最后更新: 2026年8月15日
HPV — human papillomavirus — is the commonest sexually transmitted viral infection there is. Most people associate the vaccine with cervical cancer and therefore with girls, and that association is exactly why a lot of men go unvaccinated when they would benefit from it.

What HPV does in men
In men, persistent infection with high-risk subtypes causes penile cancer, anal cancer and oropharyngeal (throat) cancer. Low-risk subtypes cause genital warts — not dangerous, but stubborn to clear and a real source of distress.
Some perspective is warranted, though, because the numbers frighten people unnecessarily. The US CDC reports around 14 million new infections a year, and most sexually active people will encounter at least one subtype in their lifetime. Around 90% of infections clear on their own within two years without any treatment at all. Only the small proportion that persists carries cancer risk — and types 16 and 18 account for most of it.
Which vaccine, in practice
Three HPV vaccines have been approved over the years, but the practical choice today is simpler than that list suggests.
- 9价疫苗Gardasil 9 — covers 9 subtypes, protecting against about 90% of HPV-related cancers and most genital warts. Approved for males and females, and this is the one to have. If you want the detail, see how Gardasil 9 compares with the older 4-valent vaccine.
- Gardasil (4-valent) — the earlier version, covering 4 subtypes. Largely superseded and no longer distributed in many countries.
- 2价疫苗Cervarix — covers 2 subtypes and is licensed for females only, so it is not an option for men in any case.

Timing, doses, and whether it is too late
Vaccination works best before any sexual activity begins, which is why it is offered in early adolescence. The CDC schedule 是 2 doses if the course starts before age 15, ,和 3 doses from 15 onwards.
The question I am asked most often is whether it is worth having as an adult who is already sexually active. The honest answer: less benefit than being vaccinated at twelve, but not none. With over 100 subtypes, having encountered one does not mean you have encountered the nine the vaccine covers, and it still reduces genital wart recurrence. Past the mid-twenties it becomes an individual decision rather than a blanket recommendation — worth discussing rather than assuming the window has closed.
On durability, the vaccine has been in use since 2006 and the protection has proved long-lasting, with no booster currently recommended.
One last point, because it gets left out of the male conversation entirely: vaccinating men also protects their partners. Transmission runs both ways, and a man who is vaccinated is not passing on the subtypes that cause cervical cancer.
如果您正在考虑为自己或家人接种 HPV 疫苗,或想讨论尖锐湿疣或与 HPV 相关的疑虑,Soarawee Weerasopone 医生将在曼谷医院总部提供专家咨询。. 预约咨询. 如需预约三美泰是拉差医院,请致电泌尿科: 088-022-1445.
HPV疫苗常见问题解答
人乳头瘤病毒(HPV)是全球最常见的性传播病毒感染。大多数感染会在两年内自行消退,但持续感染高危型别——尤其是16型和18型——可能导致女性患宫颈癌,男性患阴茎癌,以及男女双方患肛门癌或口咽癌。低危型别则会导致生殖器疣,虽然不是癌症,但会造成外观上的困扰。.
是的,HPV 疫苗推荐给男性和女性接种。在男性中,它可以降低患阴茎癌、肛门癌、口咽癌和生殖器疣的风险。Gardasil 和 Gardasil 9 已获准在男性中使用。为男性接种疫苗还可以减少 HPV 传播给女性伴侣,从而促进人群级别的癌症预防。.
HPV vaccination is most effective when given before the first sexual exposure. The CDC recommends vaccination starting at age 11–12, ideally before adolescence. The schedule is 2 doses for those under 15, and 3 doses for those 15 and above. Vaccination can still provide benefit in older individuals who have not been previously vaccinated, particularly for genital wart prevention, though beyond the mid-twenties it becomes an individual decision rather than a routine recommendation.
Gardasil protects against 4 HPV strains (types 6, 11, 16, 18) and is suitable for both sexes, but it has largely been superseded and is no longer distributed in many countries. Cervarix protects against 2 strains (types 16, 18) and is licensed for females only. Gardasil 9 is the most comprehensive vaccine, covering 9 strains and protecting against about 90% of HPV-related cancers and most genital warts. It is the preferred vaccine for both males and females.
是的。虽然安全套可以显著降低 HPV 的传播风险,但由于 HPV 可以感染安全套未覆盖的皮肤区域,因此它不能提供完全的保护。研究表明,即使是只有一个终生伴侣且坚持使用安全套的人也可能感染 HPV。因此,除了安全的性行为外,还强烈建议接种疫苗,因为它可以提供针对高危株最可靠的保护。.
免责声明 本文由曼谷医院总院的董事会认证泌尿科医师索拉维·维拉索蓬(Soarawee Weerasopone)博士撰写并审核。本内容仅供教育目的,不构成医疗建议。通过私人消息渠道不提供任何医疗建议、诊断或处方。在开始任何医疗治疗之前,请务必咨询合格的医疗保健专业人员。.
医学撰写与审核:Soarawee Weerasopone 医生(Pom 医生)——曼谷医院总院认证泌尿科医师,自 2016 年起从事泌尿外科临床工作。进修:台湾长庚纪念医院机器人手术学(2019 年) · 临床观察员:东京顺天堂大学附属医院泌尿内视镜学(2022 年) · 研究学者与临床观察员:美国贝勒医学院斯科特泌尿外科系(2025–2026 年)。.

Soarawee Weerasopone 医生(Dr. Pom)是 Bangkok Hospital Headquarters 的委员会认证泌尿科医生,专长于男性健康、机器人手术(da Vinci Xi)及肾结石治疗。他目前在贝勒医学院 Scott 泌尿外科担任研究学者及临床观察员(2025–2026),师从 Mohit Khera 教授。他曾在台湾长庚纪念医院完成机器人外科研修(fellowship,2019年),并在东京顺天堂大学医院完成腔内泌尿外科临床观摩(observership,2022年)。


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