The HPV vaccine is registered for use in males aged 9–26 years and females aged 9–45 years.
Gardasil® (Seqirus/Merck & Co Inc) is a quadrivalent VLP HPV vaccine (4vHPV; types 16, 18, 6 and 11) registered in Australia for use in females aged 9–45 years and in males aged 9–26 years.
Now, men and women up to age 45 can get vaccinated. US health officials have expanded the recommended age range for people receiving the HPV vaccine to protect against several types of cancer to people in their mid-40s.
All males and females ages 9–26 should get the HPV vaccine. It is most effective when given at ages 11–12. Unvaccinated men and women ages 27–45 should talk to their doctor about the benefits of the vaccine.
Vaccination is not recommended for everyone older than age 26 years. Some adults ages 27 through 45 years might decide to get the HPV vaccine based on discussion with their clinician, if they did not get adequately vaccinated when they were younger.
Women older than 26 are legally allowed to get the shot, but it's at their doctor's discretion. Since it's an "off-label" use, health insurance generally won't cover it, and it's costly. Some doctors will agree to provide it, some won't.
“For women up to the age of 45 and beyond, it becomes an individual discussion that really depends on your circumstances.” “But there really isn't any downside to being vaccinated, except you have to go through some shots and there is a cost attached.”
Gardasil-9 HPV vaccine protects against both genital warts and cancer. Women over 45 years old can benefit from the HPV vaccine because of it: Prevents genital warts in women with few lifetime sexual partners.
To date, protection against infections with the targeted HPV types has been found to last for at least 10 years with Gardasil (18), up to 11 years with Cervarix (17), and at least 6 years with Gardasil 9 (19).
Getting the HPV vaccine
The vaccine is offered routinely, through a school-based programme, to all males and females aged 12 to 13 years (school year 9). If you have been eligible for the vaccine but have not received it in school, you can still receive it free of charge until the age of 25, if you ask your doctor.
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.
Catch-up HPV vaccination is now recommended for all persons through age 26 years. For adults aged 27 through 45 years, public health benefit of HPV vaccination in this age range is minimal; shared clinical decision-making is recommended because some persons who are not adequately vaccinated might benefit.
Usually, the body's immune system gets rid of the HPV infection naturally within two years. This is true of both oncogenic and non-oncogenic HPV types. By age 50, at least 4 out of every 5 women will have been infected with HPV at one point in their lives. HPV is also very common in men, and often has no symptoms.
Even if you already have one strain of HPV , you could still benefit from the vaccine because it can protect you from other strains that you don't yet have. However, none of the vaccines can treat an existing HPV infection. The vaccines protect you only from specific strains of HPV you haven't been exposed to already.
HPV vaccine is free under the National Immunisation Program through school-based programs for children aged 12-13.
Most people with HPV do not know they have the infection. They never develop symptoms or health problems from it. Some people find out they have HPV when they get genital warts. Women may find out they have HPV when they get an abnormal Pap test result (during cervical cancer screening).
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.
Even if you have already been infected with the type of HPV that causes genital warts, you can still protect yourself against the types that can cause cancer since you may not be infected with those types yet. If you get vaccinated now, it won't protect your partner, though.
If you're eligible and miss the HPV vaccine offered in Year 8 at school, it's available for free on the NHS up until your 25th birthday for: girls born after 1 September 1991.
“If you are married, monogamous, and 35 — there's probably no reason to run out and get the HPV vaccine. But if you're dating and having new partners, and are at risk for acquiring new infections, it would be worth having a discussion with your provider,” Eckert said.
Whilst condoms may not fully protect your partner from HPV, they do protect both of you from other sexually transmitted infections. For couples in long-term monogamous relationships, condoms are probably of little value in preventing HPV infections as partners will inevitably share HPV.
Studies show that up to 100% of individuals vaccinated with the HPV vaccine develop enough antibodies to protect themselves against the HPV types present in the vaccine. It also provides cross-protection against some types not included in the vaccine.
Severe allergic reactions following vaccination are rare, but can be life threatening. Symptoms of a severe allergic reaction can include hives, swelling of the face and throat, difficulty breathing, a fast heartbeat, dizziness, and weakness.