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Cervical Cancer Prevention · Nagpur

HPV Vaccination in Nagpur

Since 28 February 2026 the HPV vaccine has been free for 14-year-old girls at government health facilities across India. This page explains who that covers, who it does not, and what to do if your daughter — or you — falls outside it. Dr. Kunda Shahane, MBBS · MS (Obs & Gynae) · FIFM · FMF (London).

Free at 14 under the national programme Private vaccination from 9 years Seen by a woman doctor Screening continues either way
2ndMost common cancer in Indian women
1.2 lakh+New cervical cancers a year in India
1.9%Of women aged 30–49 ever screened
14Age at which the vaccine is free
Start here

If your daughter is 14, get it free. Then read the rest of this page.

On 28 February 2026 India launched a nationwide HPV vaccination programme. Girls who have completed 14 years and have not yet completed 15 receive a single dose of the quadrivalent Gardasil-4 vaccine, free of cost, at government health facilities. Vaccination is voluntary and requires parental or guardian consent, which is recorded digitally on the U-WIN platform. You can pre-register on U-WIN or walk in.

The eligible sites are government facilities only: Ayushman Arogya Mandirs and primary health centres, community health centres, sub-district and district hospitals, and government medical college hospitals. The initial three-month campaign phase has ended; the Ministry of Health has said the vaccine is then carried on routine immunisation session days, so a girl in the eligible age band who missed the campaign should still ask at her nearest government facility rather than assume the window has closed.

We are saying this plainly on a private clinic’s website because it is true and because you will find out anyway. If your daughter is in that age band, there is no clinical argument for paying us for the same dose. Come to us for what the programme does not cover.

Who the programme does not cover

The four people this page is actually for

Your daughter is 16 or 17

She is past the programme’s age band but well within the licensed age range, which starts at 9 years. What changes is the schedule. A first dose given at 15 years or older means three doses over roughly six months rather than the two doses a younger girl would need, and all three are needed for the full effect. Partial courses give partial protection.

The practical decision is not whether to vaccinate but whether you can commit to finishing the course. We set the dates for all three doses at the first visit for exactly this reason.

Your daughter is 9 to 13 and you do not want to wait

You can vaccinate privately now on a two-dose schedule, six months apart, or wait until she turns 14 and take the free single dose. Both are defensible. Waiting costs nothing and the evidence behind the single-dose schedule is what the national programme is built on. Vaccinating early protects sooner and lets you choose the vaccine.

What we will not do is pretend the free option does not exist in order to sell you a course today.

You are an adult woman who was never vaccinated

HPV vaccines are licensed in India well beyond adolescence, and catch-up vaccination in adult women is a recognised option. The benefit is genuinely smaller: vaccines prevent infection, they do not treat one, and by adulthood most women have met at least some HPV types. Very few have met all of them, which is where the residual benefit sits.

For a woman in her thirties who has never had a Pap smear, the honest ranking is screening first, vaccination second. That is the conversation we will have with you, and it is not the conversation that sells the most vaccine.

You have had an abnormal smear or treatment to the cervix

Follow-up comes first. An abnormal result needs colposcopy and, where indicated, a biopsy, and treatment for a high-grade lesion needs a defined surveillance schedule afterwards. Vaccination after treatment is an accepted addition because it may reduce the risk of a further lesion — but it is an addition, never a replacement for follow-up.

Dr. Kunda performs the colposcopy herself and plans the follow-up, so the vaccination decision and the surveillance decision are made by the same person looking at the same cervix.

What HPV is

A common infection, an uncommon outcome

Human papillomavirus is a family of over a hundred viruses, spread by skin-to-skin genital contact. Most infections are transient and clear without ever causing a symptom. A minority persist, and it is persistence with a high-risk type — HPV 16 and 18 above all — that can slowly change the cells of the cervix. That change takes years, which is the entire reason screening works: there is a long window in which a pre-cancerous change can be found and treated before it becomes cancer.

Cervical cancer is the second most common cancer among women in India. The Ministry of Health cites more than 1.2 lakh new cases and close to 80,000 deaths a year from the WHO GLOBOCAN 2022 estimates. Set against that, NFHS-5 found that 1.9% of Indian women aged 30 to 49 had ever been screened for it. Almost the entire burden falls on women who were never vaccinated and never screened.

Vaccination and screening are two separate defences against the same disease, working at different points in the same process. Doing one does not excuse you from the other.

Honest limits

What the vaccine does, and what it does not

It does

  • Prevent infection with the HPV types it covers, when given before exposure
  • Reduce the pre-cancerous cervical changes those types cause
  • Protect against genital warts, in the case of the quadrivalent and nine-valent vaccines
  • Work most effectively when given before any sexual contact, which is why the national programme targets 14
  • Have a long safety record, with hundreds of millions of doses given worldwide since 2006

It does not

  • Treat or clear an HPV infection you already have
  • Cover every cancer-causing HPV type
  • Remove the need for cervical screening, at any age
  • Guarantee that you will never develop cervical cancer
  • Protect against other sexually transmitted infections
  • Get given during pregnancy — the course is postponed, not abandoned
The claim we will not make. No vaccine and no screening test guarantees that you will not develop cervical cancer. What the combination of vaccination and regular screening does is make it far less likely, and make it far more likely that anything that does develop is found while it is still easy to treat. Any clinic that phrases this as a guarantee is overselling it.
What happens

A vaccination appointment at Mayflower Clinic

  1. Message or call before you comeTell us the patient’s age and any previous HPV doses. Age at the first dose decides whether the course is two doses or three, and it decides the cost, so we would rather know before you travel.
  2. Consultation with Dr. KundaShe takes the history herself: age, any previous HPV vaccination, pregnancy status, allergies including yeast allergy, current illness, and for adult women, screening history. This is where the question of whether vaccination or screening is the higher priority actually gets answered.
  3. Choosing the vaccine and the scheduleWhich vaccine, how many doses, and on what dates. All dose dates are written down at this visit rather than left to be arranged later, because an unfinished course is the commonest failure we see.
  4. The injectionInto the upper arm. It takes a moment. We ask you to sit for about fifteen minutes afterwards, as fainting occasionally happens in adolescents shortly after any injection.
  5. Aftercare and the next doseA sore arm for a day or two is normal. You leave with the dates for the remaining doses. If a dose is delayed, the course is continued from where it stopped — it does not need restarting.
  6. Screening entered into the planFor adult women, we set out when your cervical screening is due and put it in the record, so vaccination does not become the reason screening is forgotten.

Vaccination is one step, not the whole of cervical care

Prevention, screening and diagnosis are three different jobs, and on this site they are three different pages because they are three different decisions. What links them here is that the same clinician does all three. Dr. Kunda Shahane is a gynaecologist — MBBS, MS (Obs & Gynae) — with 20+ years in medicine and 14+ years in fetal medicine. She takes the history, gives the vaccine, takes the smear, performs the colposcopy if the smear is abnormal, and plans what happens next. There is no handover between a technician and a reporting doctor, and no waiting to find out who will explain the result to you.

Cervical screening and Pap smear · Colposcopy for an abnormal smear · About Dr. Kunda Shahane · All women’s health services

What it costs

If the patient has completed 14 years and not yet 15, the answer is nothing — take the free dose at a government facility. For everyone else, the cost depends on which vaccine is used and whether the course is two doses or three, and vaccine prices in India differ several-fold between brands.

We quote current pricing on WhatsApp rather than publishing a figure that goes out of date. Message +91 8087471244 with the patient’s age and we will reply with the cost per dose and the total for the full course, including the consultation.

Questions patients ask

HPV vaccination — frequently asked questions

Is the HPV vaccine really free for my daughter?
If she has completed 14 years and has not yet completed 15, yes. Under the national HPV vaccination programme launched on 28 February 2026, a single dose of Gardasil-4 is given free of cost at government health facilities — Ayushman Arogya Mandirs, primary and community health centres, sub-district and district hospitals, and government medical college hospitals. You can pre-register on the U-WIN platform or walk in. Parental or guardian consent is mandatory and is recorded on U-WIN. If she is in that age band, take the free dose. There is no clinical reason to pay for it privately.
My daughter is 16. Has she missed her chance?
No. She is outside the government programme's age band, which covers only girls who have completed 14 but not 15 years, but HPV vaccines remain licensed and available privately in India for girls and women from 9 years onwards. What changes is the number of doses: a first dose given at 9 to 14 years needs two doses six months apart, while a first dose given at 15 or older needs three doses over six months. Starting later costs more and takes longer, but the vaccine still works.
I am 34 and married. Is there any point vaccinating me now?
There can be, and it is a conversation rather than a yes or no. HPV vaccines are preventive, not therapeutic — they do not clear an infection you already carry. Most adults have been exposed to some HPV types but very few have been exposed to all the types a vaccine covers, so there is usually some residual benefit. The benefit is smaller than it would have been at 14, and the honest position is that regular cervical screening matters far more for you at this age than vaccination does. Dr. Kunda will tell you which of the two is the better use of your money in your particular situation.
Does the vaccine mean I can stop having Pap smears?
No, and this is the most important sentence on this page. No HPV vaccine covers every cancer-causing HPV type, and a vaccine given after exposure cannot undo an infection already present. Screening stays on the same schedule whether you are vaccinated or not. Women who assume vaccination replaces screening are the group most likely to present late.
Which HPV vaccine should we choose?
There is no single answer, which is why we do not publish one. Cervavac and Gardasil-4 are quadrivalent — they cover HPV 6, 11, 16 and 18. Gardasil-9 adds five more high-risk types and costs considerably more per dose. The government programme uses single-dose Gardasil-4. Which one is sensible for you depends on age, budget, how many doses you will need and what is in stock. Bring the question to the consultation rather than deciding from a price list.
Will you vaccinate my son?
Dr. Kunda works in gynaecology and her patients are women. She sees a man only as the partner of a woman already under her care, and only for treatment that forms part of that treatment plan — vaccinating a boy is not that, so he needs to see a paediatrician or a physician instead. HPV vaccines are licensed for boys and men in India and there are good reasons to consider vaccination for them, but this is not the right clinic for it and we would rather say so than take the appointment.
I have already had an abnormal Pap smear. Is vaccination still relevant?
It can be, but the order of priority changes. An abnormal result needs to be investigated and followed up first — usually with colposcopy and, where indicated, a biopsy. Vaccination after treatment for a pre-cancerous cervical lesion is a recognised option because it may reduce the chance of a further lesion, but it is an addition to follow-up, never a substitute for it. Dr. Kunda performs the colposcopy herself and manages the follow-up, so both decisions are made by the same clinician.
Does the vaccine affect fertility or a future pregnancy?
There is no evidence that HPV vaccination harms fertility. Vaccination is not recommended during pregnancy, simply because it has not been studied in pregnant women, so if you are pregnant the course is postponed until after delivery. Breastfeeding is not a reason to delay. If you become pregnant part-way through a course, the remaining doses are given after the baby is born and the series does not need to be restarted.
What are the side effects?
Most people get a sore, red or slightly swollen arm for a day or two. Mild fever, headache or tiredness are common and settle on their own. Fainting shortly after the injection happens occasionally in adolescents, which is why we ask you to sit for about fifteen minutes afterwards. Serious allergic reactions are rare. The national programme defers vaccination for anyone with a moderate or severe illness until they recover, for anyone with a history of a severe allergic reaction to a previous vaccine, and for anyone with a known yeast allergy.
Will I be seen by a female doctor?
Yes. Dr. Kunda Shahane is a woman and she carries out the consultation, the examination, the Pap smear and the colposcopy herself. Nothing about a cervical health appointment here is delegated to a male clinician.
What does HPV vaccination cost at your clinic?
The cost depends on which vaccine is used and whether you need two doses or three, which in turn depends on your age at the first dose. Because prices move and stock varies, we quote current pricing on WhatsApp rather than publishing a figure that goes stale. Message +91 8087471244 with the patient's age and we will send the current cost per dose and the total for the full course. If the patient is 14, we will tell you to get it free at a government facility instead.
How soon can I be seen?
The clinic runs Monday to Saturday, 10:00 AM to 6:00 PM, and is closed on Sunday. Vaccination appointments are usually available within a few days. Call +91 712 6692706 or message +91 8087471244 to book.
In Dr. Kunda’s words
Even if your daughter is 16 and missed the free government program, it is absolutely not too late. We can still give the HPV vaccine now. It is incredibly important for preventing cancer. Yes, there is a cost involved, but for her future safety, taking this decision now is highly beneficial.
Dr. Kunda Shahane MBBS · MS (Obs & Gynae) · FIFM · FMF (London)
Sources for the figures on this page
  1. Press Information Bureau, Ministry of Health and Family Welfare. "Prime Minister Launches Nationwide HPV Vaccination Drive for 14-Year-Old Girls," 28 February 2026 — programme age band, single-dose Gardasil-4 schedule, session sites, U-WIN registration, consent requirement, deferral criteria, and the GLOBOCAN 2022 burden figures quoted above. View source
  2. Indian Academy of Pediatrics, HPV Vaccine information sheet — two-dose schedule for a first dose at 9 to 14 years, three-dose schedule for a first dose at 15 years or older. View source
  3. Serum Institute of India, CERVAVAC prescribing information — licensed age range and dose intervals. View source
  4. National Family Health Survey (NFHS-5), 2019–21, analysed in the Journal of Family Medicine and Primary Care — 1.9% of Indian women aged 30 to 49 have ever been screened for cervical cancer. View source

Written and medically reviewed by Dr. Kunda Shahane, MBBS, MS (Obs & Gynae), FIFM, FMF (London) · Last reviewed: 1 September 2026

Related

Other women’s health services in Nagpur

Book an HPV vaccination consultation

Tell us the patient’s age and we will tell you honestly whether the free national programme covers her, or what a private course would involve. Mayflower Clinic, Surdham Complex, Behind Silver Palace Building, 2nd Lane from Panchsheel Square, Opp. Yashwant Stadium, Dhantoli, Nagpur – 440012.

Monday–Saturday, 10:00 AM – 6:00 PM · Sunday closed

Medical Disclaimer: This page is for general patient education only and does not constitute medical advice, diagnosis, or treatment. Please consult Dr. Kunda Shahane or your treating gynaecologist for advice specific to your situation.