Sat Feb 4 23:33:46 SGT 2012  
    SHIM CLINIC
168 Bedok South Avenue 3 #01-473
Singapore 460168
Tel: (+65) 6100 7446 (SHIM)
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.
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Morning-After Pill | Shim Clinic, Singapore
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Summary

Morning-After Pill | Shim Clinic, Singapore: Emergency contraception. (EC) Emergency oral / morning-after / day-after / contraceptive / birth control pill (BCP) clinic, Singapore. Private and confidential service. 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"

Emergency contraceptive formulations

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 a few people, it may cause some of the following side effects:
    • Headache
    • Dysmenorrhoea
    • Nausea
Sexual risk (of STD/HIV/pregnancy), and what you can do before and after exposure.

TimelineEvent / Available resources
Before exposure
STD / HIV exposure Unsafe sex / unprotected sex:
0-72 hours
2 weeks
1 month
  • HIV p24 antigen test
3 months
  • Rapid HIV test will be positive in 97% of infected individuals
    • HIV test cost is SG$60/= (HIV test only)
    • Oral fluid or finger prick blood sampling.
    • Results in 20 minutes.
  • STD testing
6 months
Anytime
  • Full/total/complete STD testing:
    • Men who practice insertive sex SG$497/=
    • Women who practice vaginal sex SG$737/= (includes Digene® HPV DNA & ThinPrep® test)
    • Either sex practicing anal sex SG$697/= (includes Digene® HPV DNA test)
    • Other variations - discuss with the doctor.
    • Hold your urine in your bladder for at least 4 hours.
  • STD treatment when STD symptoms appear.
  • Genital warts treatment/removal/cure

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' ---- May Be New Option to Treat Painful Fibroids
Thu, 02 Feb 2012 00:00:00 +0100 | MedlinePlus Health News
Study found it shrank fibroids, reduced excessive bleeding Source: HealthDay Related MedlinePlus Pages: Birth Control, Uterine Fibroids (Source: MedlinePlus Health News)

Morning-After ---- Does Double Duty (CME/CE)
Wed, 01 Feb 2012 21:00:00 +0100 | MedPage Today OB/GYN
(MedPage Today) -- An emergency contraceptive ---- is also effective at controlling excessive bleeding associated with fibroids, two studies found. (Source: MedPage Today OB/GYN)

Pharmacies Mislead Teens on Morning-After ----
Tue, 20 Dec 2011 23:15:00 +0100 | Scientific American - Official RSS Feed
Women who live in low-income neighborhoods are more likely than their wealthier counterparts to get misinformation about emergency contraception from their local pharmacies, a new study finds. [More] (Source: Scientific American - Official RSS Feed)

Plan B Denial Could Be Challenged by New York SuitPlan B Denial Could Be Challenged by New York Suit
Mon, 19 Dec 2011 20:03:53 +0100 | Medscape Medical News Headlines
After a directive denying girls under 17 over-the-counter access to the morning-after ----, the best legal recourse for reproductive rights advocates may be a dormant six-year-old lawsuit in Brooklyn. Reuters Health Information (Source: Medscape Medical News Headlines)

Girls 17 and Older Often Denied Plan B (CME/CE)
Mon, 19 Dec 2011 17:43:11 +0100 | MedPage Today Primary Care
(MedPage Today) -- Girls who meet the age requirement for over-the-counter access to emergency contraception are often denied the so-called morning after ----, and denials are more common in poor neighborhoods, researchers found. (Source: MedPage Today Primary Care)

Pharmacists Often Deny Plan B to Girls 17 and Older (CME/CE)
Mon, 19 Dec 2011 17:38:31 +0100 | MedPage Today OB/GYN
(MedPage Today) -- Girls who meet the age requirement for over-the-counter access to emergency contraception are often denied the so-called morning after ----, and denials are more common in poor neighborhoods, researchers found. (Source: MedPage Today OB/GYN)

Plan B denial could be challenged by New York suit
Mon, 19 Dec 2011 15:24:00 +0100 | Reuters: Health
NEW YORK (Reuters) - As reproductive rights advocates regroup after a U.S. directive denying girls under 17 over-the-counter access to the morning-after ----, their best legal recourse may lie in a dormant 6-year-old lawsuit in federal court in Brooklyn, New York. (Source: Reuters: Health)

Justin Bieber: Was It One Baby Too Many? Who’s Responsible For Birth Control?
Wed, 14 Dec 2011 12:53:28 +0100 | Psychology Today Relationships Center
Justin Bieber was recently accused of fathering a child with 20-year-old Mariah Yeater who he allegedly had a brief sexual encounter with at his Los Angeles concert in October 2010. It is hard not to let the words to his hit song "Baby" run through my mind as I contemplate this. Primary Topic:  Relationships read more (Source: Psychology Today Relationships Center)

Obama Administration wants anyone of any age to be able to buy 'morning after' ---- without prescription
Wed, 14 Dec 2011 00:00:00 +0100 | NaturalNews.com
Milk, eggs, and a pack of "Plan B One-Step" drugs -- this could become a typical grocery store shopping list for millions of young women across the country, should the US Food and Drug Administration (FDA) cave to new pressure from Big Pharma to loosen emergency contraceptive... (Source: NaturalNews.com)


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