How many of us do we know that cervical cancer has vaccination/immunization ???

Cervical cancer accounts in the list of top gynecologic malignancies and is the third most diagnosed cancer with a mean age of 45. As you know the etiologic agent of cervical cancer is a human papillomavirus and the most common strain which cause the cancer is subtypes HPV 6,16,11and18.

when to vaccinate a female for cervical cancer?

the vaccination for cervical cancer is targeted for its etiologic agent which is for human papillomavirus

The vaccine is called the 9 valent HPV recombinant vaccine (Gardasil-9) 

It should have to be given to a female within the age of 9-26 years, mostly with a target age of 11-12 and it has three doses which have to be given; initial, then two months later, then six months later. 

note that; 

its efficacy is highest when it is given before the female has sexual contact or before the female immune system is exposed to HPV carrier individual

regular cervical cancer screening should have to be done for a vaccinated individual because the vaccine does not prevent all types of HPV strains

it is not recommended to vaccinate pregnantly or immunocompromised or suppressed females

a female who is currently in active sexual contact, has previous abnormal cervical cytology or genital wart can receive the vaccine but its efficacy is low

let us talk precisely about when to screen for cervical cancer its important is because cervical cancer has take almost 8 to 10 years to have full-blown symptoms

when to start???

• at age of 21 and greater regardless of sexual contact
• if she had sexual contact before age of 21 she should have to start three after her first sexual act

what about the frequency??

• Age 21-29 pap smear every 2 years 
• Age 30 -65 pap smear every 3 PLUS HPV testing every 5 years and low risk/low-risk patients are immunocompromised (HIV, SLE/organ transplant patients on Every 6 months x 2 then annually immunosuppressants) 

when to discontinue??

• age >65 if 3 consecutive pap smear-negative or no abnormal pap smear test in the previous 10 years and no history of CIN 2, CIN 3, or cervical carcinoma
• Any age if total hysterectomy AND no history of cervical neoplasia