A health certificate requires an anal examination. This is because the anal area can be infected with low-risk human papilloma virus, which in turn can induce anal warts. Condyloma acuminatum is a contagious disease that needs to be checked when applying for a health certificate. A routine stool examination is also required to rule out the presence of intestinal lesions. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. Patients who only have internal, external or mixed hemorrhoids, anal fissures, perianal abscesses and other lesions will not affect the health certificate. This disease is not contagious and there is no need to worry excessively when these diseases are found during the examination.