Fri May 24 00:06:57 SGT 2013  
SHIM CLINIC
HIV STD TESTING TREATMENT™
168 Bedok South Avenue 3 #01-473
Singapore 460168
Tel: (+65) 6100 7446
Fax: (+65) 6449 7446
24hr Answering Tel: (+65) 6333 5550
Web: www.ShimClinic.com 		Opening Hours
Monday to Friday: 9 am to 3 pm, 7 pm to 11 pm
Saturday & Sunday: 7 pm to 11 pm
Public Holidays: Closed
Last registration: half hour before closing time.
Walk-in clinic. Appointments not required.
Bring NRIC, Work Pass or Passport for registration.

Within 3 days after unprotected sex, stop HIV infection with Post-Exposure Prophylaxis treatment 10 days after unprotected sex, detect HIV infection with the DNA test 28 days after unprotected sex, accurately detect HIV infection with the 20 minute rapid test
Full & comprehensive sexually transmitted disease testing
Males: do not urinate for at least 4 hours before arriving
Females: testing is more accurate when you are not menstruating

Contraception | Shim Clinic, Singapore | HIV STD TESTING TREATMENT™

Summary

Contraception | Shim Clinic, Singapore | HIV STD TESTING TREATMENT™: contraception with contraceptives for women clinic, Singapore. Private and confidential service. Definitions, references, and latest news.

Description

Birth control methods available are mostly for females, and they include:

Contraception in common usage is used to mean both contraception and contragestion.

Oral Contraceptive (OC) / Contraceptive Pill / Birth Control Pill

Contraceptiveestrogenprogestogen#colourAdditional
indication
Diane-35® Ethinylestradiol 0.035 mg Cyproterone acetate 2 mg 21 Acne,
Androgenetic alopecia,
Hirsutism
Microgynon® 30 Ethinylestradiol 0.03 mg Levonorgestrel 0.15 mg 21
Yasmin® Ethinylestradiol 0.03 mg Drospirenone 3 mg 21
inert 7
Yaz® Ethinylestradiol 0.02 mg Drospirenone 3 mg 24 Acne,
Premenstrual
dysphoric
disorder (PMDD)
inert 4
Mercilon® Ethinylestradiol 0.02 mg Desogestrel 0.15 mg 21
Qlaira® estradiol valerate 3mg 2 dark yellow Heavy
menstrual
bleeding (HMB)
estradiol valerate 2mg dienogest 2mg 5 medium red
estradiol valerate 2mg dienogest 3mg 17 light yellow
estradiol valerate 1mg 2 dark red
inert 2 white

Contraceptive injection Depo-Provera® is a progestogen-only, depot medroxyprogesterone acetate (DMPA) long acting injectable contraceptive. One dose is given once every three months. (Four times a year)

Transdermal Contraceptive patch Evra® is an innovative method of drug delivery for those who prefer not to take oral contraceptives.

  • On the first day of menstruation, the first patch is applied.
  • At the end of the first week, the first patch is replaced by the second patch.
  • At the end of the second week, the second patch is replaced by the third patch.
  • At the end of the third week, the third patch is removed, and is followed by one patch free week.
  • The cycle is repeated with the onset of menstruation.

Intra-vaginal contraceptive ring, NuvaRing® is a very convenient method of contraception for those who prefer not to take oral contraceptives.

  • On the first day of menstruation, the ring is inserted into place at the top of the vagina, around the cervix.
  • After 21 days, the ring is removed and disposed off.
  • The cycle is repeated with the onset of menstruation.
Emergency contraception (EC) is useful in situations of contraceptive failure:

Emergency contraceptive pill / Morning-after pill / Day-after pill

Advice / points to note about taking emergency contraceptives:

  • The emergency contraceptive is more effective the sooner it is taken after sex.
    • Within 24 hours, it prevents 95% of pregnancies.
    • Between 24-48 hours, it prevents 85% of pregnancies.
    • Between 48-72 hours, it prevents 58% of pregnancies.
    • Up to 5 days after intercourse, it has progressively decreasing effectiveness.
  • It is recommended that it should not be used more than twice in a month.
  • Other methods of regular contraception are usually recommended: condom, oral contraceptive (OC), and contraceptive patch.
  • It may cause a temporary disruption in the rhythm of the regular menstrual cycle. But if the next menstrual cycle does not come, then a pregnancy test should be done.
  • In a few people, it may cause some of the following side effects:
    • Headache
    • Dysmenorrhoea
    • Nausea
Important points to note:
  • The morning-after / day-after emergency contraceptive is not available over the counter.
  • It is available only by prescription, after seeing a doctor.
  • Boyfriends cannot consult with the doctor on behalf of his girlfriend.
  • The girl herself must register to see the doctor.
  • The girl must be 16 years of age or older when the sex occurred.
  • Do not ask if we know of other clinics providing this medication. We are not a directory service.
  • It is in stock at this clinic, NOW!
References Sexual risk (of HIV/STD/pregnancy), and what you can do before and after exposure.

Timeline Event / Available resources
HIV STD Pregnancy
Before exposure
Abstain from sex, Be faithful, or Condom use
Circumcision (males only)
 Contraception
(females only)
HIV PrEP (pre-exposure prophylaxis) STD vaccine:
- Hepatitis vaccine
- HPV vaccine
STD / HIV exposure
Unsafe sex / unprotected sex:
No condom / Condom broke / Condom slip
0-72 hours HIV prevention
HIV PEP (post-exposure prophylaxis) treatment
- Stop HIV infection after exposure.		 STD testing
If STD symptoms appear, then do STD treatment.
- Males: Do not urinate for at least 4 hours before arriving.
- Females: testing is more accurate when you are not menstruating. 		Emergency contraception
(females only)
2 weeks HIV DNA PCR test
1 month 20 minute Alere™ Determine™ Combo HIV rapid test:
- Fingerprick blood sampling.
- Cost is SG$180/=
3 months 20 minute OraQuick® HIV rapid test:
- Oral saliva or
- Fingerprick blood sampling.
- Cost is SG$60/= 		Full & comprehensive STD testing
- Males: Do not urinate for at least 4 hours before arriving.
- Females: testing is more accurate when you are not menstruating.

Note: If the clinic attendance is only for the HIV rapid test, then consultation fees are not added.

References

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