Cervical Cancer Vaccine Completion and Related Symptoms - Obstetrics and Gynecology

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Cervical cancer vaccine


Hello, Doctor: I would like to ask, I have received the first two doses of the cervical cancer vaccine, but I missed the timing for the third dose because I was abroad.
Should I still complete the third dose, or is it sufficient to only have the first two doses? Additionally, I have noticed slight blood in my urine after urination, along with mild itching and discomfort in the urethra or clitoral area.
Should I see a gynecologist or a urologist for this issue? Thank you for your response.

Lili, 20~29 year old female. Ask Date: 2016/04/12

Dr. Lin Wenbin reply Obstetrics and Gynecology


It is recommended to complete the vaccination for better effectiveness.

Reply Date: 2016/04/12

More Info


The cervical cancer vaccine, commonly known as the HPV vaccine, is a crucial preventive measure against cervical cancer, which is primarily caused by certain strains of the human papillomavirus (HPV). The vaccine is designed to protect against the most common high-risk HPV types, particularly types 16 and 18, which are responsible for the majority of cervical cancer cases. Additionally, the newer versions of the vaccine, such as Gardasil 9, also protect against types 31, 33, 45, 52, and 58, further enhancing its efficacy.

Regarding your question about completing the vaccination series, it is important to complete all doses of the HPV vaccine for optimal protection. The standard vaccination schedule consists of three doses, typically administered over a six-month period. If you have received the first two doses but missed the third, it is recommended that you still get the third dose as soon as possible, even if it is outside the original schedule. Completing the series ensures that you receive the full protective benefits of the vaccine, as the immune response may not be as robust with only two doses.

As for the symptoms you are experiencing, such as slight blood in your urine and itching or mild pain in the urethra or clitoral area, it is advisable to consult a healthcare professional. These symptoms could be indicative of a urinary tract infection (UTI), which is common and can cause discomfort and bleeding. While gynecologists specialize in female reproductive health, urologists focus on urinary tract issues. Given that your symptoms involve the urinary tract, it may be more appropriate to see a urologist. However, a gynecologist can also evaluate these symptoms, especially since they may relate to your reproductive health.

In summary, it is crucial to complete the HPV vaccination series to ensure maximum protection against cervical cancer. If you are experiencing concerning symptoms, do not hesitate to seek medical attention from either a gynecologist or a urologist, as they can help determine the underlying cause and provide appropriate treatment. Remember that early intervention is key in managing any potential health issues effectively.

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