College Confessional: A Case for Gardasil

The Daily Bedpost's recent rant on new STDs stats, the safer sex Q&A with Dr. Kate, and the Gardasil poll spurred our awesome intern Ariel Servadio to make this very personal case for the HPV vaccine:

I'm not a spokesperson for Gardasil. I am, however, the daughter of a woman who has HPV, and has lost her ovaries, fallopian tubes, uterus and cervix because of it.

My mother--who as far as I'm concerned only had sex for procreation purposes--found out she had HPV in 1990 after an abnormal pap smear. She suffered from genital warts on her cervix for many years and had several painful laser surgeries to remove them. And when they returned in precancerous form, she had a portion of her cervix removed...

It didn't end there, though. Since she was close to menopause, she didn't think twice when she stopped getting her period. But menopause wasn't the culprit: the consequences of HPV were. After enduring years of trauma, her cervix completely closed up, so as she continued to menstruate her uterus began filling up with blood, unbeknownst to her. By the time she discovered a hard ball the size of a grapefruit in her lower abdomen, she had to have a hasty full hysterectomy. Pathology results revealed that cancer cells were inside her cervix.

My mom's okay now, and for that I am eternally grateful. But she still went through a heck of a lot of pain and suffering that never would have happened if she didn't have HPV.

Now I'll be the first to admit that Gardarsil is not perfect: it's not a cervical cancer vaccine, and perhaps it's unfair to market it as such (you can still get cervical cancer, even if you don't have HPV). And this vaccine doesn't prevent you from getting all of the many strains of HPV, it only protects you from four of them. Gardisil is also really expensive, especially if your insurance doesn't cover it (or if you don't have insurance). And it's currently unclear whether or not it lasts for more than five years, or what it's long-term effects are.

However, in my mind, none of these are reason enough to give the HPV vaccine the brush off. It protects you from two common strains of HPV that cause genital warts and two other subclinical (or seemingly invisible) strains that are responsible for 70 percent of cervical cancer cases. Gardasil might save your life, or at least your cervix, if you're a woman; and if you're a man, should it be approved for men, then it might prevent you from spreading a silent killer.

Had Gardasil been around when my mother was younger, it may not have prevented any or all of this. But then again, it very well may have. And the chance, however small, to keep my mom--my best friend--from going through all that, whatever the side-effects, would have been totally worth it to me.

--Ariel Servadio


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