There has been a great deal of controversy about HPV, which stands for Human Pappilloma Virus. While a large number of pediatricians and gynecologists are recommending the vaccine, many parents are confused about the virus due to false information and fake incidents placed on social media websites like YouTube. As a seasoned gynecologist and obstetrician, I recommend all parents educate themselves about HPV and the available vaccines before making any decisions.
HPV Basics
Currently there are 100 subtypes of HPV. They are further subdivided into high risk and low risk categories. The low risk HPV viruses might cause a change in your cervical cells but will rarely progress to cervical cancer. Conversely, the high-risk HPV viruses will often cause a progression from mild dysplasia (early abnormal Pap smear result) to cervical cancer. The chance of exposure to HPV is currently noted to be 80% by the age of 50 years old.
The HPV Vaccine
Approximately twelve years ago, the GARDASIL® vaccine was developed by Merck Pharmaceuticals. This vaccine combined HPV6 and HPV11, which are two HPV viruses responsible for 90% of the warts that infect our bodies (genital, plantar, palmar). In addition, HPV16 and HPV18 were added to the vaccine. These two HPV viruses are responsible for 70% of the cervical cancers seen today.
HPV is For Men and Women
Over the past twelve years this vaccine has been shown to be highly effective in protecting women from active infection despite being exposed to these HPV viruses. How long the protection lasts is a question that remains unanswered. A study group of 5,000 women who started the study between the ages of 9-26 are being followed. If the vaccine becomes ineffective, we will know when to recommend a booster vaccine. The vaccine is safe. Two years ago the Centers for Disease Control in Atlanta stopped collecting data regarding “adverse events” with this vaccine. They stated that there were no side effects with this vaccine.
Up until recently this vaccine was recommended for young women between the ages of 9-26 to protect them from infection with these four HPV viruses. However, after much deliberation, this vaccine is now recommended for males also. Similar to women, it is recommended that boys be vaccinated between the ages of 9-26. HPV affects both sexes and has been shown to cause cancer of the penis.
Our Recommendation on HPV Vaccinations
Please consider this vaccine for yourself or your children. It consists of three shots given during a six-month period. The first shot is administered with a second shot given two months later and a third given at six months.
Most insurance companies cover this vaccine for children and young adults between the ages of 9-26. If you have medical insurance, you can contact your insurance company to verify your specific coverage.
If you have any questions or concerns, speak with a professional. Call our Clarkston or Bloomfield Hills OB/GYN office and make an appointment to speak with a seasoned gynecologist.
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