Sexual warts, also known as acromegaly, can be asymptomatic in the early stages, but when infected with warts from prolonged sexual contact and the body is in a reduced immune system, they may appear on the genital area of the vulva as a rough surface rash of a grayish or grayish-yellow color that increases significantly in a short period of time. For treatment, laser or freezing is recommended to remove the warts visible to the naked eye at a dermatologist. If the rash is recurrent, photodynamic therapy can also be considered. After treatment, topical fusidic acid and erythromycin can be applied topically to protect the wounds from skin infection.