Morning-After Pill | Shim Clinic, Singapore | HIV STD TESTING TREATMENT™

Shim Clinic
- Services
- Contact
Travel Health
Procedures
Conditions
- Acne
- Overweight
- Obesity
- Pigmentation
- Andrology
- Men's Health
- STD
  - Bacterial
  - Protozoal
    - Trichomoniasis
  - Fungal
    - Candidiasis
  - Viral
- UTI
Drugs & products
- Contraception
- Vaccine
  - HPV Vaccine

Summary

Morning-After Pill | Shim Clinic, Singapore | HIV STD TESTING TREATMENT™: Emergency contraceptive pill (ECP) / morning-after pill / day-after pill clinic, Singapore. Private and confidential service. Definitions, references, and latest news.

Description

Levonorgestrel 0.75mg/tablet x 2 tablets, taken 12 hours apart. - effective up to 3 days (72 hours) after sex.

Postinor®-2
Estinor®
NorLevo®
Plan B® (Not available in Singapore)

Levonorgestrel 1.5mg/tablet x 1 tablet. - effective up to 3 days (72 hours) after sex.

Postinor®-1 (Not available in Singapore)
Plan B One-Step® (Not available in Singapore)

Ulipristal 30mg/tab x 1 tab - effective up to 5 days (120 hours) after sex.

ella® (SG/US) / ellaOne® (EU)

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

What You Should Know About Emergency Contraception

Emergency contraception (EC) is useful in situations of contraceptive failure:

Condom failure results in Unprotected sex:
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"

Sexual risk (of HIV/STD/pregnancy), and what you can do before and after exposure.

Timeline	Event / Available resources
Timeline	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	Contraception (females only)
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

Latest News

Contents
Wed, 15 May 2013 15:10:43 +0100 | Contraception
(Source: Contraception)

Editorial Board
Wed, 15 May 2013 15:10:43 +0100 | Contraception
(Source: Contraception)

Thanks to reviewers
Wed, 01 May 2013 04:00:00 +0100 | Contraception
(Source: Contraception)

Contents
Tue, 23 Apr 2013 02:11:33 +0100 | Contraception
(Source: Contraception)

Editorial Board
Tue, 23 Apr 2013 02:11:33 +0100 | Contraception
(Source: Contraception)

The importance of pharmacokinetic studies in drug development
Mon, 22 Apr 2013 04:00:00 +0100 | Contraception
The current issue of Contraception has five articles related to the absorption, serum and tissue levels, metabolism and bioequivalence of contraceptive hormones. Stanczyk et al. present a review article on the pharmacokinetics and pharmacodynamics of ethinyl estradiol and estradiol. The introduction of estradiol in a new combination oral contraceptive (COC) required an evaluation of the similarities and differences between them. There are differences in pharmacokinetics of a transdermal patch containing ethinyl estradiol (EE) and levonorgestrel when applied at three different sites — buttock, lower abdomen and upper torso. Despite these differences, the delivery of the hormones maintains clinical efficacy (Stanczyk et al.). The duration of effect after discontinuation of contraceptive ho...

Contents
Mon, 01 Apr 2013 04:00:00 +0100 | Contraception
(Source: Contraception)

Editorial Board
Mon, 01 Apr 2013 04:00:00 +0100 | Contraception
(Source: Contraception)

Social marketing of emergency contraception: Are we missing a valuable opportunity?
Wed, 20 Mar 2013 04:00:00 +0100 | Contraception
Globally, unmet need for family planning remains high, and in developed and developing countries alike, women and men face challenges accessing both accurate information about contraception and contraceptive supplies. Contraceptive social marketing programs offer creative, effective and successful strategies to provide reproductive health (RH) products and services around the world, particularly in developing countries. Yet, the peer-reviewed literature contains few evaluations of social marketing of contraceptives, and few evaluations of social marketing programs focused on emergency contraception (EC) exist. (Source: Contraception)

Evidence-based medicine in action: the United States Selected Practice Recommendations for Contraceptive Use
Thu, 28 Feb 2013 05:00:00 +0100 | Contraception
Three cheers for the Centers for Disease Control and Prevention (CDC)! As the nation's premier agency for health promotion and disease prevention, CDC has done it again. Long known for its Morbidity and Mortality Weekly Report guidelines on such topics as STD treatment, antitobacco policy and injury prevention, it has ventured into the increasingly complex clinical world (to say nothing of its political implications) of modern contraceptive methods. (Source: Contraception)

ABOUT TRUST ONLINE