Quick answer. Singapore offers a full range of contraception. Long-acting reversible methods — the hormonal IUS (e.g. Mirena), copper IUD and the implant — are the most effective (over 99%) because they do not depend on daily use. The combined pill, progestogen-only pill, patch and injection are very effective with correct use but more user-dependent. Only condoms also protect against STIs. You can get contraception from GPs, polyclinics, women’s and family planning clinics; pills and devices generally need a prescription or fitting. Emergency contraception (the ‘morning-after pill’, e.g. levonorgestrel or ulipristal) is taken as soon as possible after unprotected sex, via a doctor or clinic. The best method depends on your health, plans and preferences.
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Choosing contraception is a personal decision, and in Singapore there is a wide range of safe, effective options. They differ in how they are used, how effective they are, whether they contain hormones, and whether they also protect against sexually transmitted infections.
This guide gives a neutral, factual overview of the main methods, how they compare on effectiveness, where to get them, and what to know about emergency contraception. It is general information only — a doctor can help you weigh the options against your own health, medications and plans.
At a glance
| Method | How it works | Effectiveness / notes |
|---|---|---|
| Implant | Rod under the skin; lasts ~3 years | Over 99%; not user-dependent |
| Hormonal IUS (e.g. Mirena) | Device in womb; lasts ~5 years | Over 99%; also lightens periods |
| Copper IUD | Hormone-free device; up to ~5-10 years | Over 99%; can be used as emergency option |
| Injection | Progestogen jab every ~3 months | Very effective; needs regular clinic visits |
| Combined / progestogen-only pill | Daily tablet | ~91-93% typical use; relies on taking it correctly |
| Condoms | Barrier, used each time | ~87% typical use; also protect against STIs |
How the methods work and compare
Contraceptives broadly fall into a few groups:
- Long-acting reversible contraception (LARC) — the implant, hormonal IUS and copper IUD. These are the most effective methods (over 99%) precisely because they do not depend on you remembering to do anything daily.
- Hormonal user-dependent methods — the combined pill, progestogen-only pill, patch and 3-monthly injection. Very effective when used correctly, but the pill’s typical-use effectiveness (around 91-93%) reflects missed or late doses.
- Barrier methods — male and female condoms. Less effective at preventing pregnancy in typical use (around 87% for male condoms), but uniquely they also protect against STIs.
Only condoms protect against sexually transmitted infections, so some people use them alongside another method.
The pill (COC and POP)
The combined oral contraceptive (COC) contains oestrogen and progestogen and is taken daily; it can also make periods lighter and more regular and help with acne. It is not suitable for everyone — for example, certain women with migraine with aura, a history of blood clots, or who smoke and are over 35 — so a doctor will check your suitability.
The progestogen-only pill (POP) contains only progestogen and is an option for those who cannot take oestrogen, including some who are breastfeeding. It must be taken consistently each day. Both types need a prescription, which a GP, polyclinic or women’s clinic can provide after assessment.
IUD, IUS, implant and injection
- Hormonal IUS (e.g. Mirena) — a small T-shaped device placed in the womb that releases progestogen, lasts about five years, and usually makes periods much lighter (it is also used to treat heavy bleeding).
- Copper IUD — a hormone-free device that works for several years; periods may be heavier. It can also be used as emergency contraception if fitted soon after unprotected sex.
- Implant — a small rod placed under the skin of the upper arm, lasting around three years.
- Injection — a progestogen injection given roughly every three months at a clinic.
IUDs and the IUS are fitted by a trained doctor; the implant is inserted in a quick clinic procedure. These methods are removed when you wish to stop or try to conceive.
Emergency contraception (the 'morning-after pill')
Emergency contraception is used after unprotected sex or contraceptive failure. The main options in Singapore are levonorgestrel (e.g. Postinor) and ulipristal acetate (e.g. ella). Both work best the sooner they are taken — levonorgestrel is generally used within 72 hours, and ulipristal can be used within a longer window — so do not delay.
The copper IUD is the most effective emergency method when fitted within a few days of unprotected sex, and it then continues as ongoing contraception. In Singapore, emergency contraception is obtained through a doctor or clinic (including some after-hours and telemedicine services). It does not protect against pregnancy from sex after taking it, so continue or start a regular method, and seek review if your next period is very late or unusual.
Where to get contraception and how to choose
In Singapore you can access contraception through GPs, polyclinics, women’s and family planning clinics, O&G specialists, and some telemedicine providers. Pills require a prescription, and IUD/IUS/implant insertion is done by a trained doctor. Condoms are sold over the counter at pharmacies and convenience stores.
Choosing a method depends on:
- How effective you want it to be, and whether you prefer something you don’t have to think about daily
- Your medical history and any medications (some conditions rule out oestrogen-containing methods)
- Whether you also need STI protection (condoms)
- Your plans for future pregnancy and how soon you might want to conceive
- How periods are affected and personal preference about hormones
A consultation lets a doctor match a method to your needs; you can change methods if one does not suit you.
Related guides
- Best Gynaecology Clinics in Singapore — our editorial shortlist
- gynaecology clinics directory
- Heavy & painful periods
- Ovarian cysts
- Vaginal infections (thrush & BV)
Sources
- HealthHub (Singapore) – Levonorgestrel (Postinor) Emergency Contraception
- HealthHub (Singapore) – Ulipristal Acetate (Emergency Contraception)
- AWARE Singapore – Contraception & STI Testing
- HealthXchange (SingHealth) – Women's Health
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