Dear @ThankYou. Kindly note that HPV vaccination is recommended prior to any sexual interactions. You are right to point out that the risk of acquiring HPV is much lower if both partners are each other's " only partner for life". However no one can be 100% certain of their future and hence it is still advisable for patients to undergo HPV vaccination before sexually active. Hope this helps.

Dear @Ariana351 pregnancy is a possibility as there is risk of failure with use of any contraceptive methods including implants. The risk of failure is higher especially since the implant was not started at the onset of your menstruation cycle on 22nd Jan. A backup method of contraception such as barrier contraceptives is recommended when first started on implant.

Dear @sebastian. It will be good to do a urine pregnancy test to ensure you are not pregnant in view of delayed menses. Menstrual cycle can be irregular especially if you are down with a cold or unwell. You might wish to consult your gynaecologist or family physician if you have persistent irregular menses. They might consider further investigations or start you on hormonal tablets to regulate your menses. Hope this helps.

Hi @madiii_kaddi The resolution of your photo is not very clear. It will be helpful if you are able to take a higher resolution photograph and point to the area that you are concerned about. I will be able to better advise further subsequently. Thank you.

Dear @Shameela Depo-Provera is given as an intramuscular injection.  Im inferring that the nurse gave the injection closer to your hip instead of the middle of your buttock as the upper outer quadrant of the buttock is recommended for intramuscular injection, in order to avoid the sciatic nerve which lies deep in the buttock. It is alright to lie on your side or prone position while receiving the injection. Hope this helps.

Hi @lolololol Thank you for your question!

I would say that the HPV vaccination is important regardless as it has been proven to reduce the risk of cervical cancer in women (most common cancer in females). Many people who have HPV are asymptomatic and can easily transmit it to another person. In Singapore, the estimate is that 8 of every 10 people have some form of HPV. 

Although you are only looking to have a single sexual partner, I would say that the benefit of the vaccination would still outweigh the risks/drawbacks. You may not know if your partner has had a sexual contact before/been exposed unknowingly. 

In Singapore, you can use your medisave to pay for a portion of the HPV vaccination for certain brands so do consider getting it early! Prevention is always better than the cure (though there is no cure for HPV technically). 

Hope this helps!

Hi @htg . Thank you for your question!

I would say that if this is unusual for you, you should definitely see a gynaecologist. Sudden increase in menstrual flow/blood clots can indicate underlying disease which can be as simple as Fibroids/thickened uterus lining all the way to forms of cancer (though much less likely). The initial evaluation usually just involves a simple ultrasound. Rest assured, there is usually a benign/no cause but you should get it evaluated regardless. You may want to approach polyclinic to get a referral to KKH/NUH Gynaecology or seek help with a private gynaecologist. 

Hope this helps!

Hi @Flowerqueen you can actually have this screening and vaccination done in many clinics, including the Raffles Medical clinic at level 2 in Raffles hospital. You can easily book a same-day appointment to have this review here: https://www.rafflesmedicalgroup.com/raffles-connect/equeue/

However, when you mentioned DSC clinic, were you referring to the specific clinic called "DSC" in Kelantan? If so you can read more from their site about their services and processes to get organised to arrange for a screening here: https://www.dsc-clinic.sg/Patient-Care/DSC%20Services/Clinic/Pages/Book-An-Appointment.aspx