HPV Vaccine for Breastfeeding Adults
Breastfeeding adults can safely receive the HPV vaccine without any restrictions or delays. 1
Clear Safety Guidance
The Advisory Committee on Immunization Practices (ACIP) explicitly states that persons who are breastfeeding or lactating can receive HPV vaccine, with no special precautions or modifications needed. 1 This recommendation has remained unchanged and applies to all HPV vaccine formulations currently in use. 1
Age-Specific Vaccination Recommendations for Breastfeeding Adults
Adults Through Age 26 Years
- Catch-up HPV vaccination is recommended for all persons through age 26 years who are not adequately vaccinated, regardless of breastfeeding status. 2
- Use a 3-dose schedule (0,1-2, and 6 months) for adults initiating vaccination at age 15 years or older. 2, 3
- Breastfeeding does not alter the dosing schedule or timing. 1
Adults Aged 27-45 Years
- Shared clinical decision-making is recommended for adults in this age group who are not adequately vaccinated. 1
- Breastfeeding status does not influence the decision-making process. 1
- Consider vaccination if the person has new or anticipated new sexual partners, as this increases risk for acquiring new HPV infections. 2
- The public health benefit of HPV vaccination in this age range is minimal, with vaccination preventing only an additional 0.5% of cancer cases compared to vaccination through age 26. 2
Important Clinical Context
Vaccine Mechanism and Limitations
- HPV vaccines are prophylactic only—they prevent new HPV infections but do not treat existing infections, clear current HPV, or prevent progression of existing HPV-related disease. 1
- Most sexually active adults have already been exposed to some HPV types, though not necessarily all vaccine-type HPV. 1
- Vaccine efficacy is highest among persons who have not been exposed to vaccine-type HPV before vaccination. 1
Contrast with Pregnancy
- While breastfeeding poses no contraindication, HPV vaccination should be delayed until after pregnancy. 1
- However, pregnancy testing is not required before administering the vaccine. 1
Common Pitfalls to Avoid
- Do not delay vaccination in breastfeeding women who are otherwise eligible for catch-up vaccination through age 26. 1
- Do not assume that breastfeeding requires any special monitoring or modified dosing schedules. 1
- Do not confuse the pregnancy contraindication with breastfeeding—these are distinct situations with different recommendations. 1