Girl Talk With Dr. Amanda Nicols, June 21

Ob/Gyn Amanda Nicols, MD,  will be online Tuesday, June 21, 2011 from 8 to 9 p.m. CST to answer questions about the Human Papillomavirus (HPV) and sexually transmitted disease.

You can go ahead and post questions now, if you would like. Dr. Nicols will respond live on Tuesday.

To ask a question, submit a comment on this page in the “Leave a Reply” box.

Dr. Nicols is a native of Laurel, Mississippi. She attended the University of Southern Mississippi in Hattiesburg. Dr. Nicols received her medical degree from the University of Mississippi Medical Center in Jackson, where she also completed her residency. She is married to Lee Nicols

If you don’t have a physician, professionals at the Baptist Health Line can help you with a physician referral. Call 601-948-6262, or use our online form to request a referral to a physician at Baptist.

Note: The following is a transcript from the original Q&A posted June 21, 2011.

  1. callie says:

    Do you really think pediatricians are promoting and advocating making sure our
    daughters are getting the HPV. It’s just so scary to think about.

  2. Amy says:

    I have a 12 year-old daughter for whom I am considering the Gardisil vaccine, but I have read a lot about the side effects, which has me wondering if the benefits outweigh the risks? What are your recommendations?

  3. Tasha says:

    Are pediatricians making the HPV part of just a routine vaccine? So when you
    take your child at the appropriate time the physician will know it’s time for your
    daughter to get the shot?

  4. Dr. Nicols says:

    I know that Ob-Gyn’s are promoting the HPV vaccine. We see first hand the effects of HPV on women. 80% of women will be exposed to some form of HPV by the age of 55. There are over 100 types of HPV, and over 40 types of genital HPV. The vaccine, Gardasil, protects against 4 types of HPV, types 6, 11, 16, and 18. Types 6 & 11 cause genital warts. Types 16 & 18 are responsible for 70% of cervical cancer in the US.

  5. Dr. Nicols says:

    The HPV vaccine does have side effects, but I believe the benefits outweigh the risks. The most common side effects of Gardasil are redness, swelling and pain at the injection site, as well as nausea, headache, fever, and fainting. The main benefit of the vaccine is a much reduced risk of developing cervical cancer, but a lesser promoted benefit is the prevention of genital warts. I plan to have my daughter vaccinated at the appropriate age, which is between the ages of 9 & 26.

  6. Dr. Nicols says:

    The HPV vaccine is not part of the routine pediatric vaccines; it is not automatically given. Pediatricians are familiar with the vaccine and certainly have it available in their offices, but it has to be requested. The HPV vaccine is recommended for both girls and boys between the ages of 9 & 26. It is a 3 injection series. After the first injection, a second is given 2 months later, and the third and final injection is given 4 months after the second. If your pediatrician has not talked to you about the vaccine, ask him or her at your next visit to discuss it further. I definitely recommend it. We also give it at The Woman’s Clinic.

  7. Leisa says:

    When do I need to go see an ob doctor? How old do I need to be. I am a freshman in college

  8. Kendal says:

    I have to go to the bathroom all of the time. I do drink alot of liquids, but I love coffee, water and sweet tea. Besides stopping those, is there anything I can take or do to prevent me from getting during the night

  9. Suzie says:


  10. jENNIFER says:

    Does this shot hurt? why give this to a a 9 year old – I am confused

  11. Dr. Nicols says:

    I recommend you see an Ob-Gyn at the age of 18 even if you are not having any problems. You should see an Ob-Gyn earlier if you are sexually active or if any problems arise such as irregular cycles, significant cramps, heavy cycles, etc. I think it is important to establish care with an Ob-Gyn early, so if any issues arise, you will have someone to call on.
    I recommend pelvic exams and breast exams at the age of 18. Pap smears should begin by the age of 21. We can help with so many issues including irregular periods, cramps, heavy bleeding, birth contol, vaginal infections, PMS, pelvic pain, and countless other problems. You can contact The Woman’s Clinic by phone at 601-354-0869 or online at for an appointment.

  12. Dr. Nicols says:

    Frequent urination is a very common problem. This symptom can be a sign of a bladder infection, so you may need to have a urinalysis to rule out infection. However, if you drink caffeine frequently, I definitely recommend you reduce that. Also, you can try to limit your liquid intake after supper at night, or after a certain time at night. If these conservative measures fail and there is no infection, there are medications that can help. You can schedule an appointment to find out if you are a candidate.

  13. Dr. Nicols says:

    If you are getting married in a year, I recommend that you get on birth control now or at least 6 months prior. There are many different options available for birth control, and they all have certain side effects. If you go ahead and start now, you will have plenty of time to switch to a different type if you have problems. Because there are so many options now, we can find a method that’s right for you.
    I definitely recommend the HPV vaccine before your become sexually active. The best time to get the HPV vaccine is prior to the onset of sexual activity.

  14. Dr. Nicols says:

    All shots are uncomfortable, and the Gardasil vaccine is no exception. Although the vaccine may be given as early as age 9, it may be given at any age up until the age of 26. The important thing is to get your child vaccinated before the onset of sexual activity.



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