HPV Vaccines for Men

gardasilThe Gardasil Vaccine against HPV has been approved by Singapore’s HSA for use in boys and men to prevent Genital Warts, Anal Cancer and Peri-Anal Warts.

It is a course of 3 injections given over 6 months.

Men are NOT allowed to pay for this using their MediSave.

25th October 2011

CDC’s Advisory Committee on Immunization Practices (ACIP) approved today recommendations for routine vaccination of males 11 or 12 years old with 3-doses of HPV4 to protect against Human Papilloma Virus.

The HPV vaccine will afford protection against certain HPV-related conditions and cancers in males, and vaccination of males with HPV may also provide indirect protection of women by reducing transmission of HPV.

Anne Schuchat, M.D., Director,NationalCenterfor Immunization and Respiratory Diseases, CDC

Dr Tan’s comments:

On 16th October 2009, the FDA approved the use of HPV vaccines to prevent genital warts in men and boys.

Almost exactly 2 years later, they are again taking bold steps to lead the fight against HPV by recommending routine vaccination for boys from age 11 years old.

Such leadership and initiative must really be applauded. Singapore has also approved Gardasil, a HPV vaccine for use in Men and Boys to prevent Genital Warts, Anal Cancer and Peri-Anal Warts.

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The fact is HPV is just as much a scourge among men as it is in women. It has however been given much more media coverage and attention in women because of its link to Cervical Cancer.

HPV in men mostly cause warts but it can also increase the risk of anal cancer especially in HIV positive individuals.

The CDC also brought up a very good point that vaccinating men will increase herd immunity and thereby indirectly protecting women from exposure to HPV.

I have been giving HPV vaccines to men at my clinic for some time now. The vaccination course is given as 3 injections spread over 6 months. Aside from a sore arm, I have yet to see any serious side effects.

I hope this new recommendation spearheaded by the CDC will encourage more men to come forward for HPV vaccination. For the guys reading this, I would highly recommend that you speak to your doctor about HPV vaccination. For the ladies, bring your men along next time you go see your doctor for a PAP smear. Ask them if HPV vaccination is right for the both of you.

If you are interested in getting the HPV vaccine or learning more, please visit Our Clinics.

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advise


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Related Topics:

Gardasil HPV Vaccine 

Common Lumps and Bumps – Warts

Perianal Warts

Genital Warts (Human Papilloma Virus)

More on HIV symptoms

Cost of HIV/STD Tests at our Clinic

Erectile Dysfunction

Premature Ejaculation

Androgen Deficiency Syndrome / Andropause

About Dr. Tan
Dr. Tan graduated from the National University of Singapore in 2001. His residency was in the two largest public hospitals in Singapore; Tan Tock Seng Hospital and Singapore General Hospital.

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33 Comments

  1. Hi Doctor. Really appreciate your help on this as I’m a male virgin before visiting a prostitute in Thailand for the first time.

    I had protected oral (given by her) and vaginal sex with a young Thai prostitute. There was also brief vaginal fluid contact as I fingered her briefly a few times. The fluid was also on her breasts as I touch it and had oral contact shortly. I also self masturbated without a condom after our session. 

    I have some questions:

    How fast can HPV, HSV,, HIV or other STD Symptoms appear? I experience the following symptoms within a week after the encounter. (48-72 hours to be exact as I’m typing this) :

    I do feel some sore (similar to post workout) on the arms and thighs. 

    A single small slight bump also appeared around the pubic area (similar to a mosquito bite)

    Loss of appetite (though I do get this even before my sexual encounter if I’m seriously worried about stuff)

    Vomiting (similar to being overly worried)

    Lastly, would the HSV vaccine be effective for myself as a 28 year old?

    It’s been 2 days so far and I’m getting rather worried. Thank you for your help.

    • You definitely had put yourself at risk of STD and HIV, although usage of condoms reduce the risk significantly. Your symptoms are non-specific and a little too early. HIV ARS symptoms typically appear in 2-6 weeks. HPV (warts), HSV symptoms can appear much later (weeks to months) after exposure. Other STDs such as chlamydia and gonorrhoea can produce symptoms within days (such as penile discharge, painful urination). If you are worried about the small bump on the pubic area, see a doctor to get it checked.
      I think you meant HPV vaccine. Yes, it would still be effective for you.
      http://www.drtanandpartners.com/std-symptoms-in-men/

  2. Andrew

    Dr.is prostate massage safe ?

    • That is a very big topic. Generally it is but it has to be performed by someone who knows what he/she is doing. That said, even if the person does not know what he/she is doing, the damage that can be potentially caused is quite limited eg anal fissures, bruising of the mucosa, prostatitis. If the person uses a contaminated glove, finger or any other instrument to insert into the rectum, there is also the chance of passing an infection.

  3. Hi doctor, can i know what’s the update full cost of hpv vaccination. Shots plus doctor fees in total?

    • HPV Vaccine $150 per shot. Total 3 shots = $450 ($481.50 with GST). Consult $35 ($37.40 with GST). Usually what I do is charge consult with the first shot then do not charge consult for the subsequent shots if the visit is for the shots only. So grand total $518.90 all in.

      • thanks for the info, last qns, so i only pay for per shot per visit and not the full 3 shots at one go?

        example 1st shot 150 + 35 for consultation. exculde gst

        • That’s right. You pay for one shot at a time. We do not sell “packages”.

  4. Hi doctor,

    I am 28 years old . I am infect by men genital war . May I know injection still got use ? What I can do now ? If do the treatment what is the total charge ?

    • The vaccine still has value in people who have genital warts. You need to get your warts treated. Cost will depend on what treatment you need and how you respond to the treatment. You are welcome to come see us. Click here for location info.

  5. Hi Dr Tan,

    My gf just diagnosis with HPV recently, we did have sexual intercourse and oral sex before. What should i do? Please advice.

    • There’s really nothing much you can do right now. You either have it or you do not. Unless you develop warts, nobody knows if you have it or not. There is no test to do for men. Whether or not you have already been infected, it will still benefit you to get the HPV vaccine. If you are not infected, it will protect you. If you are infected, it will protect you against other strains.

      • Thanks for the reply Dr Tan,

        Want to check, how serious will it be if i’m been infected with HPV? Any things that i should not do or i should do if i’m infected?

        • With HPV you either have no symptoms, have warts or get cancer. Cancer for men is rare though. Except for anal cancer due to HPV in HIV +ve men.

  6. Hi Dr,

    If one is being suspected getting HPV and getting warts. Should him still get the vaccination? Will it still helps? And how much is the charges?

    • In practice I routinely vaccinated patients who have warts. I do this for 2 reasons: 1. The vaccine will protect them against other strains of HPV that they are not infected with. 2. I believe that the vaccine will boost the antibody response for the strain that they are infected with and increase the chance of spontaneous clearance. I will point out that point 2 is my personal opinion and not backed by clinical studies. The vaccine costs $150 ($160.50 w GST) per injection. You will need a total of 3 injections.

  7. Drvtan,

    May I know how could I locate your clinic for HPV vaccines for men . Please advise. Thanks

  8. I recently was diagnosed with HPV and genital warts by my urologist. He gave me aldara to use. Initially I overdosed and there was a severe reaction which caused blisters. However after stopping the medication and the skin has recovered I used it continuously for 3 weeks and it disappeared. Unfortunately it has came back again over the last few days though it did not multiply. What should I do?

  9. hello again dr tan,
    i am interested to in the part where you are talking about hpv vaccine that is allowed for both male and female, with the sore arm effect of the vaccine. Is this Gardasil you are talking about? because me and my boyfriend completed 3 hpv shots 4 years ago and the side effect we felt that day was exactly like what you mentioned, but we forgot the injection name.

    also, now that you mention guys should go for routine injection, since its already 4 years since the last time, should my boyfriend take another injection?

    thanks again!

  10. My girl friend just found out she has HPV. She has had it since Jan but just got clinical confirmation. We had always use condom when we have sex. What are the chances of me having it? Should we stop sex now even with condom? Should I get the vaccine? Will I be immune after one jab?

    • Hi Alan,

      The chance of you having it are high. HPV is highly contagious and condoms do not help at all. You really should get the HPV vaccine. Make sure you get the Gardasil vaccine. Gardasil protects against genital warts, anal cancer and penile cancers in men. You will have antibodies within 2 weeks of the first injection. But you must make sure you complete all 3 injections to benefit from its full protective effect.

      rgds

      Dr Tan

  11. How will I know if I am infected with HPV ? I once had a small growth on my penis but it has since disappeared on its own – leading me to believe that I have HPV and it just went ‘dormant’. Am I still eligible for vaccination?

    • Hi Kenny,

      You can’t. The fact is there is no test for HPV in men. You still can get and should get vaccinated.

      rgds

      Dr Tan

  12. Hi Dr Tan

    I am over 26 years old, my girl friend told me she had genital wart over 10 years ago. She goes for yearly pap smear and haven’t picked up hpv since the first outbreak was treated. Does it mean she is less to pass it on to me? I am over 26 years old, its there anywhere in Singapore I can get the vaccination even if it is not approved for older men?

    • Hi david,

      You girlfriend is less contagious when she does not have symptoms. But nonetheless she is still contagious. The HPV vaccine is available at most clinics in Singapore. However, some doctors might not be comfortable giving it to men. The vaccine is also available at our clinic and I really encourage men to get it.

      rgds

      Dr Tan

  13. Hi Doc,

    After reading your post, I had tried to call my regular clinics for the HPV vaccine and they said that they only have the ones for female and not for men…. So I am wondering is the vaccine the same for both gender? If it’s different then I suppose I need to wait… I am the typical type of guy who is “kiasu” and would like to get myself vaccinated and protect myself. Will there be any side effects from the vaccine? Please also advise whether where I can get the vaccine too.

    Thank you and best regards,
    Kelvin

    • Hi Kelvin,

      There are 2 HPV vaccines currently avaible. Only one of them can be used for both men and women. There are no side effects from the vaccine aside from a sore arm. The vaccine is available at our clinic.

      rgds

      Dr Tan

  14. Is there a target age range for HPV vaccination for men? It seems limited to under 26 when reviewing literature.

    • Hi PJ,

      That is a very very good question. Different countries have different cut of ages for HPV vaccines. Singapore happens to put it at 26. Some countries e.g. Philippines have no upper limit. This really depends on which studies and expert opinions the health authorities want to base their policies on. The fact is nothing magical happens when a person reaches 26 years old that suddenly makes the HPV vaccine ineffective. It is true to say however that statistically speaking, the older a person is, the more likely he or she has already been infected with HPV and therefore less likely to benefit from the vaccine. I always believe in discussing a risk benefit ratio. On one side, there is the chance of protection. On the other hand, there is the risk of side effects and the cost. These have to be weighed carefully for each patient’s unique clinical situation and a recommendation for the particular patient given. There cannot be a blanket rule that says ‘everyone above 26 years old cannot take the HPV vaccine’.

      rgds

      Dr Tan

    • weiwei

      Hi Dr Tan

      If i buy sex toy from a shop and masterbate will it have hive virus in it? will i get hiv from this?

      Does masterbation cause any ill effects on a man cause after masterbation when i urinate it seem slower

      Thank You

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