HPV Vaccination After Genital Warts: What You Need to Know

Questions about receiving the HPV vaccine after developing warts?

Hello Dr.
Wu, I am Joannes, who asked a question earlier.
You mentioned that after electrosurgery or cryotherapy for genital warts, they are still very likely to recur.
You suggested that during the treatment process, vaccination should be administered (both males and females).
However, we are both over 27 years old, and the female partner still has mild symptoms in her private area.
The gynecologist said she cannot receive the vaccine, so should we wait until there are no visible lesions before getting vaccinated? Also, since there are both quadrivalent and nonavalent vaccines, is it acceptable for both males and females to receive the nonavalent vaccine if the budget allows? I am concerned that with the treatment (cryotherapy, topical medication, and oral medication) being comprehensive, the warts might reappear, and would it still be appropriate to get vaccinated in that case? If we directly get vaccinated, would it be unnecessary to spend money on HPV screening? Could you recommend a clinic in Taoyuan or a reputable hospital? Thank you.
🙏

Joannes, 20~29 year old female. Ask Date: 2020/06/08

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
The recommended age for vaccination is between 9 and 26 years old.
Vaccination is still possible beyond this age, but the manufacturer does not guarantee its effectiveness.
(Most individuals will develop antibodies, except for those with abnormal immune responses or specific medical conditions.)
2.
If the budget allows, can both males and females receive the nine-valent vaccine? Yes, they can.

3.
A multi-faceted approach (freezing + topical medication + oral medication) is the most effective; otherwise, recurrence typically occurs about three months after standard electrosurgery.

4.
After no recurrence, whether to undergo HPV screening is a personal choice.

Reply Date: 2020/06/08

More Info

HPV Vaccination After Genital Warts: What You Need to Know
Hello Joannes, thank you for your questions regarding HPV vaccination after experiencing genital warts (also known as condyloma acuminata). Your concerns are valid, especially considering the complexities surrounding HPV infections and the implications for future health.

Firstly, it’s important to understand that HPV (human papillomavirus) is a common sexually transmitted infection, and certain strains can lead to genital warts, while others are associated with more serious conditions, such as cervical cancer. The HPV vaccine, particularly the 9-valent vaccine (Gardasil 9), is designed to protect against nine strains of HPV, including those that cause the majority of cervical cancers and genital warts.

1. Timing of Vaccination: It is generally recommended to receive the HPV vaccine before becoming sexually active, but it can still be beneficial after the onset of genital warts. If you have already been treated for genital warts, it is advisable to wait until the warts have completely resolved before getting vaccinated. This is because the vaccine is most effective when the body is not currently fighting an active HPV infection. However, vaccination can still provide protection against other HPV types that you may not have been exposed to yet.

2. Effectiveness of the Vaccine: The Gardasil 9 vaccine can help prevent future infections from the HPV types it covers, even if you have been infected with other types. If you have already been treated for genital warts, receiving the vaccine can help reduce the risk of recurrence and protect against other strains of HPV. It is important to note that the vaccine does not treat existing infections or warts, but it can help prevent new infections.

3. Cost Considerations: If budget is a concern, it’s worth discussing with your healthcare provider whether the 9-valent vaccine is the best option for you and your partner. While both the quadrivalent (Gardasil) and 9-valent vaccines provide protection against HPV types that cause genital warts, the 9-valent vaccine offers broader protection against additional cancer-causing strains. Given that you are both over 27, you may still benefit from the vaccine, as it can provide protection even in older individuals.

4. Follow-Up Care: After treatment for genital warts, it is crucial to maintain regular follow-up appointments with your healthcare provider. This will help monitor any potential recurrence of warts and ensure that any new symptoms are evaluated promptly. If your partner is still experiencing mild symptoms, it is advisable for her to seek medical attention before proceeding with vaccination.

5. HPV Screening: While vaccination is important, it does not replace the need for regular screenings, such as Pap smears for women. These screenings can help detect any changes in cervical cells that may indicate precancerous conditions or cancer. If you are considering vaccination, it may be beneficial to discuss the need for HPV screening with your healthcare provider.

6. Finding a Provider: If you are looking for a healthcare provider in Taoyuan, I recommend reaching out to local hospitals or clinics that specialize in sexual health or gynecology. They can provide you with the necessary vaccinations and screenings, as well as offer guidance tailored to your specific situation.

In conclusion, while it is understandable to be concerned about the recurrence of genital warts and the effectiveness of the HPV vaccine, it is important to approach this situation with a comprehensive plan. Consult with a healthcare provider to discuss the best timing for vaccination, the potential benefits of the 9-valent vaccine, and the importance of ongoing monitoring and screening. Taking these steps can help ensure both you and your partner maintain optimal sexual health moving forward.

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