to cervical cancer. Women with histories of genital warts should have a Pap test at least once a year.