Sun May 19 13:06:47 SGT 2013  
SHIM CLINIC
HIV STD TESTING TREATMENT™
168 Bedok South Avenue 3 #01-473
Singapore 460168
Tel: (+65) 6100 7446
Fax: (+65) 6449 7446
24hr Answering Tel: (+65) 6333 5550
Web: www.ShimClinic.com 		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
Last registration: half hour before closing time.
Walk-in clinic. Appointments not required.
Bring NRIC, Work Pass or Passport for registration.

Within 3 days after unprotected sex, stop HIV infection with Post-Exposure Prophylaxis treatment 10 days after unprotected sex, detect HIV infection with the DNA test 28 days after unprotected sex, accurately detect HIV infection with the 20 minute rapid test
Full & comprehensive sexually transmitted disease testing
Males: do not urinate for at least 4 hours before arriving
Females: testing is more accurate when you are not menstruating

NuvaRing® | Shim Clinic, Singapore | HIV STD TESTING TREATMENT™

Summary

NuvaRing® | Shim Clinic, Singapore | HIV STD TESTING TREATMENT™: Intra-vaginal ring, NuvaRing®. Hormonal contraceptive, for birth control and contraception clinic, Singapore. Private and confidential service. Definitions, references, and latest news.

Description

Birth control methods available are mostly for females, and they include:

Contraception in common usage is used to mean both contraception and contragestion.

Intra-vaginal contraceptive ring, NuvaRing® is a very convenient method of contraception for those who prefer not to take oral contraceptives.

  • On the first day of menstruation, the ring is inserted into place at the top of the vagina, around the cervix.
  • After 21 days, the ring is removed and disposed off.
  • The cycle is repeated with the onset of menstruation.
Oral Contraceptive (OC) / Contraceptive Pill / Birth Control Pill
Contraceptiveestrogenprogestogen#colourAdditional
indication
Diane-35® Ethinylestradiol 0.035 mg Cyproterone acetate 2 mg 21 Acne,
Androgenetic alopecia,
Hirsutism
Microgynon® 30 Ethinylestradiol 0.03 mg Levonorgestrel 0.15 mg 21
Yasmin® Ethinylestradiol 0.03 mg Drospirenone 3 mg 21
inert 7
Yaz® Ethinylestradiol 0.02 mg Drospirenone 3 mg 24 Acne,
Premenstrual
dysphoric
disorder (PMDD)
inert 4
Mercilon® Ethinylestradiol 0.02 mg Desogestrel 0.15 mg 21
Qlaira® estradiol valerate 3mg 2 dark yellow Heavy
menstrual
bleeding (HMB)
estradiol valerate 2mg dienogest 2mg 5 medium red
estradiol valerate 2mg dienogest 3mg 17 light yellow
estradiol valerate 1mg 2 dark red
inert 2 white

Contraceptive injection Depo-Provera® is a progestogen-only, depot medroxyprogesterone acetate (DMPA) long acting injectable contraceptive. One dose is given once every three months. (Four times a year)

Transdermal Contraceptive patch Evra® is an innovative method of drug delivery for those who prefer not to take oral contraceptives.

  • On the first day of menstruation, the first patch is applied.
  • At the end of the first week, the first patch is replaced by the second patch.
  • At the end of the second week, the second patch is replaced by the third patch.
  • At the end of the third week, the third patch is removed, and is followed by one patch free week.
  • The cycle is repeated with the onset of menstruation.

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

Timeline Event / Available resources
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
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)


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