HPV and the Gardasil 9 vaccine: who and at what age

Mikhail Derebenchenko
Mikhail Derebenchenko — obstetrician-gynecologist
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What the virus does

HPV is an extremely common sexually transmitted infection; most people encounter it during their lives and in most cases the body clears it. The problem comes from persistent infection with oncogenic types: these cause precancerous change and cancer of the cervix, and also cancers of the vulva, vagina, anus, penis and oropharynx. Other types cause anogenital warts.

Why boys are vaccinated too

Two reasons. First, men develop HPV-associated cancers themselves, and oropharyngeal cancer in men is rising. Second, vaccinating both sexes interrupts transmission, protecting those who are not vaccinated. Modern vaccination programmes are therefore gender-neutral.

Age and schedule

Vaccination is ideally given before sexual activity begins, when protection is greatest. The usual starting age is 9–12. The schedule depends on age at the first dose: under 15, two doses are sufficient, with an interval; from 15 onwards, three. This is immunology rather than marketing — adolescents mount a stronger immune response.

Vaccinating adults is also possible and discussed individually. It does not treat an existing infection but protects against the types you have not yet met — and the nine-valent vaccine covers nine of them.

Prices at GMS

  • Gardasil 9, single dose — AED 1,100;
  • two-dose course for children under 15 — AED 2,600;
  • three-dose course — AED 3,900.

Before vaccination a doctor examines the patient and checks for contraindications, as with any other vaccine.

Screening still applies

A point often missed: the vaccine does not cover every oncogenic type, so vaccinated women continue cervical screening by age. Current guidance has moved away from an annual smear towards HPV testing every 5 years or cytology every 3 years, starting at 21–25 — more in our article on the annual gynecological check-up. Here a liquid-based Pap test is AED 300.

Where to be vaccinated

GMS vaccinates daily, and a gynecologist consultation is AED 600. The full list of vaccines and prices is on our vaccination page. Consultations in English and Russian.

What this is based on

This article is for information only and does not replace a consultation. If you have symptoms, see a doctor.

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