Anonymous wrote:DD just has her 14 year old physical and doc tried convincing her to take the HPV with the logic of “take it now and you only have to get 2 shots, if you wait you’ll have to get 3.” I pointed out the new evidence that 1 dose is just as protective and showed her the article and it surprised the *hit out of the doctor. She backed down on insisting my daughter take it and acknowledge that this information had not trickled down to her yet. Doctors are not gods and they don’t know everything. Things that are important to your family, you have to research on your own and sometimes even enlighten the doctors. This goes to show the value of all this forum are ensuring we are informed of the latest research and information. I would not have known to bring this up if I hadn’t read this thread!
Thanks all.

It hasn't trickled down to her yet because the actual guidelines haven't changed. Not for the CDC, the AAP, or the AAFP.

You "enlightened the doctor" as to your own impulsivity in interpreting what you read online in anonymous forums as fact, not opinion.

Anonymous wrote:

Anonymous wrote:You only need 1 now!!

All the studies show one dose is as effective as two.

Then why are all the doctors still saying 2 are required? That’s insane. These are YOUNG kids sometimes as young as 9 and they are injecting them multiple times when 1 is sufficient??!!

Are nine year old children having sex?

Anonymous wrote:You only need 1 now!!

All the studies show one dose is as effective as two.

Nope. See above.

Anonymous wrote:

Anonymous wrote:Last month, the National Cancer Insitute confirmed through their own study that 1 shot is as effective as 2. This was following up on a 2022 study out of Kenya that also showed 1 was sufficient. The WHO recommends one shot.

If I had a daughter with autoimmune issues, I'd err on the side of one shot rather than two or three.

Oh interesting! See, this is why I come to DCUM. I feel that a lot of doctors are not up-to-date on these things. I will bring this up to my daughter‘s doctor. THANK YOU SO MUCH FOR THE INFORMATION.
-OP

Sad. Your actual doctor will probably tell you that the NCI has NOT changed their recommendations, although they are tracking ongoing research. And there are nuances not captured by "is as effective," because the study population is limited to younger teens or preteens.

PP also missed the mark on the WHO recommendations. The WHO acknowledges a "comparable" efficacy and durability of protection, but that doesn't mean it is the same. They are promoting considering a one-dose regimen in order to "improve access to the vaccine, offering countries the opportunity to expand the number of girls who can be vaccinated and alleviating the burden of the often complicated and costly follow-up required to complete the vaccination series. It’s vital that countries strengthen their HPV vaccination programmes, expedite implementation and reverse the declines in coverage. " But they are promoting it as an OPTION. They would not still include a second dose if useless.

WHO now recommends:

A one or two-dose schedule for girls aged 9-14 years
A one or two-dose schedule for girls and women aged 15-20 years
Two doses with a 6-month interval for women older than 21 years

https://www.who.int/news/item/20-12-2022-WHO-updates-recommendations-on-HPV-vaccination-schedule

Anonymous wrote:My teen is up-to-date on everything except HPV. We held off because she is having some autoimmune health issues. What is the latest age you would feel comfortable giving it to your child? I know the later we wait, the more shots she may have to get to be fully protected, but she is willing to do that because her immune system is compromised right now.

Given RFK jr

I would do this asap as long as your child’s doctor says it’s ok

Tell your kids the likely consequences of oral sex. They need to know.

Anonymous wrote:

Anonymous wrote:My teen is up-to-date on everything except HPV. We held off because she is having some autoimmune health issues. What is the latest age you would feel comfortable giving it to your child? I know the later we wait, the more shots she may have to get to be fully protected, but she is willing to do that because her immune system is compromised right now.

Are boys also getting HPV shot to?
Because they’re certainly at risk for throat cancer if they’re doing oral sex. Tell them now.

It will only protect them if they have extremely supple backs.

Look, even if this protects kids from ONE single STD, what about the others? They should have protected sex. Period. No need for this vaccine.

Yes, boys get it.

Get your kids this shot.

Anonymous wrote:My teen is up-to-date on everything except HPV. We held off because she is having some autoimmune health issues. What is the latest age you would feel comfortable giving it to your child? I know the later we wait, the more shots she may have to get to be fully protected, but she is willing to do that because her immune system is compromised right now.

Are boys also getting HPV shot to?
Because they’re certainly at risk for throat cancer if they’re doing oral sex. Tell them now.

I would just get it when she is feeling well (not in a flare up). But I would lose sleep over delaying until whenever that is. Teens tend to have a low number of sexual partners, majority of whom will have been vaccinated anyhow. Her risk of exposure, even if she engages is something, is low

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I would talk to her doctor because depending on the autoimmune issue, she might not mount a response to the shots and you would want to catch that before she started dating.

DS did three under the old guidance because he’s adopted and his caregiver before that didn’t believe in the HPV shots.

It’s typically the opposite. They are hyper responders, titers off the charts, and then they have a misdirected immune response. But exposure to the virus causes the same response so it’s best to weigh that too.

Anytime a person is sick or their immune system is otherwise busy fighting elsewhere, is a bad time to get a vaccine that can wait.

I have a kid with PANDAS so always have to weigh this. She’s mostly healed and we have gotten vaccines without issue, but I usually wait for summer when they are least likely to be around other viruses.

But that’s really the gist of OP’s question: can she wait? I mean, teens will be teens, and they are not you going to tell you, the parent. And they are not going to wait forever before beginning sexual activity. And that usually starts with oral or anal which both carry HPV transmission risks.

Yeah I hear that. I guess it depends if this is a condition that is forever or comes and goes. Probably no later than 15/16.

Side note - Anal?!!! I feel like most girls aren’t doing that!! (Oral yes)

This generation has all sorts of different views on what they think constitutes “sex,” and what doesn’t count. It’s all so new and foreign to how I remember things were.

DD will wait until 15 and just get the one shot

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I would talk to her doctor because depending on the autoimmune issue, she might not mount a response to the shots and you would want to catch that before she started dating.

DS did three under the old guidance because he’s adopted and his caregiver before that didn’t believe in the HPV shots.

It’s typically the opposite. They are hyper responders, titers off the charts, and then they have a misdirected immune response. But exposure to the virus causes the same response so it’s best to weigh that too.

Anytime a person is sick or their immune system is otherwise busy fighting elsewhere, is a bad time to get a vaccine that can wait.

I have a kid with PANDAS so always have to weigh this. She’s mostly healed and we have gotten vaccines without issue, but I usually wait for summer when they are least likely to be around other viruses.

But that’s really the gist of OP’s question: can she wait? I mean, teens will be teens, and they are not you going to tell you, the parent. And they are not going to wait forever before beginning sexual activity. And that usually starts with oral or anal which both carry HPV transmission risks.

Yeah I hear that. I guess it depends if this is a condition that is forever or comes and goes. Probably no later than 15/16.

Side note - Anal?!!! I feel like most girls aren’t doing that!! (Oral yes)

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My teen is up-to-date on everything except HPV. We held off because she is having some autoimmune health issues. What is the latest age you would feel comfortable giving it to your child? I know the later we wait, the more shots she may have to get to be fully protected, but she is willing to do that because her immune system is compromised right now.

The older you wait, they have to do 3 shots instead of 2. We did them but spaced it out more (the two). I was worried but it ended up being fine. I think there was a fever for a half a day and tired for a day but that was it.

^NOooooo!!!!! Old news.

You only need one total shot now. It’s proven to be fully effective - as effective as the old regimen of multiple shots.

Health guidelines have changed.

If you are in Africa, yes, the standard is one shot. In the US it is still two or three. The "one shot" thing was decided upon in poorer areas to encourage everyone to get at least one dose because realistically in some countries in hard to give it two or three times. This way a mobile health clinic can drive into a village, vaccinated everyone once, and then drive to the next.

No, the study has been replicated and confirmed here as well. A PP mentioned that the committee was supposed to meet to discuss updating the guidelines but then RFK happened. The only reason to get more than one shot now - assuming no sexual contact - is because the guidance hasn't caught up to the science.