HPV vaccine questions
I recently started receiving the 9-valent HPV vaccine, but I still have some questions.
Before getting vaccinated, I had frequent sexual activity, so I'm unsure if I was previously infected.
I've heard that most infections are asymptomatic.
My questions are: 1.
If I have already been infected with one type of HPV, will I still be susceptible to reinfection with the same type after getting vaccinated? 2.
If my body is already infected with a type of HPV that causes genital warts but shows no symptoms, will I still be at risk of reinfection with that type after completing the vaccination series, or does prior infection prevent the development of antibodies?
Sam, 20~29 year old female. Ask Date: 2020/10/12
Dr. Du Shixi reply Urology
Hello: 1) If I have already been infected with one type of HPV and then receive the vaccine, will I be at risk of reinfection with the same type of HPV in the future? --> The vaccine will provide some level of protection, but it is not 100% effective.
2) If I am already infected with the wart-causing type of HPV but am asymptomatic, and then I receive the vaccine, is there a possibility of reinfection with the same type of HPV, or does prior infection prevent the development of antibodies? --> If the infection has been present without symptoms, the body should already have some level of protection.
The occurrence of warts is related to the body's own immune response.
Wishing you good health.
Reply Date: 2020/10/12
More Info
Understanding the complexities of HPV (Human Papillomavirus) infection and vaccination is crucial for maintaining sexual health and preventing related diseases. Your questions touch on several important aspects of HPV vaccination and the potential for reinfection, especially in the context of prior exposure to the virus.
1. Reinfection After Vaccination: If you have already been infected with a specific type of HPV before receiving the vaccine, the vaccine will not provide protection against that particular type. The HPV vaccine is designed to prevent new infections from certain high-risk and low-risk HPV types, but it does not treat existing infections. Therefore, if you were already infected with one of the types covered by the vaccine (such as HPV 6, 11, 16, or 18), you could still potentially experience complications from that infection, including the development of warts or precancerous lesions. However, the vaccine can still protect you from other HPV types that you have not yet been exposed to.
2. Asymptomatic Infections and Vaccination: Many individuals with HPV do not exhibit symptoms, which can make it challenging to know if you have been infected. If you have an asymptomatic infection with a type of HPV that the vaccine covers, receiving the vaccine will not eliminate the existing virus from your body. However, it can help prevent future infections from other types of HPV. In the case of HPV types that cause genital warts (like HPV 6 and 11), if you are already infected, the vaccine will not prevent you from experiencing warts again, as it does not clear the virus from your system. The immune response generated by the vaccine may not be sufficient to eliminate an existing infection, but it can bolster your immune system against new infections.
3. Antibody Production and Existing Infections: The body typically generates antibodies in response to an infection, which helps to fight off future infections from the same pathogen. However, if you are already infected with a specific type of HPV, your body may not produce a robust immune response to that type after vaccination. This means that while the vaccine can help protect against other types of HPV, it may not prevent reinfection or the effects of an existing infection with a type you are already carrying.
4. Recommendations for Vaccination: It is generally recommended to receive the HPV vaccine even if you have been previously infected with some types of HPV. The vaccine can still provide protection against other types and reduce the risk of developing HPV-related cancers and diseases. If you are uncertain about your HPV status, it may be beneficial to consult with a healthcare provider who can offer guidance on testing and vaccination based on your sexual history and health status.
5. Importance of Regular Screening: Regardless of vaccination status, regular screenings (such as Pap smears for cervical cancer) are essential for early detection of any abnormalities that may arise from HPV infections. This is especially important for sexually active individuals, as early detection can lead to better outcomes.
In summary, while the HPV vaccine is an effective tool for preventing new infections, it does not treat existing infections. If you have concerns about potential reinfection or the implications of your vaccination status, it is advisable to discuss these with a healthcare professional who can provide personalized advice based on your health history and sexual practices. Regular follow-ups and screenings are key components of managing your sexual health in the context of HPV.
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