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melanie47601 Posted - Sep 03 2008 : 06:58:23 AM
Just curious if ya'll have heard about the HPV Vaccine and what do you think of it?

DD brought a note home the first week of school from the school nurse. The school wants to know if she's getting the shot, has already had it, won't get it... I just checked the box that said I didn't care to comment on that info at the moment.

I just really don't know much about it. I talked to one of my girlfriends from way back about it the other night. She's taking her daughter to get the HPV vac and also strated on birth control shot. The birth control shot for a girl that's the same age as my dd, 11 years old. I have some pretty strong feelings on that one and probably should just leave it alone.

Sorry got a litle sidetracked there. My friend explained what HPV is and how a young gal gets it and how it can lead to cervical cancer. I'm still just kinda torn down the middle about the whole thing. I feel like if I make a decision feeling like I do about it right now, it's like flipping a coin. Heads she gets the shot, tails she doesn't. Just thought I'd check here and see if anyone's done any reading up on it. Or if any of your daughters had gotten the shot and what kind of reactions they have had to it.

Melanie

~blog~ http://wheelsarealwaysturning.blogspot.com/ ~shop~ http://www.brokenin.ecrater.com/
25   L A T E S T    R E P L I E S    (Newest First)
shepherdgirl Posted - Sep 30 2008 : 10:49:38 PM
The worst thing is putting girls on the pill because they have acne. I have seen THAT more times than I can count!!! Yes, the outbreaks are caused by hormones, but, what are we teaching our kids? A lot of "children" are misinformed about sex and think being on the pill is totally a NO FAIL way to go. Well, all I can say is "tell that to my last TWO children!!" I was taking birth control pills both times and ... HELLO!!!

Parents just need to step up to the plate and be responsible where their children are concerned. Those who don't yet have children should really think twice about having any if they're not prepared to put someone ELSE first in their lives. Kids are a lot of work-- it a HUGE commitment to raise them to be decent, productive human beings, and you can't just give them away like an unwanted pet when the road gets rough. (though some of us wish we COULD at times!!! LOL!!) We all reap what we so-- especially where our CHILDREN are concerned. (Although, we all know there are exceptions to every rule. Great parents can have children who grow up to be MONSTERS, and TERRIBLE parents have children who grow up to be AMAZING individuals. I won't even TRY to figure that one out!)

Life is not measured by the number of breaths we take, but by the moments that take our breath away. ~~ George Carlin
babysmama Posted - Sep 30 2008 : 5:20:40 PM
Heather-
I realize there are cases (such as yours) where birth control can help and may be the only option. But in my cousins case I don't think it can be possible for six friends to all have the same issue and ALL have to be on birth control. My aunt mentioned how my cousin's cycle is all messed up and she is having it twice a month or more but she never seemed to give it a second thought that her two older girls were moving in and out of the house, the younger sister just got her first cycle....maybe the other cycles in the house are messing it up? There are many things that she should have looked at before putting her on birth control just because all her other friends are on it.
-Elizabeth
MagnoliaWhisper Posted - Sep 30 2008 : 1:20:13 PM
Well, the bleeding issue may not seem like much. But, I had it. I bled for 12 years straight. It caused a lot of anemia. Which was pretty bad. It runs in my family. I had cousins with the same problems. Theirs was so bad they had to have blood transfusions! Hormones, or blood transfusions??

We researched things. I took things for 12 years, every thing my mom read about. (mine started when I was 8). And nothing worked till I was on the pill. I didn't have to take it for long. But, once I was on it for about 6 months things went normal and have been normal ever since.

Then came my little sister who is 13 years younger then me. She has the same problem I did. Had lots of problems, till finally took the pill for a year.

Neither of us took it for birth control......only to get our hormones balanced long enough to get things straightened out.

For those that the natural things work for that's great. But, it doesn't mean those of us who had to take them were bad or uneducated. I'm glad I didn't die from loss of blood, like my cousin almost did.

http://www.heathersprairie.blogspot.com
shepherdgirl Posted - Sep 29 2008 : 2:07:18 PM
Thanks Diane. I'm a firm believer in RESEARCHING things TO DEATH. I refuse to take someones word for ANYTHING, especially when MONEY is involved!!!

Monica-- the Drug companies DO pay some doctors to "PUSH" their products (and I MEAN PUSH!!!) The ethical ones WON'T accept payment from them. Once they do, it's like selling their souls to the Devil!!! As for all that advertising junk-- some doctors will not even ALLOW any drug advertisements in their office. I worked with one doctor who would not even accept pens, tablets or even a CUP OF COFFEE from the drug reps when they came in. If they wanted to give a freindly "Hi," he was very courtious to them, but he would NOT talk "business" with them. His explaination to my "Why won't you talk to them?" was an explaination that he had gone to a drug seminar and it was revealed that over 80% of the COST for medications goes to PAY FOR ADVERTISEMENT!!! That upset him so much and made him so ANGRY because so many of his patients were elderly and paying through the NOSE for their prescriptions--- and WHERE was their money going? Well, I had nothing but respect for that doctor for having such compassion and concern for his patients.

In fact, he and his staff did everything possible to get his patients into special programs that would help alleviate some of the cost of their meds so they DIDN'T have to choose between food or medicine. Although, once or twice some "free samples" miight have "slipped out of the drug closet" for a patient or two who was short on funds -- but HE didn't want to "know" about it!! (he shared the office with 7 other doctors who didn't mind all the "Free" stuff the reps brought in-- but he wasn't going to deny his patients the meds they needed either if it was there and they couldn't get the pills any other way)

And Elizabeth-- I WHOLEHEARTEDLY agree with you. It seems so many people are into "LAZY PARENTING" nowdays. Much too busy to teach and raise their children themselves. Letting peers and "society" do the raising is so much easier for them. Very sad. I cringe at the thought of what THAT generation will be like when THEY are in charge of this country!! YIKES!!!!!

Life is not measured by the number of breaths we take, but by the moments that take our breath away. ~~ George Carlin
DaisyFarm Posted - Sep 29 2008 : 09:36:39 AM
Excellent post Tracy. I can't help but wonder if all the publicity surrounding Gardasil isn't also doing a disservice to some of our female population. How many do not have annual pap's because they don't feel it necessary as they don't fall into the "at risk" group of sexually active teenagers/young women?
babysmama Posted - Sep 29 2008 : 05:38:43 AM
What makes me the most upset about any medical issue is that parents just don't take the time to educate themselves. I have an aunt who just goes along with the flow and got her 14 year old daughter the HPV shot and put her on birth control because of a lot of bleeding issues. She then goes on to say that her daughter's friends are all on the pill because of these issues. COME ON!!! There are not that many girls in a close net circle that have bleeding issues! The fact of the matter is that unless you are expecting your daughter to become sexually active soon you do not need to get the shot. And taking a "just in case" attitude means that you are not giving your child the best advice or not expecting enough of them. While I know that not everyone shares my values I think sex should wait until marriage, and even those who don't believe that surely can't think that it is okay for a 14 year old to engage in sexual behavior. And putting your daughter on birth control pills instead of finding the root cause of the problem and addressing that, or trying some natural supplements first, is again pushing hormones and other odd things into a teenagers body and just putting them one step closer to an early age of being sexually active. I can't understand what is up with parents these days, and why people just go with the flow because everyone else is doing it.
-Elizabeth
oldfashioned girl Posted - Sep 25 2008 : 9:27:25 PM
My question on the whole thing is the marketing campaign on the shot! There is something not right about all the shots they are wanting to give kids these days! I heard a report that something like 50% of doctors receive money from drug companies! When you go to the doctor you see Vitorin clocks and Prilosec tissue box covers! What is the deal? White willow bark is the natural plant that synthetic aspirin is made from, but you can't patent a plant so there is not as much money to be made!
Didn't mean to rattle on, I just don't trust the drug companies!

Monica
farmgirls rule!

www.justducky48.etsy.com
shepherdgirl Posted - Sep 17 2008 : 11:43:28 AM
My younger sister contracted HPV a few years ago -- One of the BAD ones. She had to have a complete hysterectomy at the age of 26, or she would have contracted full blown cervical cancer and all that that entails. Even SHE is against the vaccine. She, like myself, blieves that educating our children about sex is the only way to help prevent the spread of HPV and all other sexually transmitted diseases. She blames no one but herself and her own bad choices for contracting the disease. We were ALL affected by her illness. But she is doing well. She has two children, but is sorry that she can no longer have any more since her new husband does NOT have children of his own. (He's quite a stand up guy though and told her-- "WE already have two children, even if I am not their BIOLOGICAL father")

Also, as an MA by profession, I just had to chime in on this topic. When I was still working last year, it was MY job to give the Gardasil shots-- and honestly I HATED IT!! I studied the inserts that came with the drug, read the "reported" side affects, the clinical trial material.. ALL of it. I spoke with the "drug reps," read all the info on the CDC website, and attended a "Dinner talk" on the subject. Personally, I found the information rather frightening. The doctor giving the talk worked in a state funded clinic in the worst part of a big city (don't recall which one), and she said that they were finding HPV in girls as young as 9 YEARS OLD!!

The purpose of Gardasil is to vaccinate young girls and women BEFORE they become exposed. A child of 9-12 does not actively SEEK sexual relationships-- most (if not ALL) are the victims of abuse. HPV can only be contracted ONE way, and that is by having unprotected sex with either multiple partners or having a partner who does NOT believe in monogomy!

I don't have a duaghter, only sons, but if I did, I would NOT be getting her those shots. There is so much still not known about the long term affects. What will happen when the girls DO decide to start a family? Will their children be ok? Will they even be able to CARRY a baby? Too many questions-- and when the answers come, they are FRIGHTENING indeed! Also, to me, it's like waving the red flag in front of the bull-- "Go ahead and have sex! We don't care!" Uh-uh!!!

And just so you all know-- MEN are the vectors of HPV. (oh, and there are 99 different types of HPV-- Gardasil only "protects" against FOUR of them) There are no tests yet available to detect the dread disease in males. I do know that the drug companies have been working on a vaccine for men and boys as well. Again, I will NOT get my sons those shots. What I WILL do is teach them that sex is not "Just for fun." I might even show them some REALLY disgusting pictures that will change their mind about the whole thing!!! (I'll have to think hard about that though, I don't want to TRAUMATIZE THEM! I eventually want GRANDKIDS!!! LOL-- My oldest boy is 18, middle is 17 and the youngest is 13 so they are not too young to know these things) All I can say is EDUCATE yourselves ladies, AND educate your children-- girls AND boys. That old addage is STILL one of the golden rules --- "If it sounds too good to be true, it probably IS!"

Life is not measured by the number of breaths we take, but by the moments that take our breath away. ~~ George Carlin
MagnoliaWhisper Posted - Sep 13 2008 : 6:52:16 PM
Christina good point. My sister is not sexually active either. (believe me I know her quite well) She's 19. But, is also on BC for the same reason as your daughter. So that is valid, and even life saving. So that is very understandable.

http://www.heathersprairie.blogspot.com
kmbrown Posted - Sep 13 2008 : 6:10:49 PM
Wow Christine, I wish I had your doc! I had a very similar situation...my family doctor didn't think that appendicitis was what was going on with me but sent me to the er. It was labor day weekend and they just called the surgeon and took my appendix and guess what...when they got in there it wasn't my appendix. I had terrible trouble with ovarian cyst's until I started having babies! Not I don't have much trouble at all.
City_Chick Posted - Sep 13 2008 : 5:51:41 PM
My daughter is 16 yrs. old and at her last physical our midwife did give us the information on it. She asked me to read through and she would be back to answer any questions we had. After discussing it with her I told her I didn't think that I would like my daughter to have it. It is still to new and my daughter is not sexually active. The midwife knew and assumed that because the child is homeschooled. She knows that boys that are friends and visit are ok but not boyfriends. My midwife was thrilled that I said no but she said that several practices in the area have been urged to pass that information along.

As far as birth control goes...11 wow that is young to "just put her on it" for cautionary measure. My daughter has been on the ortho patch since she was 12 almost 13. I have PCOS and at age 12 my daughter had an ovarian cyst rupture. The e.r. docs thought it was her apendix but a more savvy doc suggested that she get an MRI before surgery because he said the symptoms didn't quite jive with the first doc. When they read the MRI they saw the cyst and another one that apperantly had just ruptured because there was still a little pool of fluid by it. PCOS can run in families so that is the only reason I agreed to let her be on it. Now she doesn't have to suffer like I did as a young girl.

Christina
Farmgirl Sister #195
http://justacitychick.blogspot.com/

Although no one can go back and make a brand new start; anyone can start from now
and make a brand new end.
kmbrown Posted - Sep 13 2008 : 5:17:20 PM
Yeah Jen! Im right there with you. Just this past week our family doc. of many years told us how they are finding that children that received the chicken pox vaccine are getting shingles...and they have to get several boosters of the shot...and they are also still seeing several cases of chicken pox a year in children who have had the vaccine! You know in most states this is a mandatory vaccine in public schools. My question is exactly what are they pumping into our kids especially when it's not even working! I would wait it out a few years to see what all the kinks are...you may be glad you didn't bother.
knittingmom Posted - Sep 13 2008 : 3:00:01 PM
Thank you Elizabeth, well stated!

I have a daughter, she will not be receiving this medical treatment.
melanie47601 Posted - Sep 05 2008 : 11:51:59 AM
Thanks for all the advice and information ladies. It has really been a Big help!

Melanie

~blog~ http://wheelsarealwaysturning.blogspot.com/ ~shop~ http://www.brokenin.ecrater.com/
Homespun Livin Posted - Sep 05 2008 : 07:31:04 AM
Thank for this information. I am also very skeptical when it comes to the latest drug the pharmaceuticals try to push on us. I appreciate your research.

"Love one another."
La Patite Ferme Posted - Sep 04 2008 : 9:46:48 PM
Elizabeth,

Thanks for the article. The way pharm companies run rampent putting these drugs out with total disregard for people's health is truly scarey.
babysmama Posted - Sep 04 2008 : 09:08:05 AM
Posted - Jul 10 2008 : 12:40:03 PM
--------------------------------------------------------------------------------

I thought this was worth posting about the HPV vaccine:

Merck Madness
July 7th, 2008 by Judie Brown

Call it a hunch, but those of us at American Life League who have been studying pharmaceutical giant Merck’s marketing plan for Gardasil, commonly known on television by its “one less” mantra, have been suspicious for some time. Apparently, we were right to be less than ecstatic about this latest scheme for “protecting” young women from the human papillomavirus.

Just yesterday, Judicial Watch, a public interest group that investigates government corruption, exposed the findings in new documents they obtained from the federal Food and Drug Administration pertaining to the vaccine’s adverse effects. What have those adverse reactions included?

Here is a partial list:

10 deaths have been reported since September 2007. The total number of death reports is at least 18 and as many as 20.
Just since January 2008, the following incidents have been reported:
140 “serious” reports, 27 of which were categorized as “life-threatening,”
10 spontaneous abortions and
six cases of Guillain-Barre Syndrome.
For those with a keen interest in this matter, the complete 25-page document prepared by Judicial Watch is online at http://www.judicialwatch.org/documents/2008/JWReportFDAhpvVaccineRecords.pdf. The Alliance for Human Research Protection has been on the case for at least the past 18 months and is equally concerned about the possible jeopardy that children will be in if parents don’t take this matter seriously and become familiar with this vaccine’s side effects.

But perhaps the best resource for parents, and without a doubt the most comprehensive collection of information on this out-of-control situation, is Children of God for Life. They specialize in vaccine news and have not overlooked the Gardasil mess. Among all the excellent articles you can find, there is one that exposes the truth about cervical cancer and the effect Gardasil actually could have on cervical cancer prevention. Remember that Gardasil is designed to protect a young woman from the human papillomavirus, which is alleged to be a cause of cervical cancer.

But what Cynthia Janek uncovered in her research is that “…the FDA knew back in 2003 that a HPV is not the actual cause of cervical cancer. The actual cause is a ‘persistent HPV infection that may act as a tumor promoter in cancer induction.’”

Further, she examines the statements on record at the FDA and tells the reader,

What we have here is proof that there is scientific evidence that has been published in the past 15 years that states that HPV infection does not bear a direct relationship to the forming of cervical cancer. It also tells us that HPV, if allowed to will be taken care of by our own body’s natural processes. . .“most infections are short-lived and not associated with cervical cancer.” With this being said, why do we need Gardasil when our own body is more than capable of eradicating HPV? What we need is a government policy to assist women with the cost of getting follow-up tests when persistent HPV infection is present. This would make more sense and our government would save so much money on these types of programs instead of $360 each for the Gardasil vaccination.


It could well be that the vaccine may not do a thing to protect anyone from cervical cancer, regardless of the claims being made by Merck Pharmaceutical. What the vaccine is causing is death and immense suffering among those who have been vaccinated.

When I read the Judicial Watch report, it occurred to me that the Food and Drug Administration might already be having second thoughts about this vaccine. Just one week ago, federal regulators advised Merck that they would not approve Gardasil for expanded marketing to an older group of women.

The news report tells us that Gardasil is currently approved for preventing cervical cancer and genital warts in females aged 9-26. It also tells us, as if this is any surprise, that Gardasil “has been one of Merck’s most successful newer products and has helped the company recover after the 2004 withdrawal of its Vioxx arthritis treatment.”

Remember the Vioxx recall? The announcement went like this:

On September 30, 2004, Merck & Co., the manufacturer of the blockbuster arthritis drug Vioxx (rofecoxib), announced the voluntary, worldwide recall of Vioxx after a recent clinical trial confirmed previous studies linking Vioxx to serious cardiovascular problems, including heart attack and stroke. The withdrawal of Vioxx marks the biggest drug recall in history. The three year trial was originally aimed at showing Vioxx’s effectiveness at reducing polyps in the colon, however the study revealed an increased risk of heart attack and other cardiovascular problems. Merck stopped the study after it discovered that participants taking Vioxx had twice the risk of heart attack than other participants taking placebos. The study showed the increased risk of heart attack began 18 months after patients started taking Vioxx. Medical experts advise Vioxx users to consult their doctor about alternatives.

Imagine it! And now that we know that young women are dying and suffering a host of side effects from Gardasil, we can only hope that, as it did for Vioxx, Merck announces a recall and that Gardasil will soon be just a memory.
This article is courtesy of the American Life League.

MagnoliaWhisper Posted - Sep 03 2008 : 4:11:58 PM
Here's just a few things, that I personally have had said to me by drs.

First of all my GYN, a woman, told me there was no reason for me to get the HPV shot, that I didn't have the virus, and would not get it, since my husband obviously doesn't have it (or I would have it by now), and we are both monogomous. (she knows my husband on a personal level, as well as me, and we both are pretty trusting of him, after all he has no time to cheat! lol haha)

Secondly, my step mother is a dr as well. Not a GYN, but a DO. Any way, I have been on the birth control shot for YEARS! She didn't know that was my choice of BC. When she found out she told me, I should find something else. That you should only be on that depo shot for short amount of times, or you could get osteoporosis (sp). Any way, I've been on the shot for 9 years! And I have to say, in pictures, I have been seeing my shoulders slump more every year! So....I wonder if it doesn't have to do with me being on the shot! I personally love the freedom and easiness of Depo, but have decided since talking to my step mother, I will not get it ever again. I may try the patch.

However, giving depo to a 11 year old. That would scare me to death! EEK!

http://www.heathersprairie.blogspot.com
La Patite Ferme Posted - Sep 03 2008 : 3:28:42 PM
This may sound a little odd, but I'm not one for running off and pursuing the latest greatest "thing" the medical community has to offer. How often have we seen meds pushed on the public in a hysterical manner only to find out a few years later there was some serious flaw in the drug and it was pulled off the market.

DD's doctor made the HPV recommendation during a routine physical several months ago without even asking any family medical history questions. She just said it was important for ALL 11 to ? year-olds to have the shot. It only lessens the possibility of getting 3 or 4 strains of HPV out of the hundreds that exist.

When I told the doc there wasn't enough evidence that it worked for me to make an informed decision she looked at me like I was setting DD up to be killed. I honestly thought I would get a call from Social Services.

It scares me when the pharm companies keep coming up with these meds and doctors push them on patients. At some point the pharms are going to start complaining that they aren't making their R & D money back and lobby the govt to make these vaccines mandatory - whether they work or not.

Now we have the menengitis vaccine being advertised all over the airwaves like it's at epidemic levels. I don't think I've even heard about any child in our town contracting menengitis so why all the drama?

Thanks for letting me rant I prefer preventative measures and healthy living.

one_dog_per_acre Posted - Sep 03 2008 : 12:37:57 PM
My sister is 20, and we wanted to find out about it. It is my understanding that the shot only helps witha few strains. I think that there are 60+ different strains of HPV that they even know about. I have had several gynos in the last few years due to moving so much. Every one of them has different beliefs and information. Recently I heard information that stated something to the effect that scientist aren't even completely sure that it is what causes cancer.

Trish
Farmgirl Sister #91
Make cupcakes not war!
Aunt Jenny Posted - Sep 03 2008 : 12:26:05 PM
I havn't decided quite how I feel about the shot yet. My daughters are almost 14 and almost 12. I asked my family doctor..who has a daughter who is 12 and is a friend..what he plans to do..if his daughter has had the shot and he said HE was still undecided too.

Jenny in Utah
Proud Farmgirl sister #24
Inside me there is a skinny woman crying to get out...but I can usually shut her up with cookies
http://www.auntjennysworld.blogspot.com/ visit my little online shop at www.auntjenny.etsy.com
StarMeadow Posted - Sep 03 2008 : 10:35:59 AM
Believe it or not, there are many girls that get involved in sexual relations at 11 and 12. Many kids that young also are of the opinion that oral sex isn't "really" sex and therefore OK. They are not aware/informed of the risks involved if they make the choice to be involved in that kind of behavior....and of course, many aren't mature enough to "decide" (if you will) but peer pressure can be an awful double edged sword. I about fell off my chair when I heard the responses of a confidential sex survey from parents/kids in my school district regarding those activities.

And speaking of confidential!!!! Melanie, I don't think that the HPV is one of those that has been "mandated" by the gov for school attendance (regardless of mandates, parents can always decline and give reasons why, for school attendance purposes). I'm with Leezard on the whole info thing but needing to know??? Nope...I'm of the feeling that it's a none-of-your-business kinda thing.

Open and honest conversations are the most important. I have boys. NOT that I don't worry...cause I do!!!! (my oldest is 15 in a couple weeks) That responsibility for safety and good sense goes both ways!!!

Research on all vaccines is always a good thing. Cudos to you for doing some homework before just going blindly off to the doctor for a shot. Alee has a lot of good questions to ask.
Leezard Posted - Sep 03 2008 : 09:42:51 AM
My niece has had the shot, actually I think she goes for the last round of it in the next couple of months. She's 11 and I'm not sure why my sister chose to have her get it right now. I am 99.9 percent certain that my niece isn't having sex and won't be having sex for a good while based on conversations I've had with her about the subject. My sister has been very up front about sex with her and I've made sure that the lines of communication are open with her on the subject as well so that she knows she can come to me and I won't judge her about it if she needs to talk when the time comes. If I were young enough to get it I would get it as well but I just missed the cut off for it.

I also am quite surprised that the school would as something about that. I suppose I could see them sending home information about it just to get the word out in case parents don't know about it but I would be very curious as to what their reason for asking was.

http://ruby--slippers.blogspot.com/
www.leezard.etsy.com
Alee Posted - Sep 03 2008 : 08:54:17 AM
The shot is new- only a few years old. I am thankful that I have many years to research it before it is an issue for Nora.

However, if I were in High School right now, not sexually active but certainly in a position where I had friends that had made that choice- I would probably get the shot. Just to protect me from any lapse of good judgment that I might find myself in.

I feel 11 is very young. I don't know much about the shot except that it only protects against some strains of HPV (there are hundreds) that are most likely to cause cervical cancer. I would talk to your doctor (Pediatrician?). Some of the questions I would ask would be:
1) What are the risks
2) What are the known complications
3) How much protection does it give
4) Does it wear off?
5) Does it require boosters?

Then, depending on your relationship with your daughter, I would ask her how she feels about the HPV/ Cervical Cancer/ Shot thing.

I remember being 11 and if my mom had just had the doctor inject me with a bunch of things I didn't understand, I would have been pretty steamed!

I think you as a mother are going to have some intuition that will guide you in this decision. You know your daughter best and whether she is more at risk for risky behavior or not.

Alee
Farmgirl Sister #8
www.awarmheart.com
Please come visit Nora and me on our blog: www.farmgirlalee.blogspot.com
Put your pin on the farmgirl map! www.farmgirlmap.blogspot.com
JessieMae Posted - Sep 03 2008 : 07:25:22 AM
Wow...this is shocking! I can't believe that a school would track that sort of information. As I understand it, the shot IS NOT a cervical cancer vaccine, but a vaccine against the type of HPV that can cause cervical cancer. If someone is not sexually active, they shouldn't need the vaccine, because they are not at risk of HPV.

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