Vaginal warts may be associated with the following symptoms:

• Small, brown, flesh-colored, or pink swellings near the vagina
• Cauliflower-like shape caused due to several warts that close together 
• Mild bleeding
• Discomfort
• Burning sensation
• Genital irritation or itching

1. Physical examination: An external vaginal wart can usually be diagnosed by the doctor by just looking at it. An internal vaginal wart may be a little difficult to diagnose and may need other diagnostic tests for confirmation.
2. Pap test: Pap tests and pelvic exams may help in the detection of vaginal and cervical abnormalities caused due to vaginal warts. This test also enables the doctor to identify the early signs of cervical cancer.
3. HPV test: This test is usually performed in women who are more than 30 years of age. It is performed to detect the presence of cancer-causing HPV strains in and around vaginal warts.
4. Biopsy: The doctor may excise a part of the suspected tissue growth and send it to the laboratory to check for the presence of cancer cells.

If the vaginal warts are not causing any discomfort, you may not need any treatment. But, if you have symptoms like burning, pain, itching, or are concerned about the spread of infection, you may need to get treated.

However, genital warts tend to recur after treatment and there is no specific treatment for the virus itself.

The possible treatments for vaginal warts include:
1. Medications: Certain topical medications can be applied directly to the skin over warts and may include the following:

• Imiquimod
• Podophyllin and podofilox
• Trichloroacetic acid
• Sinecatechins

2. Surgery: Larger warts may need surgical removal. Surgery may also be needed in cases of warts that do not respond to medications, or if you are pregnant and your baby can be exposed to warts during delivery. The different surgical methods for vaginal warts removal include:

3. Cryotherapy: This procedure involves freezing warts using liquid nitrogen by causing a blister to form around the wart. As the skin heals, the lesion will slough off and allow the appearance of new skin. The treatment may need to be repeated.

4. Electrocautery: An electrical current is used in this procedure to burn off warts. 

5. Surgical excision: The doctor may use special medical tools to cut off warts. The procedure may be done under local anesthesia (the treatment area is numbed) or general anesthesia (the patient is put to sleep during the procedure).

6. Laser treatments: An intense beam of light may be used to remove extensive and other vaginal warts which may be tough to treat using other treatment approaches.

Untreated vaginal warts may lead to the following complications:

• Cervical cancer
• Cancers of the vulva, anus, mouth, and throat
• Problems during pregnancy 
• The side effects of vaginal wart removal using medications may include:
• Blisters
• Body aches
• Pain
• Cough 
• Rashes
• Fatigue
• Skin irritation
• Sores
• Reddening of the skin
• Itching
• Burning 

The side effects of vaginal wart removal using surgical methods may include:

• Pain
• Swelling
• Bleeding
• Infection
• Allergic reaction to the anesthetic agent used 
• Scarring

• It may take several weeks or even months to recover completely and totally get rid of vaginal warts. 
• Vaginal warts may reappear after removal within the first three months or even later.
• After the vaginal warts are treated, it is important to maintain good hygiene, keep the area clean, and avoid scratching the area to prevent vaginal warts from coming back.
• If the treated area is painful or swollen, a cold pack may help in soothing the area, or pain-relieving medications can also be taken.
• You should wash your hands thoroughly each time you touch your vaginal warts area.
• Avoid having sex till you feel comfortable, or vaginal warts are completely eliminated.
• Go for regular Pap tests, regardless of whether you have taken the vaccination or not.

Prevention- 

If a woman is sexually active, she can take the following steps to protect herself from getting or spreading HPV, vaginal warts, and other types of sexually transmitted diseases (STDs):

• Use condoms while having sex
• Get vaccinated for HPV, mostly between 11 to 12 years of age
• Get tested routinely and immediately get treated for any STDs that may be detected
• Be monogamous with one sexual partner, or at least limit your number of sexual partners
• Tell your partner if you have HPV or vaginal warts so that they can get tested and treated

Home-remedies:

The following home remedies may help in the treatment of vaginal warts:

• Tea tree oil: One drop of tea tree oil is mixed with one or two drops of carrier oil, like coconut or almond, and applied directly to the wart area.
• Witch hazel: It is known to be effective against HPV type 16, which is one of the strains of HPV that leads to genital warts.
• Green tea: Green tea extract can be used at home by adding it to one or two drops of coconut oil and applying it to vaginal warts.
• Garlic: Garlic extract can be directly applied to vaginal warts, or some gauze pads can be soaked in a mixture of garlic and oil, and then applied to the warts.
• Apple cider vinegar: A cotton ball or gauze can be soaked in apple cider vinegar and applied to vaginal warts.
• Vegetables: 4 to 5 servings of crunchy vegetables like broccoli, cabbage, cauliflower, kale, and brussels sprouts in a day can help in clearing up genital warts.
• Folate and B12: Taking multivitamins or folate and B12 supplements may help the body in fighting off an HPV infection and clear up warts.
• Healthy diet: Eating a healthy, well-balanced diet, and avoiding fatty and processed foods helps in the treatment of vaginal warts

Cost of vaginal wart removal surgery in India- 

The cost of vaginal wart removal in Mumbai is between INR 20,000 to INR 30,000.
The cost of vaginal wart removal in Delhi is between INR 15,000 to INR 25,000.
The cost of vaginal wart removal in Bangalore is between INR 15,000 to INR 25,000.
The cost of vaginal wart removal in Chennai is between INR 12,000 to INR 22,000.