HPV Vaccines: Male Eligibility and Sexual Health Concerns - Urology

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1.
Hello, doctor.
I would like to ask about the HPV vaccine.
I am male, and I know that the quadrivalent HPV vaccine can be administered to males.
Can I also receive the nine-valent HPV vaccine? I think getting the nine-valent vaccine would provide broader protection.
2.
During the HPV vaccination period, is it safe to engage in sexual activity? If I have already received one dose and my partner, who is infected with HPV, has also received one dose, will I still be at risk of transmission? Or should I wait until I have completed all three doses before engaging in sexual activity to avoid transmission?
3.
I am considering receiving the HPV vaccine along with the hepatitis B vaccine and the hepatitis A vaccine.
Is it possible to administer these three vaccines simultaneously? I understand that the vaccination schedule spans over six months, so can they be given at the same time?
4.
Additionally, for the hepatitis B and hepatitis A vaccines, is it true that after receiving the first dose, I would not be at risk of transmission if I engage in sexual activity? Is it unnecessary to wait until I have completed all doses, since the entire vaccination process takes a long time? Thank you, doctor!

Mr. Zhang, 20~29 year old female. Ask Date: 2017/05/10

Dr. Du Shixi reply Urology


Hello: 1) The HPV vaccine is designed for females to prevent certain strains of the human papillomavirus from developing into gynecological cancers years later.
It's important to understand that the HPV vaccine only protects against a few strains, while there are dozens of HPV types that can be transmitted.
Therefore, protection is still necessary (it’s not the case that getting vaccinated means you won’t get infected with HPV).
2) Engaging in sexual activity is possible, but it is crucial that your partner does not have HPV.
If they do, protection is necessary.
3) Please consult with a physician, who will need to assess whether you have been tested for Hepatitis A and B (have you had blood tests done?).
4) You need to complete the vaccination series and have blood tests done to check for antibodies to ensure protection.
*The key points are: 1) Do you have a stable partner? 2) Does your partner have any diseases that could be transmitted to you? If your partner is healthy, it is much safer.*

Reply Date: 2017/05/10

More Info


When it comes to understanding HPV vaccines, particularly for males, there are several important points to consider regarding eligibility, safety, and sexual health concerns.

1. Eligibility for the HPV Vaccine: Yes, males can receive the HPV vaccine, including the nine-valent HPV vaccine (Gardasil 9). This vaccine is designed to protect against various strains of HPV that can lead to genital warts and several types of cancers, including cervical cancer, anal cancer, and oropharyngeal cancers. The nine-valent vaccine covers HPV types 6, 11, 16, 18, 31, 33, 45, 52, and 58, providing broader protection compared to the quadrivalent vaccine. It's advisable for males aged 9 to 26 to get vaccinated, as it can significantly reduce the risk of HPV-related diseases.

2. Sexual Activity During Vaccination: It is generally safe to engage in sexual activity after receiving the HPV vaccine. The vaccine works by stimulating the immune system to produce antibodies against the virus, but it does not provide immediate protection. After the first dose, it takes time for the body to build up immunity. However, if your partner is already infected with HPV, there is still a risk of transmission, especially if you have not completed the full vaccination series. The vaccine is most effective when all doses are completed, which typically involves three doses over six months. Therefore, while you can have sex after the first dose, it is recommended to wait until you have completed the vaccination series for optimal protection.

3. Simultaneous Vaccination: It is generally safe to receive multiple vaccines at the same time, including the HPV vaccine, hepatitis B vaccine, and hepatitis A vaccine. Many healthcare providers encourage this practice to ensure individuals are protected against multiple diseases without requiring multiple visits. However, it is essential to consult with your healthcare provider to ensure that this approach is suitable for your specific health situation.

4. Protection After Initial Doses: For hepatitis B and A vaccines, receiving the first dose does provide some level of protection, but it is not complete. It is crucial to complete the entire vaccination series to achieve full immunity. For hepatitis B, the full series typically consists of three doses, and for hepatitis A, it usually involves two doses. Engaging in sexual activity after the first dose of these vaccines may reduce the risk of transmission, but it does not eliminate it entirely. Therefore, it is best to wait until the full vaccination series is completed for maximum protection.

In summary, males are encouraged to receive the HPV vaccine, including the nine-valent version, for comprehensive protection against various HPV-related diseases. While it is generally safe to engage in sexual activity after receiving the vaccine, it is essential to understand that full immunity is achieved only after completing the entire vaccination series. Additionally, simultaneous vaccination for HPV, hepatitis A, and hepatitis B is typically safe and can be an efficient way to protect against multiple infections. Always consult with a healthcare provider for personalized advice and recommendations based on your health history and circumstances.

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