Am J Manag Care. 2006 Dec;12(17 Suppl):S473-83.
Decreasing risk: impact of HPV vaccination on outcomes.
Hymel PA.
Cisco Systems, 170 Tasman Dr, Bldg 5-3, San Jose, CA 95134, USA. phymed@cisco.com
Cervical cancer, caused by oncogenic types of human papillomavirus (HPV), remains a major health problem worldwide. The recent introduction of a quadrivalent vaccine (Gardasil), which targets HPV strains responsible for approximately 70% of cervical cancer cases and 90% of genital warts, has ushered in new hope of substantially reducing global prevalence of HPV disease. A further bivalent HPV vaccine (Cervarix) is in the offing. However, many issues still need to be addressed, including actual vaccine efficacy in preventing cervical cancer, public acceptance, use of the vaccine in men, vaccine access, costs, and impact of the vaccine on cervical cancer screening programs. This review analyzes some of these issues, and emphasizes the need for a coordinated effort of patients, parents, health professionals, hospitals, and policymakers to ensure successful implementation of vaccination programs in the United States.
Please click on the required question.
- Q 31. 1 What skin conditions may affect the vulva?
- Q 31. 2 Which viral infections can affect the genitalia?
- Q 31. 3 What problems can occur to people with herpes simplex?
- Q 31. 4 What are genital warts?
- Q 31. 5 What is lichen sclerosus?
- Q 31. 6 How is lichen sclerosus treated?
- Q 31. 7 What could be causing my vulval irritation?
- Q 31. 8 How could my vulval irritation be treated?
- Q 31. 9 What is a Bartholin's cyst / abscess?
- Q 31. 10 How is a Bartholin's cyst / abscess treated?
- Q 31. 11 What is vulvodynia?
- Q 31. 12 How can my vulvodynia be treated?
- Q 31. 13 What is vestibulitis?
- Q 31. 14 How can my vestibulitis be treated?
- Q 31. 15 Where can I obtain further information?
- Q 31. 16 Support Groups.
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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.


