HPV Vaccination in Adult Women Age 45 and Older

by Dr. Alex Shteynshlyuger


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4125.


Gardasil-9 Vaccine: Effectiveness in Women over Age 45 

Gardasil-9 HPV Vaccination for Women Over 45

At New York Urology Specialists, Gardasil-9 is offered to women above the age of 45 who do not fit the CDC criteria.

Three doses of Gardasil-9 are offered to older women because their immune system is not as active. Women above age 45 are also more likely to have a higher number of sexual partners in their lifetime. More vaccine activity from three doses of Gardasil-9 is needed to suppress any pre-existing virus. 

Schedule an appointment to discuss whether HPV vaccination is right for you.

Where to Get HPV Vaccine in NYC?

At New York Urology Specialists, we offer same-day HPV vaccination for men and women.

We also perform comprehensive STD testing for other infections. We offer confidential appointments. Our prices are affordable with or without insurance.  Call/text today: 1-646-663-4125 or make an appointment online.  

Why Do Women over 45 Have Difficulty Getting Vaccinated with HPV Vaccine?

Sometimes, women over 45 have difficulty getting HPV vaccination with Gardasil-9 because insurance coverage is only available up to the recommended age of 45. Time constraints and the six-month vaccination schedule are additional barriers that prevent older women from getting Gardasil-9. Although it is an out-of-pocket expense, it may be worthwhile for women over 45 to get vaccinated against HPV, which is the most common sexually transmitted infection in the United States and around the world.

HPV vaccination protects against genital warts and cancers of the cervix, vagina, and vulva in women. Protection is most effective in women who have not been sexually active, who have had few sexual partners or never been infected with HPV. Evidence suggests that HPV vaccination may also be partially effective for women who have been previously infected with HPV. Talk to the experienced physicians at New York Urology Specialists to find out how you can benefit from the Gardasil-9 HPV vaccine regardless of age and sexual history.  You can schedule an appointment online or contact us by phone or email.

Benefits of Gardasil-9 Vaccination in Women Over Age 45

Gardasil-9 HPV vaccine protects against both genital warts and cancer. Women over 45 years old can benefit from the HPV vaccine because of it:

  • Prevents genital warts in women with few lifetime sexual partners
  • Prevents HPV-related cervical dysplasia (precancerous changes such as CIN 1-3 cervical intraepithelial dysplasia)
  • Likely reduces the risk of genital warts in sexually active older women with multiple lifetime sexual partners
  • May reduce the risk of pre-cancerous lesions progressing to invasive disease
  • May decrease recurrence of genital warts, vulvar warts, and anal warts
  • May reduce the risk of transmitting an HPV infection to current and future sexual partners

Safety and Effectiveness of Gardasil-9 in Women Over 45

The HPV vaccine is safe and effective in women above the recommended age of 45. Insurance coverage is not available to women over 45 because it is not considered cost-effective to give everyone the vaccine. Based on effectiveness studies, women over 45 who have had few lifetime sexual partners or been in a few long-term relationships are likely to benefit just as much as younger women. Older women may derive less benefit from Gardasil vaccination compared to younger women.

Why is the CDC HPV Vaccination Recommendation Uses Age Cutoff?

Age is used to approximate the number of sexual partners a woman has likely had. Studies (link) have demonstrated Gardasil-9 effectiveness in women aged 15 to 45 years with no more than 4-lifetime sexual partners, no prior pregnancies, and no history of abnormal Pap smears. The vaccine is covered by insurance for women under 45 because they are most likely to benefit from it due to fewer lifetime sexual partners. Older women who have had more than four-lifetime sex partners may not derive as much benefit as younger women with fewer sex partners, but there is still some protection (around 20-60% overall) that can be expected based on studies.

Scheduling Appointments for STI Treatment and STD Testing at New York Urology Specialists


If you have any questions about testing or treatment for sexually transmitted infections (STI), to schedule a consultation, please contact us or call/text: 1-646-663-4125.  

We have excellent reviews from patients and their partners. 


STDs are Treatable in Nearly Every Man and Woman

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of sexually transmitted infections (STI).  We understand the challenges that STDs such as chlamydia, herpes, gonorrhea, and ureaplasma create for our patients, their relationships, and their self-esteem.  We help you find an effective treatment for your symptoms that may be caused by STD, UTI or another cause. 

Urologists are doctors specializing in the treatment of infections in men and women caused by sexually transmitted diseases as well as bladder infections (UTI). By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man and woman with urinary problems and bladder control problems.   

We treat some of the most complex STD problems including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-4125 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in the evaluation and treatment of urological problems in men and women using modern effective and proven treatment methods.  He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4125.

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.

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