MSD Ninevalent human papillomavirus vaccine Visual China Data map
Recently, the news that the vaccination age of Merck 9-26 years old has expanded from 16 to 26 years old to women aged 9-45 years old has attracted attention. HPV vaccine is often called cervical cancer vaccine , and it is also the only vaccine in the world that can prevent cancer. As soon as the news of
"age expansion" came out, the nine-valent vaccine that can prevent 9 HPV viruses became more difficult to get a date.
But before making a appointment, it is already difficult for young girls to communicate with their families to vaccinate. On the one hand, the price of three injections ranges from 3,000 to 10,000 yuan, and girls who have not yet worked need to obtain material support from their families; on the other hand, vaccines are directly related to "sexual behavior", and the main transmission channels of HPV virus are direct contact transmission and sexual activity transmission. However, the girls interviewed found it difficult to "talk out" with their parents, and the communication between the two sides often avoids and tests each other.
Feng Qiuyue wanted to get HPV vaccine, but her parents refused "You are so young and have no sex yet"; Liu Tong was worried that the examination before vaccination would make her mother find out that she had an abortion; Chen Cheng did not dare to admit to her parents that she had sex before getting vaccinated. "It is obviously a vaccine that can protect you after having sex, even if the people at home take the initiative to ask me to get this vaccine, they are still avoiding the discussion of 'sex'."
National Health Commission "Guidelines for Cervical Cancer Diagnosis and Treatment" 2022 Edition Screenshot
Regarding those unspeakable embarrassment, unresolved confusion, and what is ideal family sex education, the following is their self-report.
"I have always stood with my parents with my child's personality"
Liu Tong 23 years old
A few days ago, I saw the news that the nine-valent HPV vaccine was expanded to 45 years old, so I immediately ran to the living room and told my mother, "I don't have to hurry to get vaccinated." But she raised her head and stared at me, showing a puzzled expression, as if she had forgotten that she had urged me to get vaccinated a year ago.
The day she mentioned the HPV vaccine to me was in May 2021, and it was half a year since I told her that I was in love.
That day, my mother and I were talking on the phone and chatting like usual. After chatting for a while, she suddenly mentioned the HPV vaccine on the other end of the phone and suggested that I go and get the vaccine earlier. The environment there was a little noisy, and I couldn't even hear what she was saying intermittently. I remember she said three or four sentences in total. She said that the HPV nine-valent vaccine is difficult to get in and is relatively expensive. I have to pay attention to it myself, and she will also help inquire at home.
After she told me, I still didn’t take the vaccination seriously. I am afraid that the screening before the vaccine will let her know that I have had an abortion.
My parents would never allow me to have premarital sex, let alone pregnancy and abortion. In my mother's opinion, sex is a disaster. I can imagine that if I told them, they would use the usual rhetoric that I had never loved myself or respected myself, and that I would not be able to marry in the future.
My family’s sex education is preachy and prohibited.
The first time my mother mentioned sex to me was in the third year of junior high school. I had my period that year and it was not very smooth, so my mother took me to see a doctor. In the clinic, the doctor took off my pants and took my sample, and my mother was there. While operating, the doctor asked me if I had a boyfriend. At that time, I still couldn't understand what the doctor meant, and wondered whether I had a boyfriend had anything to do with my irregular menstruation. But as soon as I got home, my mother told me very seriously that it was very rude for the doctor to ask me directly if I had a boyfriend. She said that if someone asks me such a question in the future, I will try my best to avoid it. I asked her why, and she said it was my privacy and she couldn't tell others casually. Actually, at that time, I realized that what she meant was that she could not tell others whether I had sex. But I laughed and pretended not to know anything.
The earliest American drama I like to watch is rolling the sheets almost every episode. At first I thought the scene was very exciting, but later I would think deeper that this thing is a way to express love, not the obscene, superficial, and indecent I had understood before.At that time, I realized that there was a conflict between my mother and I.
When I was in high school, my mother would set rules to prevent me from falling in love. She also said that the most precious thing for girls is the "film". Only when they get married can they "do this thing", so that the man will love me. My dad talked about love with me more obscure than my mom.
The only time my dad asked me about my love was on the way to send me to school in high school. He asked me, "No male classmates would write you a letter." I was thinking, what? write a letter? Why did a male classmate write me a letter?
At that time, I had letters with a few friends of the opposite sex who were better at junior high school. I said, Yes, a male classmate wrote me a letter.
Then my dad was shocked and asked me what kind of boy I was. I said he was a classmate who was good at junior high school in the past, so he felt relieved. He sat in front to drive, holding the steering wheel, looking ahead, and I sat in the back, and he didn't even dare to look at me in the eyes.
Actually, I had two or three relationships in high school, but I never told my parents that they always thought that their ex-boyfriend was my first love.
My ex-boyfriend and I were together in June 2020, when I was in my junior year.
In the first half of the year I was together, I also kept it from my parents. I was afraid that my mother would react very much and would ask the bottom line. Because in their concept, I don’t know anything, I am a child who runs home even after crying. If they hear that I have a boyfriend, they may subconsciously think that he is not a good person, think that I will be injured and in danger, and they will scold me.
Around the New Year's Eve in 2021, I was intern in Guangzhou, and I called my parents and told me that I was in love. Tell them that I even had a self-abuse tendency before, and I was ready to be scolded by them. But they did not have the enthusiastic reaction I imagined, did not scold me, nor did they ask about his family background.
My mother’s first reaction was to ask me how far I had. I said, it's not too far, it's just having dinner and chatting together. Actually, I had sex at that time, but I continued to shape my child's personality. I will slowly tell her later that I have hugged and kissed her, let’s test her. She would say, no kissing or crossing the line. She kept telling me that these things could not be done, but she didn't tell me at all, what measures should be taken if they were to be done.
In February 2021, I got pregnant unexpectedly.
I knew I was particularly frustrated when I was pregnant. Especially when my boyfriend's reaction at that time was that he was panic, evading, and even a little criticizing me. He kept emphasizing, "This is not my fault alone, you are also wrong."
What I did was medical abortion , and I had to go to the hospital regularly to check if the sewage was not completely clean, and I also had to do B-ultrasound. I remember I went there seven or eight times in total. In addition to the first examination, he accompanied me to have an abortion, and I went there for the remaining five or six examinations myself.
If I need a kind of sex education, I want my parents to tell me what I should do when I want to have sex or have an abortion. Because something really happened, I was quite panicked and didn't know what to do. I even had the idea of suicide. If someone told me what to do at that time, I would have handled it more maturely.
"My mother threatened that she would check my hymen when she came back from traveling"
Chen Cheng 21 years old
My mother is a doctor. She asked me to get HPV very early, saying that this is a vaccine to prevent cervical cancer , and added: "This is to get it before you have sex."
I didn't dare to admit that I had sex before getting vaccinated.
Get HPV vaccine Visual China Picture
"It is best to get three injections of HPV before sex" I saw this statement many times later, and after checking the information, I found out that it is actually because I am afraid that you have been infected or pregnant. Many people on the Internet spread "must be virgins before getting vaccinated", and even my mother, as a doctor, believed this.
But I didn’t have a position to talk to her about these things at that time, otherwise it would be like a disguised admission that “I am not a virgin anymore.”
My mother is particularly conservative and traditional about sex, and she is absolutely unacceptable to premarital sex.When she saw me posting my official announcement on my relationship, she told me immediately: " Just be happy , but don't have sex while being happy, don't get pregnant unexpectedly."
During the first three months of my relationship, my parents kept repeatedly using words to persuade, threaten and even force me not to do "that thing". My mother would keep teaching me how cruel it is to curettage surgery: "The uterine wall must be clean, thinner and thinner, and it will cause a lot of blood." She is a pediatrician and usually has contact with obstetrics and gynecology. When she saw many girls of seventeen or eighteen years old coming here for abortion, she would tell me that these girls' partners did not fulfill their responsibilities. They were too naive and stupid.
I was on a long-distance trip with my boyfriend for the first time. My mother offered many requirements, such as having to open two rooms, even a B&B loft, living up and downstairs, she thought that as long as we appeared in the same space, something would inevitably happen. Some requirements seem unrealistic to me, for example, we must go back to our respective rooms early and not visit us; or we will play until late and go back to our respective rooms. They may send me WeChat messages every day, and if I don’t reply every other hour, they start to speculate wildly, thinking that I must be doing something "bad".
My mom even threatened me and would check my hymen when I came back from a trip. Of course, I didn't check
at the end, but I was really angry at that time. Later, every time I went out with my boyfriend, I chose to be in the aunt stage and told them: "It doesn't matter, I am in the aunt stage, don't worry." As a result, I was always dysmenorrhea while traveling, which was very painful.
I also have a way to circumvent their control, such as using my boyfriend’s mobile phone to book two rooms, check the booking records for them, and then check out on the last day, right?
But their warnings to me still work, I will worry that those accidents will happen to me. When I first started with sex, I would really take emergency contraceptive pills. Later, I realized that the side effects of taking this medicine were too great and I didn’t take it. As a result, every time my aunt delayed it for a day, I started to panic and forwarded it everywhere "Worshiping Auntie God" and even used pregnancy test stick . In the end, it was a false alarm.
The atmosphere in our house was originally very open-minded. I had menstruation when I was very young. My mother told me about the entire menstrual cycle in a very meticulous and scientific way, such as ovulation and premenstrual syndrome. My dad's thoughts are a little more avant-garde. He accidentally dug out my fan book before and saw an explicit description on it, and just said "Yeah, it's pretty good", and then put it back for me.
But even in such a context, we still cannot communicate "sex" openly and honestly. Every time I talk about these topics, my mother's voice suddenly becomes very low. Until yesterday, I tried to ask my mother if she could have HPV in sex. She said it was a research topic of a classmate, but she was still very alert: "Why do you pay attention to this?"
I am really a very honest and willing to communicate. I really want to talk to my parents about anything. I can tell any small differences or dissatisfactions. However, this topic has been avoided. Sometimes I feel a little powerless, sad but I can't help it.
is more guilty, because in fact, it’s still a deception.
The only time my mother asked me was when I was in a relationship for about three months, everyone agreed that it had never happened. She said in a joke tone, "It probably hasn't happened now." In that context, I couldn't admit it, and I kept cheating on it.
I also thought about whether to admit it simply. I guess my mother will have two reactions, or force us to break up completely; or let me recognize this in the future and don’t change it, she will worry that I can’t find the “next home”.
We never communicate with problems at home, pretending that everyone has "no worldly desires". Until in junior high school, my parents and I were still sleeping on two beds in the same room. Most of my previous sexual knowledge comes from romance novels , romance dramas and the Internet. They default to me to obtain sexual knowledge from various channels and do not need them to teach them.
I can also understand that as parents’ appropriate warnings, they may be the only one who has a position to persuade me like this, otherwise if an accident really happens, who will take responsibility?
But now I am 21 years old, and it is a very reasonable age to have sex. The news I got from the book network encouraged us to do (sexual behavior), and the opposition from home was really apart. This feeling was really apart. Just like HPV, it is obviously a vaccine that can protect you after having sex, even if the people at home take the initiative to ask me to get this vaccine, they are still avoiding the discussion of "sex".
I still feel a little regretful, and I feel that I have missed the opportunity to communicate well. Could I sit down and tell you this? If I give birth to a girl in the future, I will definitely not avoid these topics and will take her to get HPV vaccine on time. Of course, I will fulfill my parents' obligations and responsibilities, remind her to take safety measures, and warn her very seriously at critical time points.
"The parents who give me sexual enlightenment are my sisters"
Feng Qiuyue 21 years old
From last year to now, I have grabbed the nine-valent vaccine more than 20 times and followed 5 official accounts of You Miao. I have been grabbing the school from Quanzhou before. This summer, my boyfriend asked me to help me grab Nanning with me. I even grabbed Xiamen .
The public needle I grabbed is up to 1,400 yuan per needle. Because I am a student now, I am not willing to spend money to get in private hospitals. The injections in private hospitals in Quanzhou are too expensive. Some of them have three shots of 10,000 yuan, and the lowest is 7,200 yuan, which is twice as high as public hospitals.
My best friend who studies medicine told me that the earlier the HPV vaccine, the better. So I want to discuss with my family that if they can give me some funds, I can get vaccinated earlier.
Getting HPV vaccine Visual China Picture
Going home during my junior year during my holidays. I brought this topic with my parents while having dinner. At that time, there were my parents, my grandma, and my sister who was 4 years older than me and who was already working at the dinner table.
They asked me how much it cost, and I said that 1,300 yuan per injection would cost three injections in total. They seem a little unwilling to answer the conversation. I added that HPV vaccine can prevent cervical cancer and needs to be given quickly before girls have sex.
My mother seemed a little annoyed, her voice raised a little, and she said, "You are so young and have no sex, why do you have to have sex?" My heart was so cold. Later they started talking about other topics, no matter me. I thought to myself, I will save money and pay for my living expenses and scholarships.
I saw my sister not talking at the dinner table, so I went to find my sister after dinner. My sister is already 24 years old, and I want to persuade her to get vaccinated as soon as possible. It was only then that I realized that my sister actually knew about the nine-valent vaccine before me and kept grabbing the vaccine. She also asked me, "Why do you think they (parents) will understand this kind of thing?"
What unexpectedly surprised me was that when the holiday was about to end, my grandma came over and asked me what the shot looked like. Grandma didn’t understand what cervical cancer is, but when she heard me say it was good for me, she immediately supported me and gave me the money, and I cried. My grandma is 82 years old this year and I don’t ask for her money.
I am a left-behind child and grew up with my grandmother in my hometown. My parents’ sex education can be said to be zero. The most direct sex education they taught me is that after seeing the news that girls were sexually assaulted and trafficked, they would occasionally tell me not to mess around before getting married.
Also, girls wear suspenders and an outer wear, which is not allowed in my house. They will say they look like prostitutes. My sister is 25 years old this year. She wore this way once, and my mother scolded her in my sister's room for an hour. So when I go home, I also have to check if my clothes are "right".
My initial sexual knowledge was enlightened by my sister.
I had my period only in the third year of junior high school, which is relatively late. I didn't understand at that time, and I knew that everyone around me had come, but I didn't. At that time, my sister was in the second year of high school, and she wrote me a letter and sent her commonly used aunt towel to the school where I live. The content of the letter is roughly saying: Girls will have menstruation, which is normal. You must protect yourself well and not catch a cold.I had menstruation not long after I received the letter, and I felt that I was not embarrassed at first menstruation.
After graduating from high school, I am with my current boyfriend. I told my sister that night.
The summer vacation after the college entrance examination was very long. Before I went out to play, my sister told me in person that she should be careful, be sure to wear condoms, and not take medicine casually.
After going to college, my boyfriend knew that I had little sexual knowledge and would encourage me to attend school sex education lectures. I was also shy at first, but later I was encouraged to participate and learned how to view AIDS and how to wear condoms.
My boyfriend’s sex education is very good. I've been to his house as a guest. While he was not by my side, his mother came over to me and said, "You are a girl. You must protect yourself. You must force him to wear condoms. You must not take medicine." I was still confused and a little shy at the time because no elders had ever discussed this with me in such a normal tone, and nothing had happened to us at that time. But I feel very considerate, and his parents will stand from my perspective and think about me.
After slowly getting to know sexual knowledge, I had sex in my sophomore year, and I think it was a happy thing. I think I am very lucky to meet a more reliable boyfriend, a sister who can give me popular science knowledge, and a best friend who studies medicine.
If I have children in the future, I will definitely attach great importance to sex education. I've learned that it's a good choice to conduct sexual enlightenment through cartoons. There is also the exhibition, such as letting the child understand how he lived in his mother's belly before. I want to use the thinking close to children to popularize sexual knowledge to them.
(To protect the privacy of the respondents, all the characters in the article are pseudonyms.)
