Should Gay Men Get the HPV Vaccine? Insights for 26-Year-Olds - Urology

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I am a male, and I have questions about the HPV vaccine?


I am 26 years old and have sexual experience as a gay man.
Recently, I came across some articles encouraging men, especially gay men, to get vaccinated.
I would like to ask if doctors would recommend vaccination for men.
Should I get the quadrivalent or the nonavalent vaccine? Can I tell my doctor that I want the vaccine to protect myself, and will the doctor find it strange or ask too many questions? Thank you.

Xiao Ou, 20~29 year old female. Ask Date: 2017/07/31

Dr. Du Shixi reply Urology


Hello: There are many types of cauliflower virus (dozens of types).
You should pay attention to safe practices; the vaccine protects against type A but not type B viruses, which are not the same.
Safe practices are definitely more protective than the vaccine.
Wishing you good health.
(The quadrivalent or nonavalent vaccines only protect against 4 or 9 types; what about the others?)

Reply Date: 2017/07/31

More Info


Yes, gay men should consider getting the HPV vaccine, especially at the age of 26, as they are at a higher risk for HPV-related diseases. The HPV vaccine is effective in preventing certain types of cancers and genital warts caused by the virus. The Centers for Disease Control and Prevention (CDC) recommends the HPV vaccine for everyone up to age 26, and it is particularly important for men who have sex with men (MSM) due to the increased risk of HPV-related anal cancer and other health issues.

There are two main types of HPV vaccines available: Gardasil (quadrivalent) and Gardasil 9 (nonavalent). Gardasil protects against four types of HPV (6, 11, 16, and 18), while Gardasil 9 protects against nine types (6, 11, 16, 18, 31, 33, 45, 52, and 58). The nine-valent vaccine is generally recommended as it provides broader protection against more HPV types, including those that are responsible for the majority of HPV-related cancers. Given your age and sexual history, opting for Gardasil 9 would be a prudent choice.

When discussing vaccination with your healthcare provider, it is perfectly acceptable to express your desire to protect yourself from HPV. Most healthcare professionals are accustomed to discussing sexual health and will not find it strange. They are there to help you make informed decisions about your health, and being open about your concerns can lead to a more productive conversation. If you mention that you are interested in the vaccine for personal protection, your doctor will likely appreciate your proactive approach to your health.

It is important to note that while the HPV vaccine is a powerful tool for prevention, it does not replace the need for safe sex practices. Engaging in safe sex, such as using condoms and dental dams, can significantly reduce the risk of HPV transmission and other sexually transmitted infections (STIs). Additionally, regular screenings and check-ups are essential for sexually active individuals, especially those with multiple partners.

In summary, as a 26-year-old gay man, getting the HPV vaccine is highly recommended. Gardasil 9 is the preferred option due to its broader protection. Don't hesitate to discuss your vaccination plans with your healthcare provider; they will likely support your decision and provide you with the necessary information to proceed. Remember, taking steps to protect your health is always a wise choice, and the HPV vaccine is an important part of that strategy.

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