Fri Mar 12 04:06:31 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.

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 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

Dr. Mallika's Files: The Morning After ----
Mon, 15 Feb 2010 15:04:10 +0100 | WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire
Each week Dr. Mallika Marshall shares true stories from a local urgent care clinic, exclusively on wbztv.com. This week, a woman comes into the clinic requesting the "morning after ----" (Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire)

Five-day ---- gets all-clear
Tue, 09 Feb 2010 00:00:00 +0100 | Scotsman.com News - Health
A NEW morning-after ---- that can be used up to five days after sex has been approved for use on the NHS in Scotland. (Source: Scotsman.com News - Health)

DOD To Investigate Mental Health Care At Camp Lejeune, Also Will Stock Morning-After ----
Mon, 08 Feb 2010 08:00:00 +0100 | Health News from Medical News Today
The Associated Press reports that, according to Rep. Walter Jones, R-N.C., "The Defense Department will investigate complaints of substandard mental health care for Marines at Camp Lejeune. ... Public questions about the quality of mental health care provided by a private contractor at the base were raised last year by the September firing of Dr. Kernan Manion, a brain trauma specialist who had complained to commanders about poor facilities, inadequate care programs and weak security. ... (Source: Health News from Medical News Today)

DOD To Investigate Mental Health Care At Camp Lejeune, Also Will Stock Morning-After ----
Mon, 08 Feb 2010 08:00:00 +0100 | Women's Health / OBGYN News From Medical News Today
The Associated Press reports that, according to Rep. Walter Jones, R-N.C., "The Defense Department will investigate complaints of substandard mental health care for Marines at Camp Lejeune. ... Public questions about the quality of mental health care provided by a private contractor at the base were raised last year by the September firing of Dr... (Source: Women's Health / OBGYN News From Medical News Today)

Military increases availability of morning-after ----
Fri, 05 Feb 2010 22:13:08 +0100 | CNN.com - Health
All U.S. military health facilities around the world will now carry the emergency contraception ---- known as Plan B One-Step, according to a new Department of Defense policy. (Source: CNN.com - Health)

Pentagon to stock health facilities with morning-after ----
Fri, 05 Feb 2010 14:12:56 +0100 | washingtonpost.com - Health
The Department of Defense will begin making the morning-after ---- Plan B available at all of its hospitals and health clinics around the world, officials announced Thursday. (Source: washingtonpost.com - Health)

Pentagon to stock health facilities with morning-after ----
Fri, 05 Feb 2010 05:00:00 +0100 | Wash Post Health
The Department of Defense will begin making the morning-after ---- Plan B available at all of its hospitals and health clinics around the world, officials announced Thursday. (Source: Wash Post Health)

Chemist customers face a grilling the morning after, about the night before
Sat, 30 Jan 2010 00:00:00 +0100 | Scotsman.com News - Health
PHARMACY customers seeking hangover cures or the morning-after ---- are to be questioned about their drinking habits and offered help with alcohol problems. (Source: Scotsman.com News - Health)

New morning-after ---- trialled
Fri, 29 Jan 2010 18:01:00 +0100 | NHS News Feed
Conclusion This study shows that ulipristal acetate is as least as effective as levonorgestral as an emergency contraception ---- when taken within 72 hours of unprotected intercourse. The researchers combined their data with data from a previous study to test whether ulipristal acetate was more effective than levonorgestral when taken up to 120 hours after unprotected sex and found there were fewer pregnancies in the ulipristal acetate group. The study has some limitations, some of which the researchers highlight: This study was conducted at family planning centres. However, emergency contraception is available at pharmacists without prescription. The study also excluded women taking the contraceptive ---- and emergency contraception is frequently used by women who have missed taking a...