Thu Mar 11 09:47:08 SGT 2010  
    SHIM CLINIC
168 Bedok South Avenue 3 #01-473
Singapore 460168
Tel: 6446 7446 (6446 SHIM)
Fax: 6449 7446 (6449 SHIM) 		Opening Hours
Monday to Friday:
8 am to 1 pm, 2 pm to 4 pm, 7 pm to 11 pm
Saturday, Sunday & Public Holidays:
7 pm to 11 pm
Walk-in clinic. Appointments not required.

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 Risk 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

PAKISTAN: Emergency Contraception More Popular, But Myths Abound
Tue, 02 Mar 2010 16:47:51 +0100 | IPS Inter Press Service - Health
KARACHI, Pakistan, Mar 2 (IPS) - The first time he and his wife had an ‘accident’, 40-year-old Kamran Rehman worried that they may have inadvertently paved the way for child number three. A chemist he consulted, however, recommended that his wife try the emergency contraceptive ---- (ECP). (Source: IPS Inter Press Service - Health)

Women's Health Free Clinic Project: Expanding Access and Education Request for Proposals
Tue, 02 Mar 2010 00:00:00 +0100 | ScanGrants feed
The Reproductive Health Access Project is seeking proposals from medical student-run free clinics to establish or expand their scope of reproductive health care services provided. Up to five grants of $5,000 will be awarded. Technical assistance and mentorship will also be provided. Some examples of the types of programs we are interested in supporting include: * Initiation of reproductive health exams or pregnancy testing services * Initiating IUD placement procedures or medication abortions * Purchase of contraception; provision of emergency contraception * Expansion of clinical education on family planning and reproductive health for medical studentsApplicants must be student-run health centers that provide services at no cost to the patient. To be eligible for this grant, applican...

New York Times Editorial Praises DOD Decision To Stock Emergency Contraception At Military Facilities
Wed, 17 Feb 2010 10:00:00 +0100 | Health News from Medical News Today
The Department of Defense's decision to stock emergency contraception at military facilities worldwide "marked welcome, if overdue, progress in meeting the needs of women serving the United States in the military," a New York Times editorial states. The move came after the Pentagon's Pharmacy and Therapeutics Committee voted in November 2009 to include EC on the list of mandatory drugs for military facilities... (Source: Health News from Medical News Today)

New York Times Editorial Praises DOD Decision To Stock Emergency Contraception At Military Facilities
Wed, 17 Feb 2010 10:00:00 +0100 | Women's Health / OBGYN News From Medical News Today
The Department of Defense's decision to stock emergency contraception at military facilities worldwide "marked welcome, if overdue, progress in meeting the needs of women serving the United States in the military," a New York Times editorial states... (Source: Women's Health / OBGYN News From Medical News Today)

New Drug Effective for Emergency Contraception
Mon, 15 Feb 2010 00:00:00 +0100 | Family Practice News
Major Finding: The risk of pregnancy was 0.9% with ulipristal vs. 2.5% with levonorgestrel when women presented within 24 hours after unprotected intercourse. (Source: Family Practice News)

Ulipristal Acetate Effective for Contraception up to 120 Hours After Intercourse
Fri, 12 Feb 2010 18:14:12 +0100 | Medscape Medical News Headlines
Ulipristal acetate is effective for emergency contraception when taken as late as 120 hours after intercourse, according to a report in the February issue of Obstetrics & Gynecology. Reuters Health Information (Source: Medscape Medical News Headlines)

[Comment] Towards more effective emergency contraception?
Fri, 12 Feb 2010 00:00:00 +0100 | LANCET
In The Lancet today, Anna Glasier and colleagues report a randomised single-blind non-inferiority multicentre trial involving an analysis of nearly 2000 women who requested emergency contraception within 5 days of unprotected sexual intercourse. The investigators compared the efficacy and side-effects of levonorgestrel, the widely marketed emergency contraceptive, and ulipristal acetate, a selective progesterone-receptor modulator, recently licensed for emergency contraception in Europe. Both treatments decreased the pregnancy rate: from an expected 5·5% to 1·8% in the ulipristal group and from 5·4% to 2·6% in the levonorgestrel group. High effectiveness is an important requirement for an ideal emergency contraceptive and research to improve its efficacy is most welcome. (Source: LANCE...

[Articles] Ulipristal acetate versus levonorgestrel for emergency contraception: a randomised non-inferiority trial and meta-analysis
Fri, 12 Feb 2010 00:00:00 +0100 | LANCET
Emergency contraception can prevent unintended pregnancies, but current methods are only effective if used as soon as possible after sexual intercourse and before ovulation. We compared the efficacy and safety of ulipristal acetate with levonorgestrel for emergency contraception. (Source: LANCET)

Unplanned pregnancies affect as many women in forties as teenagers
Tue, 09 Feb 2010 00:00:00 +0100 | OnMedica Latest News
Abortion rates for 40 to 44-year-olds and under 16s are the sameRelated items from OnMedicaGP concerns over plan to make ---- available without a prescriptionLong acting contraception. Where are we now? Pre-conception lifestyle advice is largely ignoredBiological clock predictor could help mothers-to-beEffective alternative for emergency contraception (Source: OnMedica Latest News)