Fri Jul 30 16:31:34 SGT 2010  
    SHIM CLINIC
168 Bedok South Avenue 3 #01-473
Singapore 460168
Tel: (+65) 6446 7446
Fax: (+65) 6449 7446
24hr Answering Tel: (+65) 6333 5550
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
Walk-in clinic. Appointments not required.
Bring NRIC, Visit Pass or Passport for registration.

Emergency Contraception Singapore Clinic

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Summary

Emergency Contraception Singapore Clinic: Emergency contraception (EC) clinic, Singapore. Emergency oral / morning-after / day-after contraceptive - Private, and confidential services. Definitions, references, latest news.

Description

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.
Do not ask if we know of other clinics providing this medication. We are not a directory service.
It is in stock at Shim Clinic, NOW!

Situations where emergency contraception (EC) would be useful:

  • Unprotected sex:
    • "Condom broke"
    • "Condom slipped off"
    • "Didn't use a condom"
    • "Forgot to use a condom"
  • Other contraceptive failure
    • "Forgot to take contraceptive"
    • "Tried the pull-out method, but not sure if he pulled out in time"
    • "Tried the rhythm method, but worried that it is not reliable"
The emergency oral contraceptive / morning-after contraceptive usually consists of two tablets, each containing levonorgestrel 0.75mg. They are available under various brand names in Singapore:
  • Postinor-2®
  • Estinor®
  • Norlevo®

Emergency contraceptives found in other countries:

  • Plan B® - levonorgestrel 0.75mg/tab x 2 tabs
  • Plan B® One-Step levonorgestrel 1.5mg/tab x 1 tab - single tablet, single dose
Advice / points to note about taking emergency contraceptives:
  • One tablet should be ingested within 72 hours (3 days) following intercourse and another one 12 hours after taking the first tablet.
  • 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 regular methods of contraception that may be considered are the use of condoms, combined oral contraceptives (COCs), and patch contraceptives.
  • 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 some people, it may cause some nausea, therefore an antiemetic may be taken with the medication.
Sexual Health Risks in emergency situations 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.
Do not ask if we know of other clinics providing this medication. We are not a directory service.
It is in stock at Shim Clinic, NOW!

References


Latest News

Emergency contraception knowledge and likelihood of use by women with recent poor perinatal outcomes
Sat, 24 Jul 2010 06:19:35 +0100 | Contraception
To determine knowledge and predictors of emergency contraceptive use among women who experienced recent poor perinatal outcomes. Baseline survey data from the Chicago Healthy Births for Healthy Communities Interconceptional Care Project were used to describe and measure the relationship between demographic characteristics, behavioral characteristics, reproductive history, and reproductive knowledge and the likelihood of the use of Plan B, emergency contraception. Study participants included women from two low-income Chicago communities who had recently experienced a birth identified as high-risk (low birth weight, prematurity, fetal loss). Both bivariate and multivariable analyses were conducted; multivariable models were adjusted for age, education, income and insurance status. (Source: ...

Using qualitative methods to explore EC Users willingness to accept the copper IUD
Sat, 24 Jul 2010 06:19:34 +0100 | Contraception
In this study, qualitative research methods were employed to develop a deeper and nuanced understanding about how individuals perceive EC use and why they would consider the copper IUD as a method of EC. (Source: Contraception)

Policy maker and provider knowledge and attitudes regarding the provision of emergency contraceptive ----- within Lao PDR
Mon, 19 Jul 2010 23:00:00 +0100 | BMC Health Services Research
Conclusions: There is a need to train health providers and policy makers on emergency contraception and improve their knowledge about ECP, especially regarding the correct timing of use and the availability of methods. In addition, the general public must be informed of the attributes, side effects, and availability of ECP, and policy makers must facilitate the approval of ECP by the Lao Food and Drug Administration. These interventions could lead to increased access to and demand for ECP. (Source: BMC Health Services Research)

First Steps Toward Successful Communication About Sexual Health Between Adolescents and Parents in Mexico
Mon, 19 Jul 2010 15:02:17 +0100 | Qualitative Health Research
In this article reporting on our qualitative study, we describe changes in parent—adolescent sexual health communication following an intervention for parents of 10th graders in Mexico. The intervention was aimed to sensitize and develop skills for appropriate parent—child communication about the prevention of sexually transmitted infections (STIs), unplanned pregnancy, and birth control, and focused on encouraging condom use with emergency contraception backup. We conducted 66 in-depth interviews with adolescents and parents after the intervention. Following the principals of grounded theory, we carried out inductive analysis to create codes and organize central themes. Our findings identify previously undefined critical steps or movements important for parent—child comm...

Wash. State Pharmacy Board Backs Pharmacists Who Refuse To Dispense Emergency Contraception
Mon, 19 Jul 2010 09:00:00 +0100 | Health News from Medical News Today
Reversing a 2007 decision that barred pharmacists from refusing to dispense a legal drug due to moral or religious objections, the Washington State Board of Pharmacy said it will allow pharmacists to refuse to dispense emergency contraception or other drugs for such reasons, as long as they refer patients to a pharmacy where the drugs are available, the Olympian reports. A lawsuit challenging the 2007 decision was scheduled to go to trial beginning July 26, but a judge postponed it indefinitely on Monday at the request of lawyers representing both sides... (Source: Health News from Medical News Today)

Primary healthcare workers in Bukonzo county, Uganda are aware of emergency contraception (EC), but lack knowledge regarding its use
Thu, 15 Jul 2010 08:11:16 +0100 | PharmacoEconomics and Outcomes News
(Source: PharmacoEconomics and Outcomes News)

Audit on the management of complainants of sexual assault at an emergency department. - Gilles C, Van Loo C, Rozenberg S.
Tue, 13 Jul 2010 07:01:42 +0100 | SafetyLit: All (Unduplicated)
OBJECTIVE: Proper medical management should be offered to rape complainants, including systematic investigation for sexual transmitted diseases, prophylactic antibiotics, a pregnancy test, emergency contraception, and psychological and medical follow up. W... (Source: SafetyLit: All (Unduplicated))

Copper T380A intrauterine device for emergency contraception: a prospective, multicentre, cohort clinical trial
Tue, 06 Jul 2010 23:00:00 +0100 | BJOG: An International Journal of Obstetrics and Gynaecology
Conclusions CuT380A is a safe and effective method for emergency contraception. The advantages of CuT380A include its ability to provide effective, long-term contraception. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)

Emergency Contraception May Reduce Fibroid Size, Bleeding
Fri, 02 Jul 2010 01:55:47 +0100 | Medscape Today Headlines
Unlike surgery, the morning-after ---- can reduce fibroid size and bleeding without affecting fertility. WebMD Health News (Source: Medscape Today Headlines)