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Re: HPV Vaccine From: Barbara Nicol MD (blnicol@ix.netcom.com) Fri Jun 9 11:22:56 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Jamie: "Re: HPV Vaccine" Previous message: ainsron: "Re: HPV Vaccine" In reply to: LCLEMOS@aol.com: "Re: HPV Vaccine" Next in thread: RModugno@aol.com: "Re: HPV Vaccine" I plan to discuss it with my daughters, ages 10 and 7, and encourage them to get it. Even if they never have sex, there's always rape. (Which was my rationale for vaccinating them for hep B) Can you imagine needing colpos and LEEPs as a result of a rape? Of course, there is also the joy of being a modern parent - explaining the concept of rape to a 10 year old. Does anyone know whether it's been studied in the prevention of peri-anal HPV? Seems to me that there would be a direct benefit to men as well. (As noted above, even if you never engage in anal sex, there's always rape.) I agree that we might start offering it to older unexposed patients, although with the caveat that the postadolescent cervix appears to have some disease resistance and so it may not be as beneficial. - Barb Nicol, M.D. At Fri, 9 Jun 2006, LCLEMOS@aol.com wrote: > >In a message dated 6/9/2006 10:59:08 A.M. Eastern Standard Time, >goldman@calweb.com writes: > >Ok, here's my concern. >It is a NEW vaccine. >We have no long term data on it. >We have no idea what long term side effects might be. >It is for a disease that is 100% preventable though reasonably most people >choose not to stay celibate for their entire life. >I certainly would not consider vaccinating my 5 year old daughter. >And why not consider vaccination for older women/men who are either not yet >sexually active (yes there are still a few ) or those who have re-entered the >partner game after a long term monogamous relationship? > >With meds in general I have found it is good to be leary of being the first >unless the benefits so outweigh the potential risks as to make it a >reasonable choice. > >Anyone remember Trovan? > >Just my two cents. > >Kim > >Those are certainly valid concerns and I love the suggestion of vaccinating >the "love boat" set! (I had to GOOGLE Trovan, guess I wasn't in acute care >through that, but I've seen other miracle drugs come and go.). Another >challenge will be marketing worldwide in public health activity where more deaths >from Cervical Cancer are occurring, paps and treatment aren't available, but >women have little control over their sexual lives. The ethics of that decision >will be an interesting process to watch. Laurie in ME -- Barbara Nicol MD St. Luke's Health Care Center San Francisco CA USA Next message: Jamie: "Re: HPV Vaccine" Previous message: ainsron: "Re: HPV Vaccine" In reply to: LCLEMOS@aol.com: "Re: HPV Vaccine" Next in thread: RModugno@aol.com: "Re: HPV Vaccine"

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