Key points
- Australia uses Gardasil 9, which protects against nine types of HPV.
- One dose is given free at school, at around 12 to 13 years of age.
- If you missed it, a free catch-up dose is available up to and including age 25.
- One dose is enough for most people aged 9 to 25. People who are immunocompromised need three.
- Vaccinated people still need cervical screening from age 25.
About HPV
HPV is a very common virus, passed on through intimate skin-to-skin contact. Most people will have it at some time, and the body usually clears it without any symptoms. Some types can persist and cause cancers of the cervix, vulva, vagina, anus, penis and throat. Other types cause genital warts.
What the vaccine covers
Gardasil 9 protects against HPV types 6, 11, 16, 18, 31, 33, 45, 52 and 58. Seven of these can cause cancer, including types 16 and 18; types 6 and 11 cause most genital warts. The vaccine works best when given before any contact with HPV, which is why it is offered in early high school.
- Age 12 to 13School programOne free dose, usually in Year 7.
- Up to age 25Free catch-upOne dose through your GP, a pharmacy or a clinic.
- Age 26 and overNot freeThree doses. Ask whether it would benefit you.
- ImmunocompromisedThree dosesFree up to and including age 25.
Vaccination and screening work together
The vaccine does not protect against every type of HPV that can cause cancer. This is why everyone with a cervix aged 25 to 74 still needs cervical screening, whether or not they have been vaccinated. Together, vaccination and screening put Australia on track to eliminate cervical cancer as a public health problem by 2035.
Is it safe?
The HPV vaccine has been used in Australia since 2007 and has an excellent safety record. Common side effects are mild and pass within a day or two: a sore, red or swollen arm, a headache or a mild fever. As with any injection, some young people feel faint, so they are asked to sit for 15 minutes afterwards. The vaccine is not recommended during pregnancy.
Common questions
I already have HPV or abnormal cells. Is it too late?
The vaccine does not treat an existing infection or cell changes. It can still protect against types you have not had. Ask me whether it is worthwhile for you.
Is one dose really enough?
Yes, for most people aged 9 to 25. Research shows one dose gives similar protection to two or three.
Should boys have it too?
Yes. It is offered free to all young people. It protects them against HPV-related cancers and warts, and reduces the spread of HPV.
How do I check whether I have had it?
Your vaccinations are recorded on the Australian Immunisation Register. You can view your record through Medicare or myGov.
Can I have it while breastfeeding?
Yes. It can be given while breastfeeding, but not during pregnancy.
I am vaccinated. Can I skip screening?
No. Please have your first screening test at 25, and every 5 years after that if no HPV is found.
I am over 25. Is it worth paying for?
It depends on your circumstances. It may help if you have a new partner or have not had all the vaccine types. Ask me whether it would benefit you.
I have had treatment for HSIL. Should I have the vaccine?
Some studies suggest vaccination around the time of treatment may lower the chance of changes returning. Ask me whether it is worthwhile for you.
How long does protection last?
Protection is long-lasting, and no booster is needed.
Does the vaccine affect fertility?
No.
Questions to ask your doctor
- Have I had the HPV vaccine, and how many doses?
- Would vaccination benefit me now?
- When is my next screening test due?
When to seek help
After any vaccine, seek medical help straight away if you have trouble breathing, swelling of the face or throat, or feel very unwell. Call 000 in an emergency. For screening concerns, see your GP or contact the rooms.
Who to call
- Rooms
- 03 8400 6193 — appointments and non-urgent questions, business hours
- Urgent, after hours
- Dr James Aridas, 0459 706 061 — urgent gynaecology concerns, and pregnancy concerns before 20 weeks
- From 20 weeks pregnant
- The birth suite at your booked hospital: Epworth Freemasons 03 9483 3833 · Cabrini Malvern 03 9508 6000 · Jessie McPherson 03 9594 2776
- Emergency
- Call 000 or go to your nearest emergency department