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How To Get Gardasil 9 Vaccine

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What to Know About the Gardasil-9 Vaccine

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Why Do Women Over 45 Have Difficulty Getting Vaccinated With Hpv Vaccine

Sometimes, women over 45 have difficulty getting HPV vaccination with Gardasil-9 because insurance coverage is only available up to the recommended age of 45. Time constraints and the six-month vaccination schedule are additional barriers that prevent older women from getting Gardasil-9. Although it is an out-of-pocket expense, it may be worthwhile for women over 45 to get vaccinated against HPV, which is the most common sexually transmitted infection in the United States and around the world.

HPV vaccination protects against genital warts and cancers of the cervix, vagina, and vulva in women. Protection is most effective in women who have not been sexually active, who have had few sexual partners or never been infected with HPV. Evidence suggests that HPV vaccination may also be partially effective for women who have been previously infected with HPV. Talk to the experienced physicians at New York Urology Specialists to find out how you can benefit from the Gardasil-9 HPV vaccine regardless of age and sexual history. You can schedule an appointment online or contact us by phone or email.

Hpv Vaccine Schedule And Dosing

can be started at age 9 years
Catch-up Vaccination*
Some adults age 2745 years,if not adequately vaccinated

About 85% of people will get an HPV infection in their lifetime. Vaccinating all 1112-year-olds can protect them long before they are ever exposed.

CDC recommends two doses of HPV vaccine for all adolescents at age 11 or 12 years.

  • A 2-dose schedule is recommended for people who get the first dose before their 15th birthday. In a 2-dose series, the second dose should be given 612 months after the first dose .
  • The minimum interval is 5 months between the first and second dose. If the second dose is administered after a shorter interval, a third dose should be administered a minimum of 5 months after the first dose and a minimum of 12 weeks after the second dose.
  • If the vaccination schedule is interrupted, vaccine doses do not need to be repeated .
  • Immunogenicity studies have shown that two doses of HPV vaccine given to 914-year-olds at least 6 months apart provided as good or better protection than three doses given to older adolescents or young adults.

A 3-dose schedule is recommended for people who get the first dose on or after their 15th birthday, and for people with certain immunocompromising conditions.

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How Does The Hpv Vaccine Work

Gardasil has been the HPV vaccine used in the NHS vaccination programme since 2012.

Sometime during the 2021 to 2022 academic year, the HPV vaccine used in the NHS programme will switch to Gardasil 9.

Gardasil 9 protects against 9 types of HPV: 6, 11, 16, 18, 31, 33, 45, 52 and 58. Between them, types 16 and 18 are the cause of most cervical cancers in the UK . Types 31, 33, 45, 52 and 58 cause an additional 15% of cervical cancers.

These types of HPV also cause most anal cancers, and some genital and head and neck cancers.

HPV types 6 and 11 cause around 90% of genital warts, so using Gardasil 9 helps protect girls and boys against both cancer and genital warts.

HPV vaccination does not protect against other infections spread during sex, such as chlamydia, and it will not stop girls getting pregnant, so it’s still very important to practise safe sex.

Why Is The Hpv Vaccine Given At Such A Young Age

FDA approves HPV vaccine for people up to 45

HPV infections can be spread by any skin-to-skin contact and are usually found on the fingers, hands, mouth and genitals.

This means the virus can be spread during any kind of sexual activity, including touching.

The HPV vaccine works best if girls and boys get it before they come into contact with HPV .

So getting the vaccine when recommended will help protect them during their teenage years and beyond.

Most unvaccinated people will be infected with some type of HPV at some time in their life.

The virus does not usually do any harm because the person’s immune system clears the infection.

But sometimes the infection stays in the body for many years, and then it may start to cause damage.

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What Is The Hpv Vaccine Who Needs Gardasil

Three HPV vaccines are available worldwide. In the United States, only Gardasil-9 is available, but Cervarix is available in some other countries.

Cervarix: Protects against HPV types 16 and 18 which cause the majority of cervical cancers.

Gardasil: Gardasil is superior to Cervarix because, in addition to types 16, 18, it also protects from types 6 and 11 which cause 90 percent of genital warts.

Gardasil-9: Protects against low-risk HPV types 6 and 11 and high-risk HPV types 16 and 18 that cause up to 90 percent of genital warts and cancers in men and women . Gardasil-9 also protects against an additional 5 types of cancer-causing high-risk HPV strains 31, 33, 45, 52, and 58.

Gardasil-9 is the most effective HPV vaccine because it covers the most number of viral strains. Gardasil-9 has 98 to 100 percent efficacy in preventing HPV-6 and HPV-11 related genital warts and HPV-16 and HPV-18 related precancerous changes.

At New York Urology Specialists, Gardasil-9 is offered to patients between 12 and 45 years old as well as older men and women who may benefit from its protective effect. People who have had only one or two sexual partners can benefit from the vaccine even at an older age. Men and women with multiple sexual partners, or a history of genital warts, or precancerous lesions on the penis, vulva, or cervix caused by HPV may also benefit from the HPV vaccine Gardasil-9.

How Long Does The Hpv Vaccine Protect For

Studies have shown that the vaccine protects against HPV infection for at least 10 years, although experts expect protection to last for much longer.

But because the HPV vaccine does not protect against all types of HPV that can cause cervical cancer, it’s important that all women who receive the HPV vaccine also have regular cervical screening once they reach the age of 25.

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The Universal Human Papillomavirus Immunisation Programme

Protecting against HPV infection to help reduce your risk of cancer

More than 280 million doses of the HPV vaccine have been given worldwide, including 120 million doses in the US and over 10 million in the UK. The HPV vaccine has been offered to all girls in school year 8 since September 2008. From September 2019 the vaccine has also been offered to year 8 boys.

This is because the evidence is clear that the HPV vaccine helps protect both boys and girls from HPV-related cancers.

The HPV vaccine helps protect you from being infected by the human papillomavirus

This virus increases the risk of developing some cancers later in life, such as:

  • cervical cancer
  • some mouth and throat cancers
  • some cancers of the anus and genital areas

The HPV vaccine does not protect against other sexually transmitted infections.

Hpv And How It Spreads

HPV vaccine (Gardasil®9) explained for parents and guardians short clip 1

HPV infection is very common. More than 70% of unvaccinated people will get it.

HPV lives on the skin in and around the whole genital area, so using condoms does not provide complete protection from HPV.

There are many different types of HPV.

Most HPV infections do not cause any symptoms and get better on their own.

Some do not clear up and can lead to cancer whilst others cause genital warts.

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Who Should Get The Vaccine

Gardasil® and Gardasil®9

Gardasil® and Gardasil®9 are approved for use in females aged 9-45 and males aged 9-26.

These vaccines require 3 doses to be given over the course of 6 months . For healthy, immunocompetent, non-HIV infected individuals 9 to less than 15 years age, two doses of the vaccine at least 6 months apart may be given.

  • Recommendations for use, which come from the National Advisory Committee on Immunization , were initially released in February 2007, and updated in January 2012, 2015, 2016, and 2017 as new evidence emerged. NACI recommends Gardasil® and Gardasil®9 in females and males 9 to less than 27 years of age, including women who have had previous Pap test abnormalities, cervical cancer or individuals who have previously had genital warts. NACI also recommends that these vaccines may be administered to individuals 27 years of age and older at ongoing risk of exposure to HPV. HPV is a sexually transmitted infection, and ideally, the vaccine should be administered before sexual debut in order to ensure maximum benefit.

For more details on the NACI Statement, see “Update on Human Papillomavirus Vaccines”.


Cervarix® is approved for use in females aged 9 to 45. At this time Cervarix® has not been approved for use in males in Canada.

The vaccine requires 3 doses to be given over the course of 6 months . For healthy, immunocompetent, non-HIV infected females 9 to less than 15 years age, two doses of the vaccine at least 6 months apart may be given.

Who Should Get Hpv Vaccine

HPV vaccination is recommended at ages 1112 years. HPV vaccines can be given starting at age 9 years. All preteens need HPV vaccination, so they are protected from HPV infections that can cause cancer later in life.

  • Teens and young adults through age 26 years who didnt start or finish the HPV vaccine series also need HPV vaccination.

CDC recommends that 11- to 12-year-olds receive two doses of HPV vaccine 6 to 12 months apart.

  • The first dose is routinely recommended at ages 1112 years old. The vaccination can be started at age 9 years.
  • Only two doses are needed if the first dose was given before 15th birthday.

Teens and young adults who start the series later, at ages 15 through 26 years, need three doses of HPV vaccine.

  • Children aged 9 through 14 years who have received two doses of HPV vaccine less than 5 months apart will need a third dose.
  • Three doses are also recommended for people aged 9 through 26 years who have weakened immune systems.

Vaccination is not recommended for everyone older than age 26 years.

  • Some adults age 27 through 45 years who are not already vaccinated may decide to get HPV vaccine after speaking with their doctor about their risk for new HPV infections and the possible benefits of vaccination for them.
  • HPV vaccination in this age range provides less benefit, because more people in this age range have already been exposed to HPV.

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The Age Of People Who Are Recommended To Get The Hpv Vaccine Has Expanded What Do These Age Ranges Mean

First, its important to know that its still best for children to be vaccinated when they are about 11 or 12 years old. Thats the most important age range. Getting the vaccine before first sexual contact protects a person over their entire life.

The recommendations for Pap tests, HPV tests, and pelvic exams have been updated recently. An MSK expert explains what tests women need, at what ages.

When the vaccine was approved in 2006, anyone up to age 26 could get it. In October 2018, US health officials said anyone up to age 45 could get it. US health officials have taken a further step and now recommend that anyone up to the age of 26 man or woman get the vaccine.

If a person didnt receive the vaccine as an adolescent, as a rule of thumb, it makes the most sense to get it as early as possible, rather than waiting until later. People tend to have the most sexual partners in their twenties. Also, since HPV-associated cancers often take years to develop, you are protected longer if you get the vaccine when you are younger.

Dosage And Administration For Gardasil 9

Panel calls for less HPV vaccine for pre

GARDASIL 9 should be administered intramuscularly in the deltoid or anterolateral area of the thigh.

  • For individuals 9 through 14 years of age, GARDASIL 9 can be administered using a 2-dose or 3-dose schedule. For the 2-dose schedule, the second dose should be administered 612 months after the first dose. If the second dose is administered less than 5 months after the first dose, a third dose should be given at least 4 months after the second dose. For the 3-dose schedule, GARDASIL 9 should be administered at 0, 2 months, and 6 months.
  • For individuals 15 through 45 years of age, GARDASIL 9 is administered using a 3-dose schedule at 0, 2 months, and 6 months.

Before administering GARDASIL 9, please read the Prescribing Information. The Patient Information also is available.

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The Difference The Hpv Vaccine Has Made So Far

Over 80 million people have received the vaccine worldwide.

In the time it is expected that the vaccine will save hundreds of lives every year in the UK. A recent Scottish study has already shown a 71% reduction in pre-cancerous cervical disease in young women.

Ten years since the start of the vaccination programme in the UK, there has been a big decline in HPV infections and in the number of young people with genital warts.

If A Person Has Begun Immunisation With The Existing Gardasil Vaccine Can They Complete The Course With Gardasil 9

People who have begun immunisation with the HPV4 vaccine should complete with HPV4 while it is available, which is expected to be until early 2017.

Once stocks of HPV4 have run out, people will complete their course with Gardasil 9.

Gardasil 9 protects against nine types of HPV, whereas HPV4 protects against four types. It is not known whether a mixed schedule gives any protection against the five additional HPV types included in Gardasil 9.

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Scheduling Appointments For Gardasil

If you have any questions about testing or treatment for sexually transmitted infections , to schedule a consultation, pleasecontact us or call/text: .

We have excellent reviews from patients and their partners.

We offer affordable, highest-quality urology care with or without insurance. Find out our office hours or directions to our office. We offer weekday, weekend, and evening office hours.

Are There Any Adults Who Should Not Receive The Hpv Vaccine

HPV vaccine (Gardasil®9) explained for parents and guardians short clip 3

Certain people should not get the HPV vaccine or should wait before getting it:

  • Anyone who has had a life-threatening allergic reaction to a previous dose of the HPV vaccine
  • Anyone who has had a previous life-threatening allergic reaction to an ingredient in the HPV vaccine
  • Pregnant women
  • Anyone with a moderate or severe illness people who feel mildly ill may still receive the HPV vaccine.

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How Much Does The Hpv Vaccine Cost

Each dose of the vaccine can cost about $250. Luckily, many health insurance companies cover the HPV vaccine. There are also programs that help some people without insurance get the vaccine for low or no cost.

You deserve to be healthy, regardless of whether you have health insurance. Talk with the staff at your local Planned Parenthood health center or another nurse or doctor to get more information about ways to make the vaccine more affordable.

Who Can Have The Hpv Vaccine Through The Nhs Vaccination Programme

The 1st dose of the HPV vaccine is routinely offered to girls and boys aged 12 and 13 in school Year 8. The 2nd dose is offered 6 to 24 months after the 1st dose.

If you miss either of your HPV vaccine doses, speak to your school immunisation team or GP surgery and make an appointment to have the missed dose as soon as possible.

It’s important to have both doses of the vaccine to be fully protected.

If youre eligible and miss the HPV vaccine offered in Year 8 at school, its available for free on the NHS up until your 25th birthday for:

  • girls born after 1 September 1991
  • boys born after 1 September 2006

People who have the 1st dose of the HPV vaccine at 15 years of age or above will need to have 3 doses of the vaccine. This is because they do not respond as well to 2 doses as younger people do.

Read more about HPV vaccination safety and the possible side effects.

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The Centers For Disease Control Recommendations For Gardasil Vaccination Are As Follows:

  • Routine vaccination for boys and girls at age 11 or 12 years old.
  • Vaccination can be started as early as 9 years old.
  • Two doses of an HPV vaccine if the series is started before the 15th birthday.
  • Three doses of an HPV vaccine if the series is started after the 15th birthday.
  • Three doses for people with immunocompromised health status.
  • Vaccination is recommended for females up to age 45 and males up to age 45.

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