Bangkok

Thailand / Central Thailand / Bangkok

OVERVIEW

Contraception

Laws & Social Stigmas

In Thailand, you can buy birth control without a prescription. It is estimated that 72-78% of women (of fertility age) are on some form of modern birth control. According to one study in 1998, 23% were on the pill, 17% had an injectable/implant and 22% had been sterilized. In the last 25 years, the government has heavily campaigned for sex workers to use condoms under the 100% Condom Program. But it has not so heavily focused on condom use in the general population. This has lead to many people outside of the sex worker community not using condoms.

What to Get & Where to Get It

You can buy birth control in nearly all the pharmacies (that are not herbal pharmacies) in Bangkok. Some reputable pharmacies are Boots, Watsons, P&F, Fascino and Siam Pharmacies, Chulalongkorn University's Pharmacy. It's also recommended to buy from pharmacies that have aircon since the drugs are preserved in cooler/better environments. While there are some fake pills sold in Thai pharmacies, they tend to be for drugs like Viagra or Cialis. Since birth control is very cheap, it is less likely to be fake. However, if you prefer a more hands-on appointment with a doctor, you can visit Bumrungrad (Suk. Soi 1), Bangkok Hospital (Soonwijai off Petchburi Rd) or BNH (Soi Convent off Silom Road). For less expensive, go to Bangkok Christian on Silom Road.

Costs

A one month supply of birth control typically costs between 60 and 300 baht, which is about $2 - $10 (as of 2016).

Emergency Contraception

What to Get & Where to Get It

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.

Costs

Emergency contraception was reported as 50 baht in 2009.

Medication & Vaccines

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.

Menstruation

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.

Gynecological Exams

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/

STD Tests

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 at Thai Red Cross, you may need to say display certain symptoms because they have reportedly not wanted to test on 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.

• 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/

Abortion

Laws & Social Stigmas

In Thailand, abortion law is ambiguous. On the one hand, it is only legal under certain conditions, which are: to save the life of the woman, to preserve physical health, to preserve mental health, or when the pregnancy is due to a criminal offense (i.e. rape or incest). It is not legal for economic/social reasons or available upon request. Under the Thai Penal Code of November 13 1956, abortions are generally prohibited, and they are only allowed in certain instances. If women cause their own abortion or allow anyone else to do so (when they are not allowed to get an abortion), they face up to 3 years imprisonment and a fine of maximum 6000 baht. A person who procures an abortion with a pregnant woman's consent may receive up to 5 years imprisonment and a maximum fine of 10,000 baht.

On the other hand, according to a UN report, "In practice, the law is not rigorously enforced. The prevalence of illegal abortion has been widely documented, particularly in the rural areas of the country." There are supposed to be around 15 clinics that provide abortion care somewhat openly in Thailand, most notably Klong Tun Medical Center in Bangkok.

What to Get & Where to Get It

Women receive illegal abortions or grey-area legal abortions in Thailand every year. In Bangkok, Klong Tun Medical Center is the only known hospital to provide safe abortions to women (between 12-24 weeks of pregnancy) with little questions or restrictions. This hospital is expensive. For cheaper options, there are some less well-known or underground abortion clinics in Bangkok. But they not be very safe, and they are not recommended. It is estimated that there are 400,000 illegal abortions in Thailand every year. For more information, check out this blog entry about getting an abortion at Klong Tun Medical Center in 2011) and this Rewire article about abortions in Thailand.