&lt;div id=&quot;cc-m-18139822425&quot; class=&quot;j-module n j-text &quot;&gt;
&lt;p&gt;&lt;a href=&quot;mailto:dr.deyn@pulse-clinic.com&quot;&gt;Dr.Deyn&lt;/a&gt;&amp;nbsp; &lt;span style=&quot;color: #99ccff;&quot;&gt;| 9 April 2023&lt;/span&gt;&lt;/p&gt;
&lt;/div&gt;
&lt;div id=&quot;cc-m-18139571525&quot; class=&quot;j-module n j-text &quot;&gt;
&lt;h1&gt;&lt;strong&gt;HPV VACCINE&lt;/strong&gt;&lt;/h1&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;As you may have known there are many types of HPV (Human Papilloma Virus) and some of them such as type 6, 11, 16, 18 are the leading cause to cervical cancer in women as well as anal cancer in men.&amp;nbsp;More than 9 of every 10 cases of cervical cancer are caused by HPV. HPV doesn&amp;rsquo;t only affect women. Nearly 4 out of every 10 cases of cancer caused by HPV occur among men. Every year in the U.S., over 13,000 men get cancers caused by HPV.&amp;nbsp;These cancers can be largely prevented by the &lt;a href=&quot;https://pulse-clinic.com.sg/hpv-vaccine&quot;&gt;HPV vaccine&lt;/a&gt;.&lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;span style=&quot;font-size: 20px;&quot;&gt;&lt;strong&gt;6 types of cancer caused by HPV&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;/div&gt;
&lt;div id=&quot;cc-m-18139812425&quot; class=&quot;j-module n j-text &quot;&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;HPV can cause cancers of the:&lt;br /&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Anus and back of the throat, including the base of the tongue and tonsils (oropharynx), in both women and men&amp;nbsp;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Penis in men&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Cervix, vagina, and vulva in women&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Cancer often takes years, even decades, to develop after a person gets HPV. Center of Disease Control recommends HPV vaccination at ages 11-12 to protect against these cancers. There is no way to know which people with HPV will develop cancer or other health problems. People with weakened immune systems (including individuals with HIV/AIDS) may be less able to fight off HPV and more likely to develop health problems from it.&lt;/span&gt;&lt;/p&gt;
&lt;h2&gt;&lt;strong&gt;Information about the vaccine&lt;/strong&gt;&lt;/h2&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;There are 3 types of HPV vaccine, all of them are non-infectious vaccine&amp;nbsp;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;2v = bivalent HPV vaccine (Cervarix, HPV 16, 18)&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;4v = quadrivalent HPV vaccine (Gardasil&lt;sup&gt;&amp;reg;&lt;/sup&gt;4, HPV 6, 11, 16, 18)&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;9v = nonavalent HPV vaccine (Gardasil&lt;sup&gt;&amp;reg;&lt;/sup&gt;9, HPV 6, 11, 16, 18, 31, 33, 45, 52, 58)&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;2v, 4v, 9v all target HPV 16, 18 which are the cause of cervical cancer (66%) and are the main cause of HPV-associated cancers in male and female (6 types mentioned above).&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Both&amp;nbsp;4v, 9v also work to prevent HPV 6, 11&amp;nbsp;which are the main causes of&amp;nbsp;anal wart and genital wart.&amp;nbsp;&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;9v&amp;nbsp;has prevention for 5-additional types; HPV 31, 33, 45, 52, 58&amp;nbsp;which are 15% cause of cervical cancer.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;9v &lt;a href=&quot;https://www.pulse-clinic.com/hpv-vaccine&quot;&gt;HPV vaccine&lt;/a&gt; (9vHPV,&amp;nbsp;Gardasil&lt;sup&gt;&amp;reg;&lt;/sup&gt;9, Merck&amp;amp;Co.) has been licensed from USFDA to be used&amp;nbsp;among male and female since&amp;nbsp;December 2014.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;in February 2015, the Advisory Committee on Immunization Practice (ACIP) recommended that&amp;nbsp;Gardasil&lt;sup&gt;&amp;reg;&lt;/sup&gt;9&amp;nbsp;used for cancer prevention among male and female. It is widely used for prevention in developed countries.&lt;/span&gt;&lt;/p&gt;
&lt;h2&gt;&lt;strong&gt;When to start HPV Vaccine and how many doses do I need?&lt;/strong&gt;&lt;/h2&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;As soon as possible. In October 2016 ACIP&amp;nbsp;recommended&amp;nbsp;HPV dosage according to age starting the first dose.&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Age less than 15 years old:&amp;nbsp; 2-doses regimen (day 1 and month 6)&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Age above 15 years old: 3-doses regimen (day 1, month 1-2, month 6)&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Immunocompromised&amp;nbsp;people such as HIV infected patient:&amp;nbsp;&amp;nbsp;&amp;nbsp;3-doses regimen (day 1, month 1-2, month 6)&amp;nbsp;regardless of age&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;h2&gt;&lt;strong&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/HPV%20Course.jpg&quot; width=&quot;760&quot; height=&quot;147&quot; style=&quot;float: left;&quot; /&gt;&lt;/strong&gt;&lt;/h2&gt;
&lt;h2&gt;&amp;nbsp;&lt;/h2&gt;
&lt;h2&gt;&amp;nbsp;&lt;/h2&gt;
&lt;h2&gt;&amp;nbsp;&lt;/h2&gt;
&lt;h2&gt;&amp;nbsp;&lt;/h2&gt;
&lt;h2 style=&quot;text-align: left;&quot;&gt;&lt;strong&gt;HPV Vaccine at PULSE clinic&lt;/strong&gt;&lt;/h2&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Information for&amp;nbsp;persons who started HPV vaccination series with 4v or 2v and want to complete with 9v&lt;/span&gt;&lt;/p&gt;
&lt;h2&gt;&lt;strong&gt;If you started with 2v or 4v, can you complete with 9v?&lt;/strong&gt;&lt;/h2&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;YES, you can. If you completed 2v or 4v course, do you need to receive 9v course again, what would we suggest?&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Most HPV-related cancers are caused by HPV 16, 18 which is already covered by&amp;nbsp;4v or 2v.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The benefit&amp;nbsp;of 5-additional types (9v) would be for women,&amp;nbsp;as mentioned above (HPV 31, 33, 45, 52, 58&amp;nbsp;which are 15% cause of&amp;nbsp;cervical cancer.)&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;You still need cervical cancer screening&amp;nbsp;from age 21-65 years old regardless if you are a vaccinated or unvaccinated women.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The HPV vaccine is safe and highly efficacious, and can significantly reduce the burden of HPV-related genital warts and cancers among men, in addition to promoting herd immunity.&lt;/span&gt;&lt;/p&gt;
&lt;h2&gt;&lt;strong&gt;Why should gay men be immunized?&lt;/strong&gt;&lt;/h2&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Gay men&amp;nbsp;attending sexual health and HIV clinics are known to have a higher risk of HPV infection and disease. The risk of anal cancer in&amp;nbsp;gay men is higher than in heterosexual men.&amp;nbsp; If you&#39;re living with HIV, this risk is higher again. HPV vaccine is a very effective way to reduce your risk of genital warts and your risk of developing cancer caused by HPV.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Possible side effects Like any vaccine or medicine,&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;HPV vaccination can cause side effects. &lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The most common side effects are mild and include:&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Pain, redness, or swelling in the arm where the shot was given&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Dizziness or fainting (fainting after any vaccine, including HPV vaccine, is more common among adolescents)&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Nausea&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Headache&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The benefits of HPV vaccination far outweigh any potential risk of side effects.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;/div&gt;

&lt;h2&gt;&lt;strong&gt;HPV VACCINE PRICELIST AND PROMOTION AT PULSE CLINIC (THAILAND)&lt;/strong&gt;&lt;/h2&gt;
&lt;table style=&quot;border-collapse: collapse; width: 100.064%; height: 67px;&quot; border=&quot;1&quot;&gt;
&lt;tbody&gt;
&lt;tr style=&quot;height: 18px;&quot;&gt;
&lt;td style=&quot;width: 384px; height: 46px; text-align: center;&quot; rowspan=&quot;3&quot;&gt;HPV Vaccine 9 Types&lt;br /&gt;(Gardasil 9)&lt;/td&gt;
&lt;td style=&quot;width: 463.896px; height: 18px; text-align: center;&quot;&gt;Dosage&lt;/td&gt;
&lt;td style=&quot;width: 691.438px; height: 18px; text-align: center;&quot;&gt;Price&lt;/td&gt;
&lt;/tr&gt;
&lt;tr style=&quot;height: 10px;&quot;&gt;
&lt;td style=&quot;width: 463.896px; height: 10px; text-align: center;&quot;&gt;1 Single Dose&amp;nbsp;&lt;/td&gt;
&lt;td style=&quot;width: 691.438px; height: 10px; text-align: center;&quot;&gt;9400 THB&lt;/td&gt;
&lt;/tr&gt;
&lt;tr style=&quot;height: 18px;&quot;&gt;
&lt;td style=&quot;width: 463.896px; height: 18px; text-align: center;&quot;&gt;A Complete Course of 3 Doses&amp;nbsp;&lt;/td&gt;
&lt;td style=&quot;width: 691.438px; height: 18px; text-align: center;&quot;&gt;&lt;span style=&quot;text-decoration: line-through;&quot;&gt;28200&lt;/span&gt;&amp;nbsp;THB&lt;br /&gt;25200 THB&lt;/td&gt;
&lt;/tr&gt;
&lt;/tbody&gt;
&lt;/table&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;table style=&quot;border-collapse: collapse; width: 100.064%; height: 67px;&quot; border=&quot;1&quot;&gt;
&lt;tbody&gt;
&lt;tr style=&quot;height: 18px;&quot;&gt;
&lt;td style=&quot;width: 384px; height: 46px; text-align: center;&quot; rowspan=&quot;3&quot;&gt;HPV Vaccine 4 Types&lt;br /&gt;(Gardasil 4)&lt;/td&gt;
&lt;td style=&quot;width: 463.896px; height: 18px; text-align: center;&quot;&gt;Dosage&lt;/td&gt;
&lt;td style=&quot;width: 691.438px; height: 18px; text-align: center;&quot;&gt;Price&lt;/td&gt;
&lt;/tr&gt;
&lt;tr style=&quot;height: 10px;&quot;&gt;
&lt;td style=&quot;width: 463.896px; height: 10px; text-align: center;&quot;&gt;1 Single Dose&amp;nbsp;&lt;/td&gt;
&lt;td style=&quot;width: 691.438px; height: 10px; text-align: center;&quot;&gt;3600 THB&lt;/td&gt;
&lt;/tr&gt;
&lt;tr style=&quot;height: 18px;&quot;&gt;
&lt;td style=&quot;width: 463.896px; height: 18px; text-align: center;&quot;&gt;A Complete Course of 3 Doses&amp;nbsp;&lt;/td&gt;
&lt;td style=&quot;width: 691.438px; height: 18px; text-align: center;&quot;&gt;&lt;span style=&quot;text-decoration: line-through;&quot;&gt;10080&lt;/span&gt; THB&lt;br /&gt;9350 THB&lt;/td&gt;
&lt;/tr&gt;
&lt;/tbody&gt;
&lt;/table&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;

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