Certain ocular diseases can come from sexually transmitted diseases such as herpes and genital warts. Gardasil 6 is an HPV vaccine aimed at preventing cervical cancers and genital warts. Gardasil vaccine has been shown to decrease the risk of young men contracting genital warts. Dermatoscopy can distinguish this condition from genital warts. Gardasil has been shown to also be effective in preventing genital warts in males. Laboratory testing is often used to confirm a diagnosis of genital herpes. Imiquimod is a topical immune-enhancing agent licensed for the treatment of genital warts. Gardasil also protects against HPV types 6 and 11, which cause 90% of genital warts. Genital and nipple piercings may increase sexual satisfaction. HPV types 6 and 11 are responsible for 90% of documented cases of genital warts. Risk of transmission increases in the presence of many sexually transmitted infections and genital ulcers. Elongation of genital tubercle forms developing glans penis. Complications include hemorrhage, infection, sepsis and genital trauma. Trichomonas is transmitted through sexual or genital contact. It also includes obligatory inspections for virginity and female genital mutilation.