Hello,
Warts are small painless growth on skin caused by Human Papilloma Virus. These can be light or dark. Sometimes warts are often confused with seborrheic keratosis which are benign skin growths and they are not caused by HPV.
Diagnosis of genital warts is usually clinical, made by visual inspection. Genital warts can be confirmed by biopsy but Sometimes we can use an enhancing technique called acetowhitening. This technique involves the application of 5% acetic acid solution to the area of suspicion for about 5-10 minutes. Infected areas will turn white.
Biopsy of the wart will confirm the diagnosis.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.
Warts on the genital areas are caused by HPV. If she has been examined and had been told she does not have HPV despite the appearance of warts, that means the 'wart' is not actually a wart but something else which is harmless. People often think they have warts but they need to be tested as the appearance of bumps could be a number of things. If she had warts on other areas of her body such as her fingers, they are not caused by the same strain of the virus which results in genital warts. Also, low risk HPV (genital warts) can only be diagnosed if visible symptoms are present at the time of examination, so if she was seen by the Dr before the 'warts' appeared, she would need to go again with visible symptoms in order to be tested for this particular strain. A pap smear tests for high risk HPV, which is a different strain of HPV which doesn't cause warts, therefore if she did have genital warts it would not have been detected in this test.