Fri Jul 30 16:28:04 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.

Morning-After Pill Singapore Clinic
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Summary

Morning-After Pill 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

Morning-after ---- use varies widely overseas
Thu, 15 Jul 2010 19:30:59 +0100 | Reuters: Health
NEW YORK (Reuters Health) - In 11 European countries where the morning-after ---- is widely available, its use by sexually active 15-year-olds varies widely, with the highest use among the French, researchers report. (Source: Reuters: Health)

Morning after ---- treats fibroids
Fri, 02 Jul 2010 06:13:39 +0100 | Nursing in Practice
Women suffering from the pain of fibroids could be helped by an experimental morning after ----, research has found (Source: Nursing in Practice)

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)

Drug May Shrink Fibroids, Preserve Fertility
Thu, 01 Jul 2010 19:00:00 +0100 | The Doctors Lounge - Health News
'Morning after' ---- shows early promise as treatment for non-cancerous uterine tumors, study says (Source: The Doctors Lounge - Health News)

Drug May Shrink Fibroids, Preserve Fertility
Thu, 01 Jul 2010 18:00:00 +0100 | MedlinePlus Health News
'Morning after' ---- shows early promise as treatment for non-cancerous uterine tumors, study says Source: HealthDay Related MedlinePlus Pages: Infertility, Medicines, Uterine Fibroids (Source: MedlinePlus Health News)

'Morning after' ---- offers hope to millions of fibriods sufferers
Wed, 30 Jun 2010 23:37:05 +0100 | Scotsman.com News - Health
AN experimental "morning after" ---- could free millions of women in the UK from the misery of fibroids, new research suggests. (Source: Scotsman.com News - Health)

Morning-after ---- could save women with fibroids from pain and infertility
Wed, 30 Jun 2010 14:19:50 +0100 | the Mail online | Health
The benign growths in and around the womb affect one in four women at some point in their lives. Symptoms range from heavy periods, anaemia, bloating and constipation to infertility and miscarriages. (Source: the Mail online | Health)

Advisory Panel Recommends FDA Approve New "Morning After" ----
Mon, 21 Jun 2010 12:00:00 +0100 | Health News from Medical News Today
The New York Times: A Food and Drug Administration advisory panel Thursday recommended that the agency approve "a medicine that could help prevent pregnancy if taken as late as five days after unprotected sex. The ----, called ella, sprang from government labs and appears to be more effective than Plan B, a morning-after ---- now available over the counter to women 18 and older that gradually loses efficacy after intercourse and can be taken at latest three days after sex. Ella, by contrast, works just as well on the fifth day as the first after sex... (Source: Health News from Medical News Today)

Washington Week: Senate Passes SGR Fix; FDA Panel Backs One Drug, Nixes Another
Sat, 19 Jun 2010 23:23:32 +0100 | MedPage Today Public Health
WASHINGTON (MedPage Today) -- The U.S. Senate voted to delay a steep pay cut for doctors, but not before CMS began processing claims at the lower rate, an FDA panel approved a new morning-after ---- and voted against "female ------", and the agency fined the Red Cross for blood safety violations. (Source: MedPage Today Public Health)