About Blog Contact
CALL US
020 7935 1127
SERVICES
 / 
TERMINATION OF PREGNANCY
Miscarriage Management
Want to discuss your options?
Book a free 10min chat
It’s free and easy to book a callback at convenient time for you.

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.

Our online prescriptions are processed by Smartway Pharma.

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
Quick & easy online booking
Book your Medical Termination online
Multiple Medical Termination options available + Free 24/7 aftercare
Book Online

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
Book Online
rating star rating star rating star rating star rating star
4.9
UK's Top Rated Private Gynaecology Clinic

Why Gynaedoctors

Female Gynaecologist

24-hour Aftercare

Emergency Appointments

0% Interest Free Finance

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

FAQs

How do I prepare for the procedure?

Plus

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?

Plus

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?

Plus

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?

Plus

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?

Plus

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?

Plus

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?

Plus

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 Choices: Medical vs. Surgical Pregnancy Termination

As a pregnant woman, it might be the happiest time of your life - or it might be a difficult time fraught with emotion and doubts about your future, and desire to have a child. If it is the latter, you are not alone, and abortion is an option. In fact, in the UK, 1 in 3 women have terminated a pregnancy by the time they reach 45 years of age. So, it’s more common than you might think. 

Despite this, navigating abortion, whether on your own or with support, can be a difficult thing. The surplus of information available online coupled with the various emotions a woman can experience can cause it to feel like an overwhelming time.

We’re here to help. We know that abortion isn’t easy. You can feel scared, alone, and uncertain about your next steps and what’s best for you. In this article, we will empower you by outlining the difference between medical and surgical pregnancy termination so that you can make an informed decision.

Surgical vs Medical Pregnancy Termination

There are two main ways to terminate a pregnancy; surgically and medically. The route you take will depend on your personal preference or will be recommended by your healthcare provider based on your gestation and any medical requirements you may have. 

Let’s take a closer look at the differences between surgical and medical pregnancy termination.

What is Surgical Pregnancy Termination?

Surgical pregnancy termination is what it sounds like; a minor surgery to remove the pregnancy from your womb. This is done in two ways: 

Suction Aspiration: this can be carried out up to 12 weeks gestation. It involves removing the pregnancy from the womb via gentle suction. Most women are awake for this procedure but under local anaesthesia so they cannot feel anything. Some women find being awake during the procedure comforting, whereas others choose not to.

Dilation and Evacuation: for women 13 to 24 weeks pregnant, the surgical termination procedure available is dilation and evacuation. This involves dilating the cervix and using forceps to remove the pregnancy. The procedure is carried out under general anaesthesia and normally takes 10-20 minutes.

Surgical pregnancy termination is available to most women and can be carried out under local anaesthesia (while you are awake) or general anaesthesia (while you are asleep). Typically, as seen above, the type of anaesthesia used will depend on how far along you are in your pregnancy.

Surgical Termination Risks

Of course, as with any surgery procedure, there are risks associated with surgical pregnancy termination. While the procedure itself is very safe and generally successful, the possible risks include:

  • Excessive bleeding from the vagina following the operation
  • Post-surgery infection
  • Additional procedure to remove remaining pregnancy
  • Injury to the cervix or womb
  • A failed abortion.

While the above are unusual, it is important to be aware of the risks so that you can make an informed decision.

After Your Surgical Abortion

You might be wondering what happens after your surgical abortion. Well, the good news is that you shouldn’t require anymore tests or appointments and you can usually return home the same day to recover in peace.

Post-surgery Symptoms

During your post-surgery recovery, it is common to experience symptoms such as nausea and diarrhoea. These symptoms are especially common as the medication wears off. 

You may also experience stomach cramping and vaginal bleeding for a few days. The cramps should be easily managed with medication such as ibuprofen or paracetamol and the bleeding should be normal for you (by that we mean it should look like your normal period). 

Post-surgery Care

After a surgical abortion, it’s important to take care of yourself. Not only will you be feeling a little bit tender for a couple of days, but your body needs time to heal. That’s why it is important to do the following for up to 2 weeks following your surgery:

  • Rest as much as possible
  • Use sanitary towels instead of tampons to avoid infection
  • Avoid vaginal intercourse
  • Avoid swimming and sitting in hot tubs
  • Have showers instead of baths
  • Go easy on yourself

While it can be tempting to just ‘get on with your life’ after a pregnancy termination, it’s important that you give yourself time to rest. All surgeries take their toll on the body and a surgical pregnancy termination is no exception. So, take some time off work and simply rest. The less you rush your recovery, the faster your body will heal.

The Benefits of a Surgical Abortion

  • Fewer appointments required
  • 10-20 minute procedure
  • Patients can usually recover at home
  • Lower risk of a failed abortion

What is a Medical Abortion?

Medical abortions are another type of pregnancy termination procedure. They are typically carried out in the earliest stages of pregnancy (before 12 weeks gestation) and involve taking prescription-strength pills to end a pregnancy. 

Is a Medical Abortion Suitable for Me?

Most women in their first trimester will be permitted a medical abortion. In fact, you are typically eligible for a medical abortion up to 24 weeks pregnant. 

However, you may be unable to have a medical abortion for the following reasons:

  • You are too far along in your pregnancy 
  • You have an intrauterine device (IUD)
  • You have a blood clotting disorder
  • You have severe anaemia
  • You have chronic adrenal failure
  • You have an ectopic pregnancy (this is a pregnancy that is outside of your uterus)

Discerning whether a medical abortion is suitable for you can be difficult without seeking professional advice. We can help. We encourage you to speak with a member of our team who can assess whether the procedure is right for you and answer any questions you may have. 

What to Expect Post Medical Abortion

After your medical abortion you will have a follow-up appointment 2-5 weeks after your procedure. It is vital that you attend this appointment as this is an opportunity for your healthcare provider to make sure your recovery is going smoothly. 

During your follow-up appointment you will need to provide a urine sample. This will be used for a pregnancy test to confirm the abortion was successful. You will also need to complete blood work and have an ultrasound so that we can be completely sure you are no longer pregnant. 

What if I am Still Pregnant?

In the unlikely event that you are still pregnant following a medical abortion, you may need to repeat the medical abortion process again or have your pregnancy surgically removed. Your healthcare provider can offer advice.

We know failed abortions can feel particularly scary. However, rest assured that failed medical abortions are uncommon. In fact, medical abortions are over 90% effective. In the unlikely event you have a failed abortion, our team will ensure you receive the best care possible and will support you in your next steps.

Medical Abortion Symptoms

After your medical abortion, you must take time to rest. This is because your body needs time to recover.

After the abortion is complete and you have passed the pregnancy, you may experience heavy bleeding for a couple of days. Once this settles down, you will likely have a period that lasts for up to 3 weeks. After the first week of having your period, your bleeding should become lighter.

Please note: if you experience heavy bleeding (soaking through a sanitary pad in 30 minutes or less) you should call your healthcare provider right away. If you experience heavy (but not excessive) bleeding for more than 3 weeks, it’s important to seek advice from your doctor. 

If your recovery goes smoothly, you should expect to get back to yourself in 2-3 weeks. Before this time, it is important to rest as much as possible and avoid strenuous activity.

Know When to Seek Medical Advice

Whether you have a surgical or medical abortion, it’s important to know the signs that something isn’t quite right. Knowing when to seek medical advice could, quite literally, save your life. 

Here are the signs you need emergency attention:

  • You are passing blood clots that are larger than golf balls
  • You are experiencing severe abdominal pain and/or cramping
  • You have developed a fever
  • You are bleeding through a sanitary towel every 30 minutes for 2 hours.

Any of the above symptoms could be a sign that something is wrong - from infection to haemorrhaging - and must be dealt with immediately by a medical professional. 

The Benefits of a Medical Abortion

  • Feeling in control of the abortion process
  • The chance to have an abortion at home 
  • No need for surgery
  • Have a support person (or as many support people as you like) with you
  • The process can feel more natural
  • Avoids the possibility of physical trauma or injury

Medical vs Surgical Abortion: How Do I Choose?

Choosing the right pregnancy termination procedure can be difficult. While some women have very strong feelings and preferences, others can struggle with the decision. If you’re finding it difficult to decide, speak to a member of our team. We’d be happy to advise you and answer any questions you may have.

Find More Information

Abortion can be a difficult topic for many people. However, we don’t think you should travel this road alone. That’s why, if you would like more information, we cover a lot about pregnancy termination and women’s health on our blog

We encourage you to read our content and learn more about the different pregnancy termination options available to you. And if you would like any further support or information, please reach out to our team. We’re here to help you.

” We offer virtual (video) consultations and provide the “Pill by Post” service.“

Gynaedoctors

Book a Free Call Now

It's free and easy to book with no need to speak to a receptionist.

Name*