I have HPV.  I am female and 40 years old.  The strands I have of HPV are unknown.  I have had the same three anal warts for two years.  They haven’t grown or changed, but now I feel two tiny ones inside my anus.  What are the odds these are anal cancer?  My bowel movements are fine.  No itching.  No blood— well, sometimes a dot when I wipe too hard.  Sometimes I get anal cramping into my buttocks, but perhaps that is stress?  Just looking for some data/stats and piece of mind.  Does this sound like anal cancer at all?

Welcome to our firm. Thanks for your questions. I’ll be glad to comment. In reading your question I wondered if the presence of your three warts you have had for two years has been confirmed by your doctor.  There are many different processes besides warts including skin tags and hemorrhoids which can mimic warts at the rectum. The description you provide including the fact that they occasionally bleed slightly with wiping made me wonder if perhaps these were hemorrhoids rather than warts.---

Thank you so very much for the quick response!

Thank you for the additional information. The HPV strains that cause visible genital or anal warts are different than the HPV strains which typically cause abnormal cervical cells detected by Pap smears. The strains which caused the abnormalities on Pap smear and lead you to need a LEEP typically are different from the strains that cause visible warts. The same HPV strains which commonly cause PAP smear abnormalities and cancer of the cervix can also cause cellular abnormalities or cancer of the rectum. Your gynecologist may be able to help evaluate your anal lesions. If she or he cannot, they should be able to refer you to someone who can help.  EWH ---