Dr.Deyn | 9 August 2019, reviewed and updated on 10 April 2023

HPV VACCINE PRICELIST AND PROMOTION AT PULSE CLINIC (THAILAND)

Book Your HPV Vaccination Today!

For any inquiries about getting HPV vaccines at PULSE Clinic, please contact info.bkk@pulse-clinic.com or any of the following platforms

 +66 65 237 1936    @PULSEClinic   PulseClinic

HPV: What It Is and How It Spreads – Key Facts You Need to Know

HPV is very common and you can catch it through intimate sexual contact with another person who already has it. There are over 200 types of HPV. Because it's so common, most people will get infected at some point in their lives. People are often infected without knowing it as there are usually no symptoms and infections tend to go away on their own. HPV is the most common sexually transmitted infection. HPV is spread mainly by skin-to-skin contact, not just anal and vaginal and oral sex.

Genital HPV infections are highly contagious and usually associated with sexual contact. Nearly all sexually active people get infected with HPV at some point in their lives. The risk increases with the number of sexual partners you and/or your partners have.

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

As you may have known there are many types of HPV (Human Papilloma Virus) and some of them such as type 6, 11, 16, 18 are the leading cause to cervical cancer in women as well as anal cancer in men. More than 9 of every 10 cases of cervical cancer are caused by HPV. HPV doesn’t only affect women. Nearly 4 out of every 10 cases of cancer caused by HPV occur among men. Every year in the U.S., over 13,000 men get cancers caused by HPV. These cancers can be largely prevented by the HPV vaccine.

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 type 16, 18 are the major cause of cervical cancer  and are the main cause of HPV-associated cancers in male and female 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 type  6, 11 are the main causes of anal wart and genital wart. 
HPV type 31, 33, 45, 52, 58 are 15% cause of cervical cancer.

Cancer often takes years, even decades, to develop after a person gets HPV. Center of Disease Control recommends 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 them are non-infectious vaccine

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

9v HPV vaccine (9vHPV, Gardasil^®9, Merck&Co.) has been licensed from USFDA to be used among male and female since December 2014. in February 2015, the Advisory Committee on Immunization Practice (ACIP) recommended that Gardasil^®9 used for cancer prevention among male and female. 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 ACIP recommended HPV dosage according to age starting the first dose.

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

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

• If you started with 2v or 4v, can you complete with 9v?
  - YES, you can
• If you completed 2v or 4v course, do you need to receive 9v course again, what would we suggest?
  - Most HPV-related cancers are caused by HPV 16, 18 which is already covered by 4v or 2v.
  - The benefit of 5-additional types (9v) would be for women, as mentioned above (HPV 31, 33, 45, 52, 58 which are 15% cause of cervical cancer.)
  - You still need cervical cancer screening from age 21-65 years old regardless if you are a vaccinated or unvaccinated women.

The HPV vaccine is safe and highly efficacious and can significantly reduce the burden of HPV-related genital warts and cancers among men, in addition to promoting herd immunity.

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 HPV vaccine, is more common among adolescents)
• Nausea
• Headache

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

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 ride of genital warts.
• Surgery can be used for genital warts removal. This is done under local or general anesthesia
• 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. An inhaled HPV fume/smoke can cause laryngeal carcinoma to the doctor and staff in the treatment room if the treatment room doesn't have proper ventilation system.

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 it's essential that a trained doctor applies it carefully. TCA is applied once a week, targeting only the wart to minimize irritation to 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 anesthesia, 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

1. 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.

2. 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.

3. 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.

4. 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.

5. 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.

6. 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.

7. 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.

8. 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.

9. 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.

Read more about HPV

• HPV wart treatment
• HPV DNA Testing Service
• HPV vaccine FAQs
• HPV Wart Skin Treatment with Frozen Nitrogen
• 6 Reasons Why PrEP Users Should Get HPV Vaccinations
• HPV and the LGBTQ+ Community: Why Vaccination Matters

Book Your HPV Vaccination Today!

For any inquiries about getting HPV vaccines at PULSE Clinic, please contact info.bkk@pulse-clinic.com or any of the following platforms

 +66 65 237 1936    @PULSEClinic   PulseClinic