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General

What is TOP at home?

TOP at home is the future of abortion care in the UK. We offer an entirely remote abortion service, for women who are 10 weeks pregnant or under. You can read our mission here

Will you tell my GP about this?

The TOP at home service is completely confidential. We do not send any information about your abortion back to your GP. We may have to share information if required to do so by law.

How much does this service cost?

The TOP at home medical abortion service is £400. This includes everything you need including your consultation, medication and follow up calls.

If after your consultation, your doctor determines that the treatment would not be suitable for you, you will receive a refund minus an administration fee.

I don’t know how far pregnant I am, how can I check?

If you aren’t sure how far along you are, you can use this pregnancy calculator to check.

What happens if I am more than 10 weeks pregnant?

If you are more than 10 weeks pregnant you would not be suitable for a medical abortion and you would need to have an in-clinic abortion instead.

I would like to send you feedback, how can I contact you?

The easiest way to leave us feedback is to fill out the form on our feedback page. We’d be delighted to hear from you with suggestions on how we can improve our services, any positive feedback you would like to share, and anything you were not happy with so that we can rectify things as quickly as possible.

Your remote consultation

How do I book my appointment?

It is straightforward and easy to book your appointment using our online booking system. Simply choose a time and date that suits you, and have a telephone conversation with a GMC licensed doctor.

How quickly can I get an appointment?

We aim to make appointments available either the same or the next day.

When do I need to pay for my treatment?

You’ll pay for your appointment, which includes your medication, upfront. If for any reason we do not think it is appropriate for you to continue with the service, you will receive a refund minus a small administration fee.

Who will I speak to during my appointment?

You’ll have a private conversation with one of our fully GMC licensed UK Doctors. We fully understand how difficult it is to go through something like this, and each of our doctors offers a kind, compassionate service with no judgement.

Medication

What medication will I receive?

You’ll receive the same approved medication that is used in abortion clinics throughout the UK. Within your package, you will receive two pills. The first medication is called Mifepristone. The second is called Misoprostol. See the question “How does the medical abortion work?” below for more details.

Where does the medication come from?

The medication is shipped from the UK registered pharmacy, licensed by the General Pharmaceutical Council.

How long does it take for the medication to arrive?

Your medication will be shipped immediately after your consultation and should arrive within 24-48 hours.

How effective is the medical abortion pill?

The abortion pill is highly effective. The earlier in your pregnancy you are, the more likely it is to be effective. Up to 98% effective in people who are 8 weeks pregnant or less. In women who are 10 weeks pregnant, it is around 87% effective.
If your first attempt is not successful, we may prescribe more medication, or it may be necessary for you to have an in-clinic abortion.

What Happens If You Do Not Use Misoprostol In Time?

While Misoprostol should be taken 24 hours after Mifepristone, it can also be used from 12 hours to 72 hours after swallowing Mifepristone.

How Long After Mifepristone Can I Take Misoprostol?

We advise women to take Misoprostol 24 hours after Mifepristone, however, if a woman takes the Misoprostol pills slightly earlier or later, it will not impact the outcome of the medical abortion.

Do I Have To Wait 24 Hours To Take Misoprostol?

We advise you to use Misoprostol 24 hours after swallowing the Mifepristone tablet. However, it can also be used earlier of later, from 12 hours to 72 hours after swallowing Mifepristone.

Can I Take Misoprostol 6 Hours After Mifepristone?

If a woman cannot wait the recommended 24 hours between taking Mifepristone and Misoprostol, then we recommend that that you wait at least 12 hours before taking Misoprostol.

What If I Take Misoprostol When I Am Not Pregnant?

If you take Misoprostol when you are not pregnant, your health will not be harmed, although you can still experience common side effects for up to 24 hours. Fact - Misoprostol is regularly used in non pregnant women to prevent and treat ulcers!

About the abortion

How does medical abortion work?

A medical abortion uses medication to end a pregnancy. The treatment involves taking two types of medicine. The first medication is called Mifepristone. This blocks the hormone needed for the pregnancy to grow. It is important to leave 24-48 hours between the first and second tablets.
The second tablet is called misoprostol, which causes the body to expel the pregnancy from the womb. Misoprostol causes the softening and opening of the cervix (neck of the womb) and contractions of the womb so that the pregnancy can pass through the vagina. We will include some pain relief tablets in your package, and recommend you take them 10 minutes before taking misoprostol.

Does medical abortion hurt?

Abortion can be uncomfortable. Abortion by medication mimics a natural miscarriage. Most people describe it as similar to intense period cramps. Our kit comes with high-dose anti-inflammatory pain medication for you to take, to help reduce any discomfort you might feel.

Do I need an ultrasound scan?

Most people do not need an ultrasound. However, we do recommend an ultrasound scan for patients who have an increased risk of ectopic pregnancy (pregnancy outside the uterus) or who may have pregnancies further along than 10 weeks.

What is an ectopic pregnancy?

Ectopic pregnancies are those that occur outside of the uterus, most commonly the fallopian tubes. Ectopic pregnancies are rare, having had one before increases your risk of future episodes. It can be a medical emergency. If you’re at higher risk of ectopic pregnancy, we will provide you with an ultrasound scan.

What if I have an emergency after taking my medication?

If you have any urgent issues or emergencies, we have a GMC licensed doctor on call 24/7 and will provide you with a phone number to ring for a private conversation. If you have a medical emergency unrelated to your medical abortion, you need to call 999 or visit A&E as you normally would.

Does having an abortion affect my chances of getting pregnant in the future?

There is no evidence to suggest that your chances of getting pregnant in the future will be reduced by having an abortion.

Recovery

How do I know if the abortion is successful?

Pregnancy tests will stay positive for around 4 weeks after you’ve taken your medication, so the most reliable indicators that your abortion has worked are;
1. After taking the second pill you should experience cramping and bleeding like a heavy period.
2. Your pregnancy symptoms such as feeling sick or breast soreness should start to disappear within a week after using the pills.

How long should I bleed after I have taken the medication?

There is a wide range of normal bleeding time: anywhere from four days to four weeks off and on is normal and expected.

How long does it take to recover from medical abortion?

You should take things easy for a few days at least. Most women feel better within 1 week, but do what is right for you and only begin to return to normal activity when you feel up for it.

When can I use tampons?

We ask patients to wait at least two days and not to use tampons or menstrual cups while bleeding. You can of course use sanitary towels.

When can I go back on birth control?

It is safe to start most forms of contraception on the same day you take your second pill. The British Pregnancy Advisory Service has lots of helpful information about contraception on their website.

When can I have sex again?

Sex can be resumed as soon as you feel ready.

Can You Eat And Drink After Taking Misoprostol?

You can eat and drink as you would normally do after taking the abortion pill, but you should not drink any alcohol or use drugs.

Can You Drink Alcohol After Taking Misoprostol Abortion Pills?

You should not drink any alcohol after taking Misoprostol because it can affect yourjudgment. You should not take any drugs that might affect your judgment before,during, or after taking abortion pills.

Can You Use Abortion Pills While Breastfeeding?

After using Mifepristone or Misoprostol, you can keep breast feeding as normal.There is only a very small chance of abortion pills causing mild stomach upset. If youare nervous about this, there is a very low risk that the Misoprostol could be excretedin breast milk, which could cause a mild stomach upset or diarrhoea in your baby.

Can You Reverse Abortion Pills?

No. This has not been proven in any reliable medical study. All medical collegesreject this unsupported claim.

What Are The Possible Abortion Pill Complications And What Should You Do?

Heavy Bleeding (occurs in less than 1% of medical abortions)

Bleeding that lasts for more than 2 hours and soaks more than 2 maxi sanitary padsper hour. Feeling dizzy or lightheaded can be a sign of heavy bleeding. This isdangerous to your health and your doctor must be contacted.

Treatment

A vacuum aspiration ( curettage). When available, a woman should start taking 2Misoprostol tablets under the tongue immediately at home if available before goingto the hospital. Very rarely ( less than 0.2%) a blood transfusion is needed.

Incomplete Abortion

Symptoms: heavy or persistent bleeding and/or persistent severe pain.
Treatment: 2 tablets of Misoprostol or/and a vacuum aspiration.

Infection:

Symptom: If you have a fever ( more than 38 degrees centigrade) for more than 24hours, or you have, there might be an infection that needs treatment.

Treatment:

Antibiotics and/or vacuum aspiration.

Miscarriage VS Abortion Symptoms

The symptoms of a miscarriage and an abortion with pills are exactly the same andthe doctor will not be able to see or test for any evidence of an abortion, as long asthe pills have completely dissolved. If you used the the Misoprostol under thetongue, the pills should have dissolved within 30 minutes. If you took the pillsvaginally, you must check with your finger to make sure they are dissolved. Traces ofthe pills may be found in the vagina up to 4 days after inserting them.

Ongoing Pregnancy

Less than 1% of women experience ongoing pregnancy. This can be determined bya pregnancy test after 3 weeks or an ultrasound within 10 days.
To treat an ongoing pregnancy, you must repeat a medical abortion or surgicalabortion.

How Long Do You Bleed After An Abortion Pill?

The heaviest bleeding typically occurs 2-5 hours after taking Misoprostol and usuallyslows down within 24 hours of using abortion pills, but times may vary.

How Long Will The Bleeding Last After Abortion Pills?

Light bleeding can continue for 1-3 weeks after using abortion pills, but times may vary.
The normal menstrual period usually returns after 4-6 weeks.