5 ms·
My understanding is there's 2 big changes. The biggest concern of HPV previously was cervix cancer, but as women are pretty standardly immunized against HPV it'
by ender341341 3y ago
My understanding is there's 2 big changes. The biggest concern of HPV previously was cervix cancer, but as women are pretty standardly immunized against HPV it's almost disappeared, but for men it's relatively new (well like a decade, but it's still not pushed like it is on young women) to be immunized against HPV as part of standard care so it's no longer an issue of immunize to prevent cervix cancer but immunize to prevent throat cancer. I'm in my mid thirties and asked my pharmacist about it, I can get the shot but my insurance says I'm to old so I have to pay out of pocket for it.
Also, yes, sex practices have changed widely in regard to oral sex, many men considered it to be emasculating to go down on a woman and sex was pretty much just PIV until the man finishes and then done.
- compumike 3y ago> I'm in my mid thirties and asked my pharmacist about it, I can get the shot but my insurance says I'm to old so I have to pay out of pocket for it. Are you sure? Also a mid-30s male and my PPO insurance covered it fully last year, no copay, coded as preventative. Call your health insurance and ask about “CPT code 90651”.
- ITB 3y agoGet it
- Marsymars 3y agoIn Canada and received it three years ago in my early-30s. Public health didn't cover due to age, and private insurance covered most of it, but remaining cost after deductibles and injection costs was still non-trivial. ($170 across three shots.)
- red-iron-pine 3y agoCompared to US medical costs, $170 CAD is a nothingburger. If anything, I'd be more annoyed about the 3-shots and repeated trips, vice a <200 charge; time is money, too.
- 88913527 3y agoSuch a fascination the various incantations one must give when interfacing with insurance companies to have any hope of achieving whatever your objective might be.
- chasely 3y agoWhen I was in grad school (mid-20s) I was consulted not to get it. NowI'm pretty sure any adult with insurance can get it through any pharmacy that does vaccines. I think the actuarial tables must have changed or the cost of the vaccine decreased.
- ender341341 3y agoI'll try that, I didn't get it at the time cause life was busy but it has been on my mind. They seem to be expanding the recommendation to wider and wider groups, was told the insurance company pretty much assumed you had HPV over a certain age and wouldn't cover it.
- Moto7451 3y agoSame. Had no problem getting it done at CVS. I saw it selectable when getting some standard boosters and opted into it. I did have to look up the schedule for adults on the CDC website. I was super annoyed as a teen and young adult when they kept opening the window for when you could receive it for a few years younger than me. My understanding is the manufacturers didn’t want to market an STD vaccine so Cervical cancer it was. Never mind men could transmit and harbor it. Guarding all susceptible parties just didn’t work with how they were going to market it.
- m-p-3 3y agoI reached out to mine, not covered :(
- firstlink 3y ago> Call your health insurance and ask about “CPT code 90651”. There's no point to this. Health insurance providers are explicitly exempted from having to be truthful with you about coverage. The better ones will just tell you they don't answer coverage questions at all as a blanket policy; the rest will tell you whatever they think profits them the most.
- giantg2 3y agoMost have tools that will tell you if a provider is in network and what a procedure will cost at them. Most have a pre-authorizarion process to confirm coverage as well. Also, if your insurance is through an employer, HR typically has liaisons that can help.
- mock-possum 3y ago> Health insurance providers are explicitly exempted from having to be truthful with you about coverage citation needed? What entity rules that they are explicitly exempted?
- giantg2 3y agoA long time ago, sure. But even the previous generation would have had more open views. Not to mention, wouldn't the oral cancers still show up in women if the power dynamic was as you say?
- ender341341 3y ago> Not to mention, wouldn't the oral cancers still show up in women if the power dynamic was as you say? It did. It's just a much lower prevalence than cervix cancer so it was framed around preventing cervix cancer, but as that's largely gone away the focus has shifted to preventing throat cancer.
- giantg2 3y agoAccording to the article, there is a new epidemic, indicating a rise in rates. I'm asking why we didn't see it before. If it was there all along as you say, then is the article wrong for suggesting a rate increase?
- ender341341 3y agoI think you're massively underestimating the change in sex practices in the last 2 or 3 decades.
- trosi 3y ago> Also, yes, sex practices have changed widely in regard to oral sex, many men considered it to be emasculating to go down on a woman and sex was pretty much just PIV until the man finishes and then done. It's always felt normal to me. I learned that it might not had always been like that from the Sopranos.
- moremetadata 3y agoMost people dont realise that thrush can kill. 75% of women will have at least one episode of vulvovaginal candidiasis and this is when thrush gets out of control, but it can still be spread when its not out of control because its practically impossible to get rid of. In-hospital all-cause (crude) mortality among people with candidemia is approximately 25% and remains a persistent public health problem[1]. What annoys me, is this knowledge is not something new, its been known for decades and I remember the sex education I got at school or complete lack of it apart from the mechanics but never taught the implications of STD's et al, which means the Govt and health experts are fuelling these persistent public health problems along with all the nutters who should be locked up in the funny farms who think God will save them! [1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1797637/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1797637/
- red-iron-pine 3y agoThrush is a fungal yeast infection that's almost universal for most people -- you're going to have these critters living on or in you eventually anyways. And it's not an issue unless you're immunocompromised or otherwise highly vulnerable. It's not an issue for most people.
- DebtDeflation 3y agoThat scene on the golf course with Tony making fun of Uncle Junior.
- onlyrealcuzzo 3y agoStatistically, if you're sexually active, what's the chances you already have HSV, and will the vaccine do anything if you already have it?
- gymbeaux 3y agoThey might mean HPV. HSV consists of HSV-1 (oral herpes) and HSV-2 (“pubic area” herpes). There isn’t really a consensus across studies for what percentage of the population has HSV-1, but all studies agree that it’s “very common”. The reason you don’t see more people with herpes sores around their mouths is because most people with HSV-1 never have an outbreak, and those that do only usually have an outbreak when they are under a lot of stress or ill (because the immune system is occupied with things other than the HS virus). A few companies are working on vaccines and cures for HSV-2 and even HSV-1 that are based on the COVID 19 RNA vaccines and we might be able to get them in the next decade.
- ender341341 3y agoYep, definitely meant HPV.
- amanaplanacanal 3y agoThe more active you are the more likely you are to have been exposed to both hsv and HPV. Hsv can be passed through just kissing, so a lot of kids get it long before they are sexually active. I’m of the boomer generation, and somewhere around 50% of us have one or another version of HSV. I have been lucky enough not to get it (so far!), but I don’t believe there is an accepted test for HPV unless you have a cervix. For HPV, my personal opinion is that it is worth it to get vaccinated no matter what age you are, since only certain strains cause cancer and you might not have gotten those strains yet. The medical profession doesn’t agree with me however.
- automatoney 3y agoHSV (Herpes simplex virus) vaccine? Do you mean HPV (Human papillomavirus)? I've only ever heard of the HPV vaccine, as well as its relationship to cervical cancer.
- hanniabu 3y agoYeah I was wondering the same too, I was given the HPV vaccine when I was born
- ender341341 3y agoYeah, meant HPV
- giantg2 3y agoIsn't that unusual?
- hanniabu 3y agoYeah I don't think that's status quo anymore. I didn't know I had it until I was going through my vaccination records and saw it was listed as one of the ones I got when born and then a booster like 2 months later
- ender341341 3y agoyep, meant HPV
- 1letterunixname 3y agoMen in the US of almost any age can get the HPV vaccine, but it rarely happens. The medical establishment ignored men and so failed when it should've vaccinated everyone.
- midoridensha 3y agoThe medical establishment in the US thought it was a great idea to circumcize men for ages after the rest of the developed world abandoned the practice. They'll still happily do it for newborns if the parents request it, even though there's no medical basis, only religious. It should be no surprise the US medical establishment wouldn't want to push a vaccine for an STD.