HPV Vaccine Q&A Print E-mail

A girl contemplating getting the HPV VaccineHPV, or Human Papilloma Virus, is one of the most prevalent sexually transmitted infections in the world today.  HPV is a generic term that refers to a complex of over 100 different infections, all caused by variants of the same virus.  Many of these viruses are relatively benign and generate symptoms such as common warts.  Others, however, affect the genital area.  Four of these have been shown to cause or be precursors for cervical cancer – a cancer that kills almost 4,000 women each year.  The federal Centers for Disease Control say that over 20 million people in the U.S. are infected with the virus, and over one half of all sexually active people will get HPV at some point in their lifetimes. 

In 2006, pharmaceutical company Merck released a vaccine called Gardasil that has been demonstrated to be almost 100% effective in preventing infections of four of the types of the HPV virus that are known to cause cervical cancer.  This represents a significant development in the reproductive health of all women.  It is important to note, however, that the vaccine does not prevent infections from other HPV viruses that are responsible for about 30% of cervical cancers, so some risk still exists even in those who’ve been vaccinated.  HPV is the only known cause of cervical cancers.

Who should get the vaccine?

The manufacturer and the FDA recommend that young girls be vaccinated beginning around age 11, though it can be given to those as young as nine.  Any female between the ages of 9 and 26 is a candidate for the vaccine.  Giving it to young girls ensures that they have the vaccine series completed before they become exposed to the HPV virus through either casual or sexual contact.  The vaccine is not recommended for women who are pregnant.

You do not need to be examined or tested prior to receiving the vaccine, but you must still have periodic pap smears and cervical exams, because the vaccine does not protect against all HPV viruses.   The vaccine is *not* a treatment for HPV or cervical cancer, and thus, taking it will not do anything to benefit you other than preventing further infections if you have active symptoms.

Can boys be vaccinated?

The FDA and the manufacturer have not completed testing or certified the vaccine for use in males at this point. 

How is the vaccine administered?

The vaccine is given in a series of three shots, the second of which is administered two months after the first, and the third of which is administered six months after the first dose.  You must be re-vaccinated every four years to remain protected.

Where can I get the vaccine?

Your gynecologist or family doctor should have access to the vaccine, as should places like public health clinics, Planned Parenthood and similar clinics, and any other facility or doctor that offers other types of vaccines. 

What will the vaccine cost, and will insurance cover it?

The list price for the vaccine is $120.00 per shot, or a total of $360.00.  Whether or not insurance will cover it is a matter that is determined by the individual insurance companies.  Vaccines for those in federal Medicaid and similar programs are available either free or at a reduced rate through those programs, and most states’ public health agencies will be able to provide the vaccine to low-income persons in many instances. 

Are there any side effects or risks associated with the vaccine?

No side effects have been shown to result from the vaccine, other than tenderness or soreness at the site of the injection.

Is the vaccine required, for school or any other purpose?

At this time, neither the federal government nor any state governments are requiring that the vaccine be administered, nor are any school systems/colleges.

For more information, visit the GARDASIL web site.

Also see The HPV Test web site for information about a simple test for HPV.

 

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Last Updated ( Monday, 13 August 2007 )
 
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Recommended Reading


Sexually Transmitted Diseases:  A Physician Tells You What You Need To Know! 

Dr. Lisa Marr. 1998. 

Marr has written an excellent book
that offers practical information on the prevention, diagnosis, and treatment of these sexually transmitted infections.  She begins with basic anatomy, symptoms, and the components of a medical examination for men and women. She then offers important advice about communications with sex partners and safe sex.
 

 
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