The only vaccine that prevents a cancer. Given at the clinic as a simple injection — for girls, for women well into adulthood, and for boys. Honest advice about who needs it, how many doses, and what it does not replace.
A vaccine against the human papillomavirus types that cause the great majority of cervical cancers. It is given as an injection into the upper arm. It is preventive — it stops an infection taking hold, and it does not treat one you already have.
Girls and boys from age 9, and women up to 45. It works best before any exposure to the virus, which is why it is given young — but it is not pointless later, and the reasoning for that is set out below.
Two doses if the course starts before the 15th birthday, six months apart. Three doses if it starts at 15 or older. India’s national programme gives a single dose to girls aged 14.
Cervical cancer is the second commonest cancer among Indian women. There are more than 120,000 new cases and nearly 80,000 deaths every year — a diagnosis roughly every four minutes, and a death roughly every seven.
Almost all of it is caused by a virus we can vaccinate against, and almost all of it is preceded by changes a smear can find years earlier. That is the unusual thing about this particular cancer: it is one of the very few that is genuinely preventable twice over.
On 28 February 2026 India began vaccinating against HPV nationwide. For a country to put a vaccine into its national immunisation programme is the strongest public endorsement a vaccine can receive — and it is worth understanding what that decision was based on.
A nationwide campaign covering girls aged 14 across every State and Union Territory — around 1.15 crore girls in the first round, provided free at government health facilities, and repeating every year for each new cohort.
Governments do not add vaccines to national programmes lightly. It follows years of safety and effectiveness data, and it puts HPV vaccination in the same category as the childhood vaccines nobody hesitates over. If you were waiting for someone official to say this is worth doing, they have.
The campaign is built around one age group. Girls aged 9 to 13, anyone 15 and above, boys, and anyone who wants the nonavalent vaccine arrange vaccination privately — which is most of the people who ask us about it.
The single most useful thing a parent can take from February 2026 is simply this: the question is no longer whether to vaccinate your daughter, but when. And increasingly, whether to vaccinate your son as well.
There are more than 200 types of HPV. A small number of them cause almost all the harm, and the vaccines are named for how many of those they cover.
Covers HPV 16 and 18, the two types responsible for about 66% of all cervical cancers. Sold as Cervarix. It does not cover the wart-causing types.
Covers HPV 6, 11, 16 and 18. That is the same cancer protection as the bivalent, plus types 6 and 11, which cause more than 90% of genital warts. This is the type used in India’s national programme, and includes Cervavac, made in India, and Gardasil.
Covers all four above plus HPV 31, 33, 45, 52 and 58, which account for a further 15% of cervical cancers — taking total coverage to roughly 81%. Sold as Gardasil 9. In India this is also the only HPV vaccine licensed for boys.
All of them protect strongly against the two types that matter most. The nonavalent covers more ground; the quadrivalent is what the national programme chose and what the Indian-made vaccine offers. Which is appropriate for you depends on your age, whether you are vaccinating a son, and availability — and it is decided at the consultation.
The number of doses depends on the age at which the first dose is given, not on your age when you finish the course.
Two doses, at least six months apart. This is the ideal window — the immune response at this age is stronger than it will ever be again, which is precisely why fewer doses are needed.
Three doses, typically at 0, 2 and 6 months. Starting later means more doses, not less benefit. The vaccine is licensed in India up to the 45th birthday.
Anyone immunocompromised, including people living with HIV, should have at least two doses and preferably three, whatever their age at the first dose.
On the single dose: the World Health Organization accepts a one-dose schedule between 9 and 20, and the evidence behind it is genuinely strong. Our standard here follows the licensed two- and three-dose schedules; if a single dose is what you are able to complete, one dose is very much better than none, and that is a conversation to have rather than a reason to postpone.
About 17,000 girls aged 10 to 18 were followed for ten years. A single dose gave 95.4% protection against persistent infection with HPV 16 and 18 — statistically no different from two or three doses. This Indian data is a large part of why single-dose schedules are now used worldwide.
Scotland has vaccinated schoolgirls since 2008 and links every record to its screening programme. Among women who were fully vaccinated at ages 12 to 13, the number of cervical cancers detected up to 2023 was zero.
It does not mean the vaccine covers every cancer-causing type, and it does not mean screening can stop. Scotland’s own researchers said so in the same breath as reporting the result.
The six questions asked most often, answered without hedging.
Still worth it. The vaccine covers several high-risk types, and being exposed to one does not mean you have met them all. You get protection against the ones you have not encountered.
The vaccine will not clear an existing infection — it is preventive, not a treatment. It can still protect against other types, and the priority in your case is the follow-up plan for the infection you have.
Pooled data from 18 studies suggests vaccination after excisional treatment reduces the risk of high-grade recurrence by around 57%, and by about 74% for HPV 16/18-related disease. The authors called the evidence promising but not conclusive — worth discussing, not a guarantee.
There is a good case — it protects against anal, penile and throat cancers and genital warts, and reduces transmission. In India only the nonavalent vaccine is licensed for males, ages 9 to 15.
Vaccination is not given during pregnancy — not because harm has been shown, but because it has not been studied there. If you fall pregnant mid-course, the remaining doses simply wait until after delivery. Breastfeeding is not a reason to delay.
The course does not restart. You continue from where you left off, however long the gap has been. This is worth knowing, because the belief that a delay wastes the earlier doses stops a lot of people from finishing.
Your age, your history, any previous doses, and whether you are pregnant or trying. Which vaccine is appropriate for you is decided here. No fasting and no preparation are needed.
One injection into the upper arm, in the clinic room. It takes seconds. You are asked to wait about fifteen minutes afterwards, which is standard practice for any vaccine.
The remaining dates go in your card and your phone before you walk out. Most incomplete courses are incomplete because nobody booked the next one.
Side effects are usually a sore arm for a day or two, sometimes a mild fever or headache. Fainting happens occasionally in teenagers, which is why everyone sits for a few minutes afterwards.
This is the single most important sentence on the page, and it is the one most often forgotten once the injection is done.
No HPV vaccine covers every cancer-causing type. Vaccination lowers your risk substantially; screening finds the changes that slip through, years before they become anything. You need both, and they do different jobs.
Cervical screening — the Pap smear and the HPV DNA test — is done here at the clinic. If a smear comes back abnormal, our page on what an abnormal result means explains it, and colposcopy — which is arranged at hospital rather than here — is the next step where one is needed.
Dr. Anam Ghani brings over 12 years of experience in obstetrics and gynaecology, having served at Motherhood Hospital, Lady Hardinge Medical College, GTB Hospital, Kasturba Hospital and DDU Hospital. Her surgical practice includes hysterectomy, myomectomy and other gynaecological procedures, alongside 8000+ deliveries.
Vaccination is explained properly before it is given — which dose you are due, why that number, and what it does and does not protect you from. Nobody is sold anything they do not need.
MBBS · MS (Obstetrics & Gynaecology) · 12+ Years Clinical Experience
Real stories from women whose lives we've had the privilege to be part of
"I had been struggling with PCOS for years: irregular periods, weight gain, constant fatigue. Dr. Anam took the time to truly understand my case. Within a few months my cycles became regular and I finally felt healthy again."
"The most compassionate doctor I have ever met. She never makes you feel rushed, always listens completely, and explains everything clearly. My whole family now comes to Dr. Anam."
"After two miscarriages I was terrified to try again. Dr. Anam identified the issue, treated it, and supported me through my entire third pregnancy. I now have a beautiful daughter, something I wasn't sure would ever happen."
"Dr. Anam handled my high-risk pregnancy with such care and expertise. Every visit felt reassuring. She explained everything clearly and was always available when I had concerns. My baby and I are both healthy and happy!"
"I visited Dr. Anam for recurrent UTIs I had suffered with for years. She finally found the root cause and gave me a long-term solution. Eight months with no recurrence."
"I was very nervous but Dr. Anam made the entire journey so comfortable. She is patient, thorough, and incredibly warm. I wouldn't trust anyone else with something so precious."
Vaccination is one half of preventing this cancer. Screening is the other, and it carries on regardless of whether you have been vaccinated.
What HPV actually is, how it spreads, what a positive test means, and why it says nothing about anyone’s faithfulness.
Read the guide →Which test, how often, and what the result actually tells you. Done here at the clinic.
Learn more →ASCUS, LSIL, HSIL, CIN 1 to 3 — what each one means, and what actually happens next.
Read the guide →The examination that follows an abnormal smear, step by step. Arranged at hospital.
Learn more →Copper-T, Mirena and the arm implant — all fitted and removed here at the clinic.
Explore →PCOS, fibroids, periods, infections, menopause and everything else, in one place.
Explore →Girls and boys from age 9, and women up to 45. It works best when given before any exposure to the virus, which is why it is offered young - but starting later is not pointless, and the reasoning is set out on this page.
It depends on your age at the first dose, not your age when you finish. Two doses if the course starts before the 15th birthday, at least six months apart. Three doses if it starts at 15 or older, usually at 0, 2 and 6 months.
The World Health Organization accepts a single-dose schedule between 9 and 20, and the evidence behind it is strong. Our standard follows the licensed two- and three-dose schedules, but if a single dose is what you can realistically complete, one dose is very much better than none.
An Indian study followed about 17,000 girls aged 10 to 18 for ten years. A single dose gave 95.4% protection against persistent infection with HPV 16 and 18, statistically no different from two or three doses. That Indian data is a large part of why single-dose schedules are now used worldwide.
Scotland has vaccinated schoolgirls since 2008 and links every vaccination record to its screening programme. Among women fully vaccinated at ages 12 to 13, the number of cervical cancers detected up to 2023 was zero. That is about as direct as evidence gets.
Yes. India began nationwide HPV vaccination on 28 February 2026 - girls aged 14, across every State and Union Territory, around 1.15 crore in the first round, repeating each year. A government does not put a vaccine into its national immunisation programme lightly, so this is the strongest public endorsement the vaccine has had in India.
That the safety and effectiveness data were judged strong enough to offer it to every 14-year-old girl in the country. It places HPV vaccination in the same category as the childhood vaccines nobody hesitates over. If you were waiting for an official signal that this is worth doing, it has been given.
The national campaign is built around one age group, so girls aged 9 to 13, anyone aged 15 and above, boys, and anyone who wants the nonavalent vaccine arrange it privately. That is most of the people who ask us about it.
The bivalent vaccine covers HPV 16 and 18. The quadrivalent covers 6, 11, 16 and 18. The nonavalent covers those four plus 31, 33, 45, 52 and 58. There are more than 200 HPV types in total, but a small number cause almost all the harm.
Because between them they cause about 66% of all cervical cancers. Every HPV vaccine covers both, which is why all of them protect strongly against the disease that matters most.
More than 90% of genital warts. They are low-risk types - they do not cause cancer - and they are covered by the quadrivalent and nonavalent vaccines but not the bivalent.
It adds HPV 31, 33, 45, 52 and 58, which account for a further 15% of cervical cancers. That takes total coverage from around 66% to roughly 81%. It is also the only HPV vaccine licensed for boys in India.
Cervavac is the quadrivalent vaccine made in India by the Serum Institute, covering HPV 6, 11, 16 and 18. Gardasil is the other quadrivalent, and Gardasil 9 is the nonavalent. Cervarix is the bivalent.
No. The vaccine covers several high-risk types, and having been exposed to one does not mean you have met them all. You still get protection against the types you have not encountered.
The vaccine will not clear an infection you already have - it is preventive, not a treatment. It can still protect against other types. In your situation the priority is the follow-up plan for the infection that was found, and the vaccine is a secondary conversation.
It is worth discussing. Pooled data from 18 studies suggests vaccination after excisional treatment reduces the risk of high-grade recurrence by around 57%, and by about 74% for HPV 16/18-related disease. The authors were careful to say the evidence is promising rather than conclusive, and most of it is observational.
There is a good case. It protects against anal, penile and throat cancers and genital warts, and it reduces transmission to partners. In India only the nonavalent vaccine is licensed for males, for ages 9 to 15.
No, it is not given during pregnancy - not because harm has been shown, but because it has not been studied there. If you become pregnant partway through the course, the remaining doses simply wait until after delivery. Breastfeeding is not a reason to delay.
No. The course does not restart, however long the gap has been - you continue from where you left off. This matters, because the belief that a delay wastes the earlier doses stops a lot of people from ever finishing.
Usually a sore arm for a day or two, sometimes a mild fever or headache. Fainting happens occasionally in teenagers, which is why everyone is asked to sit for about fifteen minutes afterwards. Serious reactions are rare.
No. There is no evidence that it affects fertility, ovarian function or future pregnancies. This is one of the commonest fears raised in the clinic and it is not supported by the data.
Yes, and this is the most important thing on this page. No HPV vaccine covers every cancer-causing type. Vaccination lowers your risk substantially; screening finds what slips through, years before it becomes anything. You need both.
None. No fasting, no blood tests, nothing to stop beforehand. Come as you are, and eat normally before you come.
A short consultation covering your age, history, any previous doses and whether you might be pregnant; the injection into the upper arm, which takes seconds; then about fifteen minutes sitting before you leave. Your next dose is booked before you walk out.
Generally yes, and it is worth asking rather than making two trips. Bring a note of anything else you are due.
No. Testing first is not recommended and does not change the decision to vaccinate, because the vaccine protects against types you have not yet encountered regardless of what you have.
At the clinic. It is an outpatient injection with no admission, no anaesthetic and no fasting. Pap smears and HPV DNA testing are also done here. Colposcopy, if it is ever needed after an abnormal smear, is arranged at hospital.
There is no evidence of protection waning in the follow-up available so far, which now runs well past a decade, and no booster is currently recommended. The Indian cohort was still protected at ten years.
There is no routine HPV test for men. That is one of the arguments for vaccinating boys rather than relying on detection later.
Any record of previous HPV doses, a list of your medicines, and the dates if you are unsure where you are in a course. If you are coming for a daughter, bring her immunisation card.
Consult and plan your surgery at either location. Open 7 days a week, including Sundays.