Gardasil 9 HPV Vaccine in Bangkok

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Protect against HPV-related cancers and warts with Gardasil 9 at PULSE Clinic Bangkok. Safe, effective, and recommended for men and women up to age 45

Gardasil 9 HPV Vaccination in Bangkok

Human Papillomavirus (HPV) is highly prevalent and is typically transmitted through intimate sexual contact with an individual who already carries the virus. With over 200 known types of HPV, infection is extremely common; indeed, most sexually active individuals will contract at least one strain at some point in their lives.

In many cases, individuals remain unaware of their status, as the virus often presents no symptoms and infections typically clear on their own. HPV is recognised as the most common sexually transmitted infection (STI) globally. It is primarily spread through direct skin-to-skin contact, which includes—but is not limited to—anal, vaginal, and oral sex. Genital HPV infections are highly contagious and are predominantly associated with sexual activity.

While the risk of infection naturally increases with the number of sexual partners—both your own and those of your partners—the widespread nature of the virus means that nearly everyone will encounter it throughout their lifetime.

HPV Vaccine: Price List and Promotions at PULSE Clinic Thailand

HPV Vaccine 9 Types (Gardasil 9)	Dosage	Price
	1 Single Dose	9400 THB
	A Complete Course of 3 Doses	28200 THB 26000 THB

HPV Vaccine 4 Types (Gardasil 4)	Dosage	Price
	1 Single Dose	3600 THB
	A Complete Course of 3 Doses	10800 THB 10000 THB

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How to Protect Yourself from HPV Warts and HPV-Related Cancers – Prevention Tips

As you may be aware, there are many types of Human Papillomavirus (HPV). Certain high-risk strains, such as types 16 and 18, are leading causes of cervical cancer in women and anal cancer in men, while types 6 and 11 are primarily associated with genital warts.

More than nine out of ten cases of cervical cancer are caused by HPV. However, the virus does not exclusively affect women; nearly four out of every ten HPV-related cancer cases occur in men. Every year in the United States, over 13,000 men are diagnosed with cancers caused by HPV.

It is important to note that these cancers can be largely prevented through the HPV vaccination. Ensuring you are protected is a proactive step in safeguarding your long-term health.

What Health Risks Can HPV Cause?

HPV infections that persist can lead to cancers – anal, throat, and penile (penis) cancers in men, and cervical cancer in women.

HPV types 16 and 18 are the major causes of cervical cancer and are the main causes of HPV-associated cancers in males and females, such as

Anus and back of the throat, including the base of the tongue and tonsils (oropharynx), in both women and men.
Penile cancer in men
Cervix, vagina, and vulva in women.

HPV types 6 and 11 are the main causes of anal warts and genital warts.
HPV types 31, 33, 45, 52, and 58 are 15% of the causes of cervical cancer.

Cancer often takes years, even decades, to develop after a person gets HPV. The Centers for Disease Control recommend HPV vaccination at ages 11-12 to protect against these cancers. There is no way to know which people who have HPV will develop cancer or other health problems.

People with weakened immune systems (including individuals with HIV/AIDS) may be less able to fight off HPV and more likely to develop health problems from it.

HPV Vaccine: Essential Information and Benefits for Protection

There are 3 types of HPV vaccine, all of which are non-infectious vaccines

2v = bivalent HPV vaccine (Cervarix, HPV 16, 18)
4v = quadrivalent HPV vaccine (Gardasil® 4, HPV 6, 11, 16, 18)
9v = nonavalent HPV vaccine (Gardasil® 9, HPV 6, 11, 16, 18, 31, 33, 45, 52, 58)

2v, 4v, and 9v all target HPV 16, 18, which are the cause of cervical cancer (66%) and are the main cause of HPV-associated cancers in males and females (6 types mentioned above). Both 4v and 9v also work to prevent HPV 6 and 11, which are the main causes of anal warts and genital warts. 9v has prevention for 5 additional types: HPV 31, 33, 45, 52, and 58, which are the cause of 15% of cervical cancer.

The 9v HPV vaccine (9v HPV, Gardasil® 9, Merck & Co.) has been licensed by the US FDA to be used among males and females since December 2014. In February 2015, the Advisory Committee on Immunisation Practices (ACIP) recommended that Gardasil^®9 be used for cancer prevention among males and females. It is widely used for prevention in developed countries.

HPV Vaccine Schedule: When to Start and How Many Doses You Need

As soon as possible. In October 2016, the ACIP recommended HPV dosage according to age, starting with the first dose.

Age less than 15 years old: 2-dose regimen (day 1 and month 6)
Age above 15 years old: 3-dose regimen (day 1, month 1-2, month 6)
Immunocompromised people such as HIV-infected patients: 3-dose regimen (day 1, month 1-2, month 6) regardless of age

HPV Vaccination Transition: Completing Your Series from 4v or 2v to 9v

If you have already initiated your vaccination series with the 2v or 4v (quadrivalent) vaccine, you may be wondering if you can complete your course with the 9v (nonavalent) vaccine.

Yes, you can.

Do I need to repeat the course with the 9v vaccine?

If you have already completed a full 2v or 4v course, receiving the 9v course again is generally not required. Here is our clinical perspective:

Coverage: Most HPV-related cancers are caused by HPV types 16 and 18, which are already covered by both the 2v and 4v vaccines.
Additional Benefits: The primary advantage of the 9v vaccine lies in its protection against five additional HPV types (31, 33, 45, 52, and 58). For women, these strains account for approximately 15% of cervical cancer cases.

HPV Vaccine Side Effects

HPV vaccination can cause side effects. The most common side effects are mild and include:

Pain, redness, or swelling in the arm where the shot was given
Dizziness or fainting (fainting after any vaccine, including the HPV vaccine, is more common among adolescents)
Nausea
Headache

The benefits of HPV vaccination far outweigh any potential risk of side effects.

Can HPV Infection Be Prevented?

Condoms don't guarantee protection from infection. This is because HPV can be transmitted by skin contact with areas not covered by condoms.

One of the best ways to protect yourself from HPV infection is to get the vaccine. The vaccine protects against 4 types of HPV (types 6, 11, 16 and 18) that can cause cancer and genital warts.

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Genital Warts Treatment Options

A variety of treatments are available for established cases of genital warts. The following are treatment options on how to get rid of genital warts:

Podophyllotoxin, 0.5% solution or 0.15% cream. Apply twice daily for 3 days, followed by 4 days’ rest, for up to 4 weeks. It is suitable for home treatment of external warts. Rub Vaseline or petroleum jelly at the base of the warts before rubbing the cream to avoid burns. Podophyllin should not be used in pregnant women.

Cryotherapy, which involves freezing of the warts with liquid nitrogen, is also a treatment modality, but the rate of recurrence is high.
Imiquimod cream applied 3 times weekly (and washed off after 6-10 hours) for up to 16 weeks is also suitable for external warts. Contraindicated in pregnancy)
Podophyllin and imiquimod creams are used as home remedies for getting rid of genital warts.
Surgery can be used for genital wart removal. This is done under local or general anaesthesia.
Electrocautery, involving cutting the warts with electric current, is a treatment option for warts. It is now discarded because of the risk of inhalation of HPV associated with it.

Does PULSE Clinic Provide Anal Wart or Genital Wart Treatment?

PULSE Clinic offers treatment for anal warts, genital warts, and warty lesions in other areas of the body. You can book an appointment for STD testing, treatment, or consultation. We use podophyllin or trichloroacetic acid (TCA) and cryotherapy for wart removal in line with STD treatment and prevention guidelines.

TCA is particularly effective for small, moist lesions and works by destroying the proteins in wart cells. However, it can also harm normal cells, so a trained doctor must apply it carefully. TCA is applied once a week, targeting only the wart to minimise irritation to the surrounding tissue.

Liquid nitrogen cryotherapy or cryosurgery is a highly effective freezing treatment to remove a wide range of benign skin lesions.

Get Cryotherapy for Genital Warts at PULSE Clinic

PULSE Clinic now offers cryotherapy for HPV treatment, providing numerous benefits such as quick preparation, on-the-spot application, minimal invasiveness, little to no bleeding, low infection risk, reduced wound care, minimal or no injectable anaesthesia, and no sutures required.

How Much Does Cryotherapy Cost at PULSE Clinic?

The cost of each cryotherapy session starts at 3,000 THB (DF 1,200 THB + 1-3 lesions)
1 – 3 sessions may be required to ensure complete removal of lesions.
Additional topical and/or oral medications may be prescribed to supplement the treatment or for wound care.
HPV vaccination will be encouraged for those who have not been vaccinated.

How Effective is Cryotherapy?

Cryotherapy boasts a 75% success rate in treating common warts. A review of studies revealed that after 3 months, 49% of individuals treated with cryotherapy no longer had hand warts, compared to just 13% of those who did not undergo the treatment.

How Effective is Trichloroacetic acid (TCA)?

Studies show that TCA treatment can remove warts in up to 80 out of 100 cases after 6 weeks of treatment, depending on the size and location of lesions. TCA is most effective on small, moist areas of warts.

What Are Side Effects from Trichloroacetic acid (TCA)?

TCA usually causes several minutes of mild to moderate discomfort at the site where it is applied. The medicines are not absorbed easily by the body. So it may cause local skin irritation but not whole-body (systemic) side effects. It is hard to control how deeply the acid penetrates the skin. If the acid burns too deeply, you may have pain, skin irritation, and ulcers that will heal. Common side effects of this medicine include: Burning. Swelling of the area where medicine is applied. Tenderness of the skin.

HPV Vaccine (Gardasil 9) FAQs

What is Gardasil 9?

Gardasil 9 is a vaccine that protects against nine types of human papillomavirus (HPV), including the strains responsible for most cases of cervical, anal, and throat cancers, as well as genital warts.

Who should get Gardasil 9?

It’s recommended for both males and females, ideally between the ages of 9 and 26, but can be given to people up to age 45 based on risk factors. It is especially important for those who are sexually active or at higher risk for HPV.

Why should I get vaccinated if I’m already sexually active?

Even if you’ve been sexually active, Gardasil 9 can still protect against types of HPV you haven’t been exposed to yet. It can also help prevent new infections.

How many doses are required?

For individuals under 15, Gardasil 9 is given as 2 doses, spaced 6-12 months apart. For those 15 and older, 3 doses are required over 6 months.

Is the vaccine safe?

Yes, Gardasil 9 is safe and well-tolerated. Side effects are generally mild, such as soreness at the injection site, headaches, or fever.

Does the vaccine prevent all types of HPV?

No, Gardasil 9 protects against 9 HPV types, but there are other types of HPV it does not cover. However, these 9 strains are responsible for the majority of HPV-related cancers and diseases.

Can Gardasil 9 help prevent cancer?

Yes, Gardasil 9 protects against the HPV types most likely to cause cancers, such as cervical, anal, and throat cancer, reducing the risk of these cancers.

Can I still get the vaccine if I’ve had an abnormal pap smear or HPV infection?

Yes, you can still get the vaccine even if you've had an abnormal pap smear or are already infected with HPV. It will protect you from other strains you haven’t been exposed to.

How long does the vaccine protect me?

Gardasil 9 provides long-lasting protection, and studies suggest it offers protection for at least 10 years, with ongoing studies to determine how long the immunity lasts.