Sexual Health and Resources

You will be responsible for your own decision and action if you choose to participate in any sexual activity. Here are some useful resources on sexual health and the risk to be mindful of.

Please note that the information provided here serves as a general guide.

1. Vaccinations for Sexually Transmitted Infections (STIs)

Not all infections can be vaccinated. Hepatitis B (Hep B) and Human Papilloma Virus (HPV) are two vaccinations effective for the prevention of respective STIs.

Some vaccines may have more than one brand of product available in the market. It is best to discuss the pros and cons of each products with your doctor before making up your mind.

HPV Vaccination

University Health Centre (UHC)
• UHC has both brands of HPV vaccine – Cervarix from GSK and Gardasil from MSD.
• The patient will require a course of 3 doses over 6 months.
• Each dose costs about $130 before GST (price subject to change).
• Medisave is not an option for staff and student @ UHC and these are not covered by student’s health scheme.
• You may walk-in for the HPV vaccination anytime during UHC’s operation hours. Please call: 66015035 (enquiry line) / 66011770 (counter)

Occupational Health Clinic (OH Clinic)
• If you prefer to have it done at alternative clinic, the OH Clinic at basement of UHC provides the service @ $125 per dose and $360 for full course of 3 doses (GST inclusive).
• Please call 6601 1781 / 6516 7333 to enquire further / make an appointment for the vaccination.
• Medisave deduction arrangement for those who is qualified (age 9 – 26 years old) can be discussed directly with the clinic staff.

Hepatitis B Vaccination
Most GP clinics offers Hepatitis B vaccination, including UHC & OH Clinic.

It costs $30 – $40 for each Hepatitis B injection and it requires 3 doses to complete the vaccination.

There is option of Hepatitis A and B, which cost $70 – $100 per injection and 3 doses required as well.

Check with your preferred doctor for detail and availability.

2. Early Detection of Cervical Cancer

It is recommended that female above 21 who is sexually active should have routine pap-smear done 2-5 yearly depending on the previous test report. HPV and Pap Smear is closely related to cervical cancer and early detection. See your doctor for further discussion on this.

Pap smear
UHC $60
National Healthcare Group Polyclinic
$15 Citizen
$22.50 Permanent Resident
$40.80 Non Resident

3. Contraceptives

Contraception, also known as birth control and fertility control, are methods or devices used to prevent pregnancy. Condoms being the most popular barrier contraceptive is ideal for pregnancy prevention as well as protection from STIs, if it is used correctly. It can be purchased from pharmacies, convenience stores, and supermarkets. Condom is made available at the College’s Health Centre, Residential College (RC) Offices, Student Commons and Laundry Rooms of respective RCs. This is a way to show our care to our students in prevention of sexually transmitted infection and pregnancy.

Other contraception methods such as the contraceptive pill needed to be prescribed by a doctor or purchased at pharmacy with prescription.

Oral Contraceptives (OC)
UHC provides the following Oral Contraceptives (OC) pills:
1. Combined OC (Microgynon) – 1 box 21 tabs $6.11 + GST
2. Progesterone-only OC (Norethisterone) – 1 tab $0.10 + GST with minimum charge of $2

Emergency Contraceptives
Emergency contraception, also known as ‘Plan B’ and ‘the morning after pill’, is birth control that you can use to prevent pregnancy after unprotected sex. It is widely available in Singapore.

Different brands provide either one or a set of two pills you need to take. Emergency contraception is usually more effective the earlier you take it after unprotected sex. However, there could be factors that impact the effectiveness of the pill. If you need emergency contraception, visit a doctor as soon as possible—no later than 72 hours of unprotected sex.

You can get this pill after a consultation with a doctor at UHC or a nearby polyclinic / clinic. UHC prescribes the Emergency OC (Postinor) – Morning After Pill – at 2 tabs/box $9.34 + GST

Other Contraceptive Methods
• Condom – only type of birth control that protects against STIs and fairly effective at protecting against pregnancy, when used correctly.
• Diaphragm
• Spermicide
• Contraceptive Injection, eg. Depo Provera
• Contraceptive Implant
• Intrauterine Device (IUD) (UHC doctor does not handle partial expulsion of IUD)
• NuvaRing (see below for details)

UHC does not provide any other contraceptives except oral form as stated above.

NuvaRing
NuvaRing is a contraceptive method prescribed by Gynecologist and some GPs. Patients can purchase it from the doctor’s clinic, hospital or some major retail pharmacies (with prescription – at $40 – $50 @ NUH, Guardian, Unity, etc. pharmacies). The price may differ significantly between specialists / GP clinics and pharmacies. Consult your doctor before use.
(Please note that only a few Guardian Pharmacies carry this product: Paragon, Mount Elizabeth hospital, Plaza Singapore and Holland Shopping Centre. Please call to check the availability.)

Contraceptives are not covered by student health scheme.

4. Sexually Transmitted Disease (STIs) Testing & Treatment

Failure to use or improper use of barrier contraceptive such as condom, during sexual intercourse and/or intimate sexual acts, may result in transmission of STIs. Different type of infections may be presented with different signs / symptoms and required different treatments. Some STIs exist without noticeable symptoms and the bacteria or viruses may cause severe clinical implications such as infertility, if it is not treated. Refer here for comprehensive list of STIs, signs and symptoms and its treatment.

UHC in-house lab is not equipped to screen STIs, hence patients with suspected STIs is normally being referred to DSC Clinic, the Department of STI Control in Kelantan Lane.

DSC Clinic @ Kelantan
If you suspected you are at risk of STIs, you will need to see a doctor of your choice, gynaecologist or STI specialist like the DSC Clinic.

The DSC Clinic is a specialist outpatient clinic for the diagnosis, treatment and control of Sexually Transmitted Infections in Singapore. If you decided to attend the DSC Clinic, you may wish to book an appointment using the online appointment booking form or call the appointment line at 6293 9648 between 8.00am to 12.00pm and 1.00pm to 5.00pm (Mondays to Fridays, excluding public holidays), or email apptdsc@nsc.com.sg. A fee of $5 will be charged for same day walk-in consultation.

Consultation fee is $20 and the price for testing will range individually. Generally, the full screening cost ranges from $100 – $150.

Rapid HIV Testing
Rapid HIV Test is a screening test that produce a quick result in approximately 20 minutes. If carried out properly, these tests have similar accuracy rates as traditional HIV EIA screening tests. A positive rapid HIV test result must be followed by confirmatory testing before a final diagnosis of HIV infection can be made.

If you are interested in going for Rapid HIV Testing, please call the clinic of your choice to check the availability of the Rapid HIV Test.

Anonymous Testing Sites
Some people may prefer to have the HIV testing at Anonymous Testing Sites with Action for Aids – The AFA ATS being Singapore’s largest HIV & Syphilis Anonymous Testing Service.

Under the Infectious Diseases Act, it is an offence for persons who know that they are infected with HIV not to inform their sex partners of their HIV status before sexual intercourse.

If you believe that you have HIV/AIDS or are at risk of contracting it, you must:
– take reasonable precautions to protect your sexual partner (e.g. by using condoms) or
– go for HIV testing to confirm that you are HIV-negative or
– inform your partner of the risk of contracting HIV

Post-Exposure Prophylaxis (PEP)
PEP is a 4-week course of prophylaxis antiretroviral treatment to reduce the chance of HIV infection after potential exposure, through sexual intercourse or other high-risk exposure within the last 72 hours.

STIs testing and treatment are not covered by student health scheme.

5. Pregnancy

Some factors affecting the menstrual cycle are stress, anxiety, lacking of sleep, change of routine, diet, living environment, etc. If you are missing next cycle of menstruation by 7 days or more, you should consider getting the pregnancy test done. The service is available at University Health Centre (not covered by student health scheme) or you can purchase the test kit from pharmacies.

We believed that one will experience high level of stress and anxiety if pregnancy is suspected. Health Centre is equipped with on-site pregnancy test in order to ease the emotional disturbance and provide greater care to our students. This will serve as an opportunity for discussion on future prevention too.

Completing a pregnancy while in college is not impossible. There are a few Non-Governmental Organizations that provide support for teen/unplanned pregnancies. Contact the following to get support in such difficult time and explore various options available.

BABES (Beyond Social Service)

For expectant teenagers

Hotline: 1800 833 6666

SMS: +65 8111 3535 (24 hours)

 Pregnancy Crisis Service (Family Life Society)

Expectant mothers facing unwanted pregnancies.

Hotline: +65 6339 9770 (24 hours)

6. Abortion

For some ladies, abortion is the only possible solution. One can get a termination of pregnancy (TOP) or abortion from Obstetric and Gynecologist in Hospital or women’s clinics in the heartland.

With a referral from a polyclinic, an abortion at Kandang Kerbau Women & Children Hospital (KKWCH) is $900 to $1500 (antibiotics, consultations, ultrasound scans, etc may have additional charges). The cost of abortion increases with the advancement of pregnancy.

To understand more about abortion in Singapore, refer to the abortion article from the Asian Parent.

There are various method of TOP depending on the size of fetus or the duration of gestation. Discuss your preference and options with your doctor. For the convenient of the readers, 2 randomly selected abortion clinics are listed here: Lien Clinic for Women & SBCC Women’s Clinic.

 

7. Educational Material for Sexual Health