I was recently (four months ago) diagnosed with HPV infection due to the presence of condyloma (genital warts). At the time of my visit to my OB/GYN most of the warts were small, singular growths that could easily be mistaken for skin tags. However, in the four months since my doctor's visit, the growths have gotten larger (in my estimation, 1/2 in. by 1/4 in.) and now have a more cauliflower-like apperance. They are clustered primarily in the perianal region. I recently used the prescription medication Aldara (Imiquimod) as indicated for one month. The clusters of perianal warts disappeared for a while (several weeks at most), but they have since returned and look the same as they did prior to treatment. My question is: Being that Aldara is an immune response modifier, do you think that I should try using the cream once more in hopes that it will stimmulate my immune system to fight the HPV? Also, if I use the medication for a second time and the warts reappear, what do you recommend as my next course of action? What is most effective, least painful, least expensive, etc.?