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Sometimes a biopsy might be necessary. The treatment can be repeated weekly, if necessary. The type of anesthetic depends on the number and exact location of the warts being removed. Small warts that reappear are easily treated in the office. In young people, HPV may go away on its own and might not cause any signs or symptoms. Any contact exposure to the anal area hand contact, secretions from a sexual cure for anal warts can result in HPV infection.