I can understand that rationale, but that just makes it less useful for adults (at least probabilistically). That doesn’t mean adults should be prevented from getting one, just be advised that they likely already have the immunity.

Wait, what? Difficult to find a physician who will give you an HPV vaccine even if you pay for it?

I find that hard to believe. I’d imagine the STIKO recommendations are the German implementation of a national vaccination schedule. That wouldn’t mean they’re in any way against other vaccines, just that those are not deemed vital for population safety.

But I’m just guessing here. Difficulties in getting required vaccines seems completely insane.