Cervical Cancer Risk and HPV Vaccination for Adults - Obstetrics and Gynecology

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Cervical cancer vaccine


Hello, doctor.
I would like to ask you, what is the likelihood of developing cervical cancer without having received the vaccine? There is no family history of this condition, and due to parental bias, I did not get vaccinated when it was offered for free.
Is it still beneficial to get vaccinated as an adult? How much does a single dose cost? Given my current financial situation, I am quite worried, especially since I am sexually active.

Yang, 10~19 year old female. Ask Date: 2020/09/28

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it should not be high.
Wishing you good health.

Reply Date: 2020/09/28

More Info


Cervical cancer is primarily caused by persistent infection with high-risk types of human papillomavirus (HPV). While the risk of developing cervical cancer can be influenced by various factors, including HPV vaccination status, sexual behavior, and family history, it is important to understand the implications of not receiving the HPV vaccine, especially for adults.

In your case, you mentioned that you have not received the HPV vaccine and are concerned about your risk of developing cervical cancer. The risk of cervical cancer is indeed higher for individuals who have not been vaccinated against HPV, particularly if they are sexually active. However, it is essential to note that the overall risk of developing cervical cancer is still relatively low for individuals without a history of abnormal Pap tests or other risk factors, such as a family history of cervical cancer.

The HPV vaccine is most effective when administered before the onset of sexual activity, but it can still provide benefits for adults who are sexually active. The vaccine can protect against the most common high-risk HPV types that are responsible for the majority of cervical cancer cases. Even if you are over the age recommended for vaccination (typically up to 26 years), it is still worth discussing with your healthcare provider whether getting vaccinated could be beneficial for you. The vaccine can help reduce your risk of acquiring new HPV infections and potentially lower your risk of developing cervical cancer in the future.

Regarding the cost of the HPV vaccine, it can vary depending on your location, healthcare provider, and whether you have insurance coverage. In the United States, the cost of the HPV vaccine series can range from $200 to $300 per dose, and the complete series typically consists of three doses. Many health insurance plans cover the cost of the vaccine, especially for individuals under 26 years of age, but it is advisable to check with your insurance provider for specific coverage details.

In addition to vaccination, regular cervical cancer screening through Pap smears and HPV testing is crucial for early detection and prevention. If you have not had a Pap test recently, it is recommended that you schedule one with your healthcare provider. This screening can help identify any abnormal changes in the cervix that could lead to cancer if left untreated.

If you are experiencing any unusual symptoms, such as abnormal bleeding or pelvic pain, it is essential to seek medical attention promptly. These symptoms can be indicative of various conditions, including cervical cancer, and should not be ignored.

In summary, while the risk of cervical cancer is higher for those who have not received the HPV vaccine, it is not insurmountable. Vaccination can still provide protection, and regular screening is vital for early detection. Discussing your concerns with a healthcare provider can help you make informed decisions about your health and the best course of action moving forward.

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