Cervical Cancer Vaccine: What to Expect During Your Shots - Obstetrics and Gynecology

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Regarding the administration of the cervical cancer vaccine?


Hello, my girlfriend has had a Pap smear that came back normal, and she is planning to receive her first dose of the cervical cancer vaccine soon.
I would like to ask if, when she goes to a different clinic for the second and third doses, the doctor will still inquire about her sexual history, or will they require documentation related to the first dose? Additionally, I have seen previous inquiries confirming that having a normal Pap smear and answering that she has not had sexual intercourse will not affect the efficacy of the vaccine, correct? Thank you!

You, 20~29 year old female. Ask Date: 2009/04/24

Dr. Huang Jianxun reply Obstetrics and Gynecology


Hello: Although switching hospitals is not a problem, it is still recommended to complete your inquiries at one hospital.
Answering the doctor about whether you have had sexual intercourse is part of your medical history.
Reporting no sexual activity will not affect the efficacy of the vaccine.
Wishing you safety and health.
Sincerely, Dr.
Huang Jian-Hsun, Director of the Department of Obstetrics and Gynecology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2009/04/24

More Info


The cervical cancer vaccine, commonly known as the HPV vaccine, is a crucial tool in preventing cervical cancer and other HPV-related diseases. The vaccine primarily targets specific strains of the human papillomavirus (HPV), particularly types 16 and 18, which are responsible for the majority of cervical cancer cases. Additionally, the Gardasil vaccine protects against types 6 and 11, which are associated with genital warts.
Regarding your question about the administration of the vaccine and what to expect during your shots, it is important to understand that the HPV vaccine is recommended for individuals up to the age of 26, although it can be given to those up to 45 years old in certain circumstances. Since your girlfriend has already had a Pap smear that returned normal results, she is in a good position to receive the vaccine.
When receiving the HPV vaccine, the healthcare provider may ask about sexual history, but this is not a strict requirement for vaccination. The primary goal is to ensure that the individual is informed about the vaccine's benefits and that they understand the importance of completing the full vaccination series. The HPV vaccine is most effective when administered before the onset of sexual activity, but it can still provide benefits even if someone is sexually active. Therefore, answering that your girlfriend has not engaged in sexual activity should not negatively impact the effectiveness of the vaccine.
In terms of documentation, while some clinics may request proof of the first dose, it is generally not a barrier to receiving subsequent doses. The healthcare provider will likely have access to vaccination records through their system, but it is always a good idea to bring any documentation you have regarding the first dose, including the date and location of administration.

The vaccination schedule typically consists of two or three doses, depending on the age at which the individual starts the vaccination series. For those under 15 years old, two doses are sufficient, while individuals aged 15 and older require three doses. The second dose is usually administered 1-2 months after the first, and the third dose is given 6 months after the first dose.

As for side effects, they are generally mild and can include pain at the injection site, mild fever, or fatigue. Serious side effects are rare. It is important for your girlfriend to discuss any concerns about her health history or potential reactions with her healthcare provider before receiving the vaccine.

In summary, your girlfriend can proceed with her vaccination without concern about her sexual history affecting the vaccine's efficacy. It is essential to complete the vaccination series to ensure maximum protection against HPV-related diseases. Encourage her to maintain regular check-ups and screenings, as these are vital components of preventive health care. If she has any further questions or concerns, she should feel free to discuss them with her healthcare provider.

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