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==Emergency Contraception== | ==Emergency Contraception== | ||
'''Important | '''Important Notes:''' The earlier you take emergency contraception, the more effectively it works. After unprotected sex, take EC '''as soon as possible'''. If you don't have access to EC, you can use oral contraceptives as EC, but remember the following: 1) Only some contraceptives work as EC (so confirm they work as EC) 2) Different contraceptives require different dosages to work as EC (so get the proper instructions) 3) You must only use the first 21 pills in 28-day packs and 4) You must take the pills as soon as possible. | ||
===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
'''Note:''' The most effective emergency contraceptive is currently [http://www.ellaone.com/ ellaOne]. It lasts up to 5 days after unprotected sex. Other EC brands are generally effective up to 3 days with occasional protection up to 5 days. So check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy for up to 5 days after unprotected sex. If none of these options are available, look for regular EC, which may sometimes protect you for up to 5 days. Note that EC pills are not 100% effective, and they should be taken as soon as possible. | |||
In Thai, emergency contraception is ยากันท้อง or "Ya kun tong." You can get emergency contraception without a prescription at pharmacies. For dedicated EC pills (progestin only), there is Madonna and Postinor. For both brands, you take 2 pills within 120 hours after unprotected sex. For progestin-estrogen combined (birth control pills), you can take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later with the following brands: FMP, Jeny FMP, Nordiol, Ovidon and Ovral. You can also take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later with the following brands: Anna, Lo-Femenal, Microgest, Microgest ED, Microgynon 30 ED, Microgynon-30, Nordette, Nordette 28, Nordette-21, R-den, Riget, Rigevidon and Rigevidon 21 + 7. | In Thai, emergency contraception is ยากันท้อง or "Ya kun tong." You can get emergency contraception without a prescription at pharmacies. For dedicated EC pills (progestin only), there is Madonna and Postinor. For both brands, you take 2 pills within 120 hours after unprotected sex. For progestin-estrogen combined (birth control pills), you can take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later with the following brands: FMP, Jeny FMP, Nordiol, Ovidon and Ovral. You can also take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later with the following brands: Anna, Lo-Femenal, Microgest, Microgest ED, Microgynon 30 ED, Microgynon-30, Nordette, Nordette 28, Nordette-21, R-den, Riget, Rigevidon and Rigevidon 21 + 7. | ||
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Emergency contraception was reported as 50 baht in 2009. | Emergency contraception was reported as 50 baht in 2009. | ||
== | ==Sexually Transmitted Infections (STIs/STDs)== | ||
'''Important Note:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment that may prevent HIV infection, and it may be available in your city. Take PEP as soon as possible. | |||
===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
Like all countries, there are stigmas attached to STDs in Thailand. But the country has also made solid progress in HIV prevention and education. According to AVERT, "In 2013, Thailand was one of only two countries in Asia and the Pacific, (along with Cambodia) that had more than 50% of people living with HIV on antiretroviral treatment. In Thailand, 56% of adults who are eligible for treatment are receiving it, alongside 62% of children." | |||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* Thai Red Cross - This tends to be the #1 place that many people go. You can get an anonymous STD test at Thai Red Cross (04 Ratchadamri Road, Pathumwan, Bangkok), where they typically focus on HIV, hepatitis and syphilis. If you want to get tested for gonorrhea and chlamydia, you may need to say that you display some symptoms because they have reportedly not wanted to test asymptomatic patients in the past. | |||
* Khlong Tan Hospital - Small clinic style hospital; Does HIV antigen test for 1000 baht (in 2010). Address: Huai Khwang, จังหวัด กรุงเทพมหานคร Thailand, Phone: +66 2 319 2101, Hours: Open today· Open 24 hours. | |||
* MedConsult, Bangkok Expat & Travel Clinic - does full range of STD tests as well as pap smears. Tel.: +66 (0)2-018-7855. Email: info@medconsultasia.com. Fax: +66 (0)2-018-7856. Website: http://www.medconsultasia.com/#!sexual-health-check-ups/ce12 | |||
* Samitivej Sukhumvit Hospital - "an award-winning facility in Bangkok, Thailand providing international-standard healthcare with JCI accreditation." Not cheap but thorough and stigma-free. Address: 133 Sukhumvit 49, Klongtan Nua, Vadhana, Bangkok 10110. Website: https://www.samitivejhospitals.com/sukhumvit/ | |||
* Bumrungrad International Hospital - 24 hour HIV testing available at international, highly respected hospital. Address: 33 Sukhumvit Soi 3, Wattana, กรุงเทพมหานคร 10110, Thailand, Phone: +66 2 667 1000, Hours: Open today · Open 24 hours. Website: https://www.bumrungrad.com/ | |||
* The Bangkok Nursing Home - Address: 9/1, ถ.คอนแวนต์, แขวงสีลม เขตบางรัก กทม., 10500 โทร 02 686 2700 Bangkok 10500, Thailand, Phone: +66 2 686 2700. Website: https://www.bnhhospital.com. | |||
* King Chulalongkorn Memorial Hospital - General hospital open since 1914. Address: 1873 Rama 4 Road, Bangkok, Pathumwan 10330, Thailand, Phone: +66 2 256 4000. Website: www.chulalongkornhospital.go.th/ | |||
* Siriraj Hospital - Oldest and largest hospital in Thailand; a major research and teaching hospital. Address: 2 Wanglang Road, Bangkok, Bangkoknoi 10700, Thailand, Phone: +66 2 419 7000 | |||
* Paolo Memorial Hospital- Address: 670/1 Phahonyothin Rd, Samsen Nai, Phaya Thai, Bangkok 10400, Thailand, Phone:+66 2 279 7000. Website: www.paolohospital.com/English/ | |||
===Costs=== | ===Costs=== | ||
== | Here are the costs at MedConsult Bangkok: Syphilis test the VDRL 200 THB, HIV test 350 THB, Urethral swab 400 THB, Rapid chlamydia test 400 THB, HSV (Herpes) 750 THB, Pap Smear 1350 THB, HPV Vaccine 2500 THB, 3 dose package over 15 years 7000B, 2 dose package under 15 years 4700 B, PCR2 (NATO) (Gonorrhea and Chlamydia) 2800THB. | ||
==Medications & Vaccines== | |||
===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
For many STD medications in Thailand, you may be tested in advance or show a prescription before receiving treatment (since they are antibiotics). But they should be generally available.For Trichomoniasis, Metronidazole should be available. For gonorrhea, the treatment is a bit more tricky, since gonorrhea in Asia (and specifically in Thailand) is resistant to many antibiotics. so you should go to the hospital to see how they can treat you. While treatment may vary, you may get Azithromycin or a a shot of a Cephalosporin. HPV vaccines, like Gardasil, are reportedly available in Thailand. PreP is available in Thailand, but is mostly used in trials with men who have sex with men (MSM), transgender (TG) women, women and people who inject drugs. Truvada is registered for treatment but not prevention. People with HIV/AIDS can bring their medications into Thailand, and there are no travel restrictions. Protease inhibitors only exist as original formula. | |||
===Costs=== | ===Costs=== | ||
== | ==Menstruation== | ||
===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
Pads and tampons without applicators (OB) are widely available. You may be able to find tampons with applicators in Boots or other large pharmacies/drug stores. There are no known sellers for DivaCup or MoonCup in Thailand so you'll need to buy them online. | |||
===Costs=== | |||
==Gynecological Exams== | |||
===Laws & Social Stigmas=== | |||
===What to Get & Where to Get It=== | |||
From Pink Pangea: "Dr. Witima Sangtawan is a good gynecologist and she speaks good English. Her staff, however, speaks little to no English. She is located at BangPo hospital in BangSue, which is a bit off the beaten path. The hospital has very little English signage as well." Source: http://www.pinkpangea.com/tips-women-travelers-in-thailand/ | |||
===Costs=== | ===Costs=== | ||
==Pregnancy== | ==Pregnancy== | ||
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* EMPOWER Foundation, supports women in the sex industry - 57/60 Tivanond Road, Nontburi 11000, Thailand, Tel: 02-526-8311, 02-968-8021,, 02-968-8022, Fax: 02-526-3294 | * EMPOWER Foundation, supports women in the sex industry - 57/60 Tivanond Road, Nontburi 11000, Thailand, Tel: 02-526-8311, 02-968-8021,, 02-968-8022, Fax: 02-526-3294 | ||
* Women in Development Consortium (WIDCIT) - Network for women in development, Office of the Rector, Thammasat University, Bangkok, Thailand | * Women in Development Consortium (WIDCIT) - Network for women in development, Office of the Rector, Thammasat University, Bangkok, Thailand | ||
==References== | |||
<references /> | |||