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Miscarriage Management
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Pregnancy is one of the biggest events in a woman’s life. Unfortunately, sometimes a pregnancy may not continue and this loss of a pregnancy is called a miscarriage. In some occasions, your body may not miscarry naturally and you may need medical help to remove the miscarried pregnancy. This can add even more distress to an already sad situation. All our appointments are discrete and confidential, with a female team who will look after you every step of the way.

There are 2 ways to manage a miscarriage. You can have medical management of miscarriage whereby you take 2 kinds of medications over a course of 2 days and pass the miscarried pregnancy in the comfort of your home. You can also have surgical management of miscarriage, which is a short procedure performed under sedation (where you are asleep) and the doctor removes the miscarried pregnancy tissue from your womb using a gentle suction.

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Pricing

We provide a safe and friendly environment and a supportive aftercare service for all patients. All procedures are carried out by an experienced female gynaecologist.

Pill By Post (Incl 1hr consult)

£450

Medical Management of Miscarriage (Incl 1hr consult + scan)

£600

Surgical Management of Miscarriage (1hr consult only)*

*Surgery can only be booked after consult & scan.

£250

Medical Miscarriage Management - Pill by Post

We provide 100% confidential and discrete management of miscarriages of up to 10 weeks of pregnancy.

How does the procedure work?

We can offer appointments as soon as within 24 hours of you contacting us, so you are not waiting anxiously for days to see a doctor and start the process. Once you have started the process, we are there to support and guide you throughout the process. If you had the process started in the clinic, we will provide a follow up appointment 3 weeks after the initial appointment and offer a scan to check and confirm that the miscarriage has been completed.

Pricing

In-clinic Management:

  • Complete consultation
  • Ultrasound scan
  • All the medication required including pain relief
  • High sensitivity pregnancy test to perform after the termination at home
  • 24/7 aftercare
  • Any follow up appointments as required for this procedure
£600

Pill by post

  • Virtual video or telephone consultation
  • All medications required delivered discreetly by signed for courier delivery
  • 24/7 aftercare
£450

Consult only

  • In clinic or Virtual (video or telephone) consultations

**Redeemable against treatment of £600 + FREE AFTERCARE / FOLLOW UP

£250
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Multiple Medical Termination options available + Free 24/7 aftercare
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Surgical Management of Miscarriage

How does the procedure work?

Surgical management of miscarriage is a simple procedure where gentle suction is used to empty the uterus (womb). The operation is safe and suitable for most women, and is performed under mild sensation (you will be put to sleep). It usually only requires you to be admitted to the ward for one day and can be performed for late miscarriages, up to 19 weeks.

Pricing

We provide a safe and friendly environment and a supportive aftercare service for all patients. All procedures are carried out by an experienced female gynaecologist.

Surgical management on a weekday (up to 12 weeks)

£1,850

Surgical management on a weekend (up to 12 weeks)

£2,250

Surgical management (from 12 weeks)

From £2,450

Surgical management after medical treatment has failed
(if done with gynaedoctors)

£1,250
Quick & easy online booking
Book your consult for Surgical Termination online
Your booking includes 1hr consult in-clinic + scan + cost of procedure if applicable
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Female Gynaecologist

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Same day consultations & same week procedure available
Weekend and evening appointments available
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FAQs

How do I prepare for the procedure?

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It is very important that you do not have anything to eat or drink for at least 6 hours before your operation. This includes sweets and chewing gum. You are allowed to drink water up to two hours before surgery.

What happens on the day of the procedure?

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You will be asked to attend the Clinic on the day of your surgery, where you will be prepared for surgery. You will be given a specific time to arrive and it is important that you arrive on time so that your operation is not delayed. You will be seen by a nurse, the doctor performing the operation and the anaesthetist (doctor who will administer the sedation).

What care do I need to take after the procedure?

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The operation is usually performed as a day case, so you should make arrangements for someone to pick you up from the clinic and stay with you overnight.


For 24 hours after the sedation you must not:

  • Drive a vehicle.
  • Drink alcohol.
  • Make important decisions (such as signing any legal documents).
  • Use hazardous machinery.
  • Engage in sport, strenuous exercise, heavy work or lifting.

What can I expect at home following treatment?

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Bleeding – you may experience vaginal bleeding similar to a period for up to 10 days after surgery. Whilst you are bleeding the cervix may be open, and there is a risk of infection. To reduce this risk, we advise that until the bleeding has stopped you avoid having sex, do not use tampons and do not undertake water sports. During this time, you are, however, advised to shower rather than have a bath.

Pain – some stomach pain or tenderness may be experienced for up to 48 hours after surgery. You may take simple pain relieving medication such as paracetamol or ibuprofen based products, but always read the label/instructions before taking them. A hot water bottle may be helpful to ease any period type cramps. It is important to contact the clinic or your GP if you have continuous bleeding, heavy bleeding, passing clots, have pain or a smelly discharge.

Rest – you may feel tired for 1–2 days after surgery. Rest as necessary and resume normal activities as you feel able. We advise you to take 1–2 days off work. You should not drive or operate machinery for at least 24 hours.

Sex – you may resume having sex when the bleeding has stopped (to help prevent infection), you feel ready to resume intercourse and have reliable contraception in place.

When can I expect a period?

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Every woman is different, however sometime in the next 3-8 weeks is considered usual following an operation. Often this first period may be heavier or lighter than normal, but should return to normal within 2 – 3 months. This may be dependent on your chosen method of contraception.

Will I need a follow-up appointment?

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We do not routinely offer a follow up appointment, however if you are experiencing any problems, please do not hesitate to contact us. It is important to contact the clinic or your GP if you have continuous bleeding, heavy bleeding, passing clots, have pain or a smelly discharge.

Can I get pregnant after the procedure?

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You can get pregnant straight away! You must use a reliable method of contraception before you have sex again. If you haven’t already decided, we can help you choose the method that is most suitable for you. We are able to fit coils or insert the contraceptive implant on the same day after the procedure whilst you are still under sedation.

RELATED BLOG POST

Empowering Women’s Health: Navigating Surgical Termination with Expertise

If you are pregnant and are considering an abortion, you’re not the only one. In fact, 1 in 3 UK women have an abortion by the time they are 45 years old. 

Navigating the abortion process can feel daunting. Whether you’ve made up your mind to end your pregnancy or you’re looking for support, it can be hard to find the help you need. Abortion is still a tricky topic and it can be difficult to open up to friends and family members. This can leave you feeling isolated and unsure what to do next.

In this article, we provide all the information you need about surgical pregnancy terminations so that you can feel empowered and supported to make the right choice for you.

What is a Surgical Pregnancy Termination?

The surgical termination of a pregnancy involves a minor operation where gentle suction is used to empty the womb of a pregnancy. It is suitable for most women. 

Surgical pregnancy terminations can be carried out while you are awake (under local anaesthetic) or asleep (under general anaesthetic). Whether you undergo the surgery while awake or asleep will depend on how far along you are in your pregnancy. 

What are the Risks Associated with Surgical Termination?

Surgical pregnancy terminations are typically very safe and when carried out in controlled, medical environments, they are generally successful. 

However, it is worth noting that every surgical procedure carries some risk. Although very small, the risks associated with surgical pregnancy terminations include:

  • Excessive vaginal bleeding following the operation. 
  • Infection. However, this risk is significantly reduced if you are given a sexual health screening beforehand and/or antibiotics after the procedure.
  • A failed abortion. 

The Faculty of Sexual Reproductive Healthcare states: “Currently, 45% of pregnancies and one third of births in England are unplanned or associated with feelings of ambivalence. Whilst teenagers remain the group at highest risk of unplanned pregnancy, increasing abortion rates for women over 30 and over 35 show that this is an issue for all ages.”

Whatever your age, navigating a pregnancy termination can be extremely difficult. Which is why it’s so important to seek expert support. 

Here at Gynae Doctors, we provide a warm and welcoming environment where you can share your feelings, discuss your options, and seek professional advice free from judgement. 

Our friendly staff understand the emotional and physical toll and abortion can take and they are here to provide the support you need as you navigate this challenging time.

Types of Surgical Termination in Pregnancy

If you are pregnant and considering an abortion, a surgical termination might be the best option for you (depending on how far along in your pregnancy you are). Let’s take a look at the differences between surgical termination methods.

Suction Aspiration (up to 12 weeks gestation)

The most common type of surgical pregnancy termination is called “suction aspiration” or “suction curettage”. This procedure is only available to women who are in their first 3 months or 12 weeks of pregnancy.

The Suction Aspiration Process

A suction aspiration abortion involves gradually widening your cervix using rods of increasing size. Once your cervix has been widened to the desired size, a slim tube is inserted into your uterus and the womb is emptied using gentle suction. 

Once the procedure is complete (this typically takes about 15 minutes), an instrument called a curette will be used to check your uterus is empty and to ensure the procedure has been effective. 

During this procedure, many women opt to have an intrauterine device (IUD) or contraceptive implant inserted to help prevent future pregnancies.

The Risks of the Suction Aspiration Process

As with any type of surgery, there are always risks. According to the NHS, the risks of the suction aspiration process include: 

  • Heavy bleeding, sepsis, or damage to the womb. This only happens to about 1 out of every 1,000 women.
  • Requiring another procedure to remove parts of the pregnancy that remain in the womb. This only affects 35 out of 1,000 women.

Dilatation and Evacuation (from 13 to 24 weeks gestation)

For women further on in their pregnancies, the surgical termination procedure available is called “dilatation and evacuation”. This procedure is only available to women who are between 13 and 24 weeks of gestation.

Dilatation and evacuation is usually carried out under general anaesthetic or sedation. The procedure normally takes 10-20 minutes and most women are permitted to go home the same day.

The Dilatation and Evacuation Process

The dilatation and evacuation process is similar to the suction aspiration procedure, except that women may require a few extra steps to help soften their cervix, such as:

  • Hormone-blocking tablets. These can be taken by mouth or inserted directly into the vagina to help soften the cervix.
  • A special device can be inserted into your cervix to help widen it and allow for the abortion to occur. If successful, the termination procedure can be carried out a few days later.

The Risks of the Dilatation and Evacuation Process

According to the NHS, the dilatation and evacuation process carries the following risks:

  • Post-surgery infection.
  • Injury to the womb or cervix (entrance to the womb).
  • Needing an additional procedure to remove remaining parts of the pregnancy. This affects 3 out of 1,000 women.
  • Excessive bleeding after the procedure. This affects between 1 and 10 out of 100 women.

How Do I Choose the Right Termination Procedure for me?

It can be difficult to decide which termination option is right for you - especially if you don’t have anyone to talk to discuss your options with.

We are passionate about supporting women during this difficult time. Our qualified doctors will get to know you and your pregnancy before advising on the next steps. We assess how far along you are in your pregnancy, discuss your medical history, and provide expert guidance.

Whatever procedure you choose, you can change your mind at any point up to the start of the abortion. Whatever you decide, our team will be with you throughout the process.

What Happens After a Surgical Abortion?

You shouldn’t need to have any other tests or appointments after a surgical pregnancy termination. Some women may experience side effects from the medications or anaesthesia used during the abortion procedure. As these wear off, some women experience feelings of sickness or diarrhoea.

Whatever kind of abortion you have, it is common to experience stomach cramps and vaginal bleeding for a few days afterwards. These symptoms should be easily managed by taking ibuprofen or paracetamol to help alleviate any pain or discomfort.

Abortion After-care

After a surgical abortion, it is important to follow our experts’ advice on how to take care of yourself. By taking care of yourself properly you will reduce your risk of infection and promote faster healing. 

After a surgical pregnancy termination, we suggest doing the following for up to 2 weeks after your procedure:

  • Using sanitary towels instead of tampons
  • Avoiding vaginal intercourse
  • Having showers instead of baths
  • Avoiding swimming and hot tubs
  • Taking time to rest as much as possible.

As with most other surgeries, it is important for your recovery to take things slowly. This might mean taking some time off work and putting your feet up. While that may be frustrating, it’s important not to rush your recovery so that your body has the time it needs to heal.

When to Seek Medical Advice

After a surgical abortion there are things that can cause complications. Although rare, it is important to know when something’s not right so that you can seek medical advice. 

Get in touch with your GP or A&E if you experience any of the following:

  • If you are passing clots larger than golf balls.
  • Heavy bleeding that is soaking through a sanitary towel every 30 minutes for 2 hours. 
  • If you are experiencing severe abdominal pain or cramping.
  • If you develop a fever.

Any of the above could be signs of infection and need to be dealt with immediately.

How Will I Feel After My Surgical Pregnancy Termination?

Women often ask us how they will feel after their abortion procedure. And the truth is, there isn’t a one-size-fits-all. Everyone feels differently after a pregnancy termination. For some women, it can feel like a relief while for others it can be a very emotional time. 

According to Sheffield Teaching Hospital, “As individuals we cope with things in different ways and the same is true following an abortion. It is common for people to experience a wide range of emotions and everyone’s experience is unique. There is no right or wrong way to feel.” 

How you process your abortion journey is unique to you. Some women find they like to keep busy, while others need time to pause and reflect. However you process, take the time you need to do what’s right for you. Our experts will be with you every step of the way.

Summary

The decision to have an abortion can be an extremely difficult one, as can deciding on the best procedure for you. Here at Gynae Doctors, we aim to empower women in their health decisions. We hope this article will help you navigate your options with confidence.

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