Frequently Asked Questions

Q: What If The Morning After Pill Doesn’t Work?

A: If you’ve used emergency contraception and you still don’t get your period or you test positive for pregnancy, then you can speak to NUPAS about your options.

The Morning After Pill will only work if you have not yet ovulated. It’s more effective if taken sooner after sex, but there are a few different types available. Read more here about the morning after and to answer more of your questions. Call NUPAS on 0333 004 6666 or send us a call-back form here if you are pregnant and want to know your options. We offer NHS-funded abortion services.

Q: Which Emergency Contraception Do I Need?

A: It is best to talk with a pharmacist, GP or sexual health clinic to determine the best Emergency Contraception for your circumstances. It depends on when you had sex, at which point of your cycle you are on, and even body weight plays into how effective the options will be for you. There are different types of emergency contraception. The most effective method is the copper IUD (Coil), however you will need to be assessed for suitability. Alternatively, you can take the Emergency 'Morning After Pill'.

Timing: How long has it been?

• • Under 72 hours (3 days): You can use any of the options. Levonorgestrel (Levonelle) is a common first choice, but ellaOne is generally considered more effective at preventing ovulation.

• • Between 72 and 120 hours (3–5 days): Your oral options are limited to ellaOne. Levonelle is not effective after the 3-day mark.

• • The Gold Standard: The Copper IUD is the most effective method (99%+) and can be inserted up to 5 days after unprotected sex, or up to 5 days after the earliest date of ovulation. This may be confusing for some; therefore, we recommend you speak with your healthcare provider to discuss whether you are eligible for a Copper IUD.

Q: How To Get An Abortion

A: To have an abortion, you must be referred to an abortion provider such as NUPAS. You can refer yourself via our website or by calling 0333 004 6666 but you must have a consultation before treatment is offered. Consultation appointments give time to talk through treatment options. Abortion consultations include a clinical assessment to find the safest and most effective abortion option for you. To read more about abortion consultations with NUPAS, read here.

Q: How long does an abortion consultation take?

A: On average, your abortion telephone appointment will take between 30-45 minutes once you are called by our clinicians. A face-to-face appointment can take a similar time, but you should expect up to an hour for either appointment types, so you have time to talk through all questions and care options.

Q: How to get of early pregnancy?

A: An abortion ends an early pregnancy. An early medical abortion involves taking two types of medicines up to 10 weeks and 0 days of pregnancy. The NUPAS team will discuss your options with you and never judge you. Book a NUPAS consultation today.

Q: How soon after an abortion can I have sex?

A: You can have sex as soon as you feel ready. Your fertility returns to normal soon after an abortion. If you do not want to get pregnant again it is important to use contraception. Find out more about post-abortion contraception here.

Read here for abortion aftercare

Q: How long do I have to rest after an abortion?

A: It’s important to listen to your body and do only as much as you feel comfortable with. You may only have the energy to do light or low impact activities for a couple of weeks after an abortion.

Q: I haven't started to bleed within 48 hours of taking the Misoprostol medical abortion pills. What should I do?

A: Call our Aftercare Line on 0333 016 0400 if you do not bleed at all, only have spotting or smearing 48 [DM1] hours after taking all the Misoprostol pills (2^nd or 3^rd stage, depending on your circumstances). Some patients are informed that they should contact if there has been no bleeding at 24 hours.

Find out more about how to monitor your bleeding on our Abortion Aftercare page.

Q: I'm having painful cramps after my abortion, is that normal?

A: You will have pain and cramping during a medical abortion.

You may have some pain and cramping after a surgical abortion. This cramping feels like period pains.

Call our Aftercare Line on 0333 016 0400 if you have abdominal (tummy) pain or discomfort that is not helped by pain relief medication, or by using a heat pad.

Q: How long will I bleed for after a medical abortion?

A: After you pass the pregnancy, bleeding will gradually reduce. You may see bleeding for up to 2 weeks and spotting until your next period. Some people find that they bleed on and off for up to 4 weeks. Your period will usually come back 4 – 8 weeks after your abortion.

Call our Aftercare Line on 0333 016 0400 if you have heavy bleeding that soaks 2 heavy-flow sanitary towels per hour for 2 hours in a row.

Q: How long will I bleed for after a surgical abortion?

A: It is normal to bleed as much as your usual heaviest menstrual period after a surgical abortion. Bleeding usually stops after 1-2 weeks. You may have spotting until your next period. You may pass small blood clots. It is also normal if you don’t bleed until your next period.

Call our Aftercare Line on 0333 016 0400 if:

• • You are bleeding more than your usual heaviest period

• • You have heavy bleeding that soaks 2 or more heavy-flow sanitary towels per hour, for 2 hours in a row

Q: Can I use tampons or menstrual cups after an abortion?

A: You can usually return to normal activities as soon as you feel comfortable to, including using tampons and menstrual cups – however do comply with normal hygiene measures.

Q: When will I get my next period after an abortion?

A: Your period will usually come back 4 – 6 weeks after your abortion has completed. You will need to take a pregnancy test 3 weeks after your medical abortion to check the treatment has worked.

Some types of hormonal contraception can change your period or stop them all together. If you are using a new type of contraception after your abortion check to see if this can affect your menstrual cycle.

Q: How do I know that the abortion has worked?

A: You will find a pregnancy test in your Aftercare Pack. Please use it 3 weeks after your medical abortion to check that the treatment was successful. You must use the test we give you, as it is different to tests you can buy in the shops. If the test is positive, please call us for further advice.

Click here for a quick self-check list following a medical abortion 

Q: Cleaning after a medical abortion

A: Your vagina is self-cleaning, so please don’t use any soaps or washes inside your vagina. Using these products could increase the risk of infection. If you feel well and not lightheaded, you can take a bath or shower after an abortion. It is a good idea to make sure someone else is in the house with you in case you start to feel faint.

Q: Is abortion legal in the UK?

A: In England, Scotland, and Wales, abortion is governed by the Abortion Act 1967 and the Human Fertilisation and Embryology Act 1990. These laws permit abortion up to 24 weeks of gestation, provided two doctors determine that continuing the pregnancy poses a greater risk to the physical or mental health of the pregnant individual (or their existing children) than terminating it.

Q: What are the abortion laws in England, Scotland and Wales?

A: Abortion is legal in England, Scotland and Wales under the Abortion Act 1967 and the Human Fertilisation and Embryology Act 1990. The law says you can have an abortion if:

• • You have been pregnant for less than 24 weeks

• • Two doctors agree that having an abortion would cause less damage to your physical or mental health (or that of existing children) than continuing with the pregnancy

Our clinicians are bound by these laws. Our doctors will only agree to perform abortions for reasons that are within the law.

Abortions after 24 weeks are available in exceptional circumstances, such as to save the life of the pregnant person, or if there has been a diagnosis of a serious or fatal foetal anomaly.

Q: What are the abortion laws in Northern Ireland?

A: Up to 12 weeks of pregnancy. After 12 weeks you can have an abortion if:

• • You have been pregnant for less than 24 weeks.

• • Two doctors agree that having an abortion would cause less damage to your physical or mental health (or that of existing children) than continuing with the pregnancy.

Abortions after 24 weeks are available in exceptional circumstances, such as to save the life of the pregnant person, or if there has been a diagnosis of a fatal foetal anomaly.

If your pregnancy is under 10 weeks and 0 days, abortion services are available in Northern Ireland from five Health and Social Care Trusts (Belfast, Northern, South Eastern, Southern and Western).

If you need abortion care that is not yet available in Northern Ireland, you can come to England for care. Abortion care in England is free for residents of Northern Ireland. Your travel and accommodation will also be covered by government funding.

Learn more about Abortion in Northern Ireland.

Q: What are the abortion laws in Guernesy?

A: Abortion has been decriminalised in Guernsey. Abortion care is available up to 24 weeks of pregnancy.

Abortions after 24 weeks are available in exceptional circumstances, such as to save the life of the pregnant person, or if there has been a diagnosis of a serious foetal anomaly.

Guernsey is not part of the United Kingdom but is part of the Common Travel Area. Guernsey residents wanting to access a wide range of abortion services often travel to England.

Q: What are the abortion laws in the Isle Of Man?

A: Abortion has been decriminalised in Isle of Man. Abortion care is available for any reason up to 14 weeks of pregnancy.

From 14 – 24 weeks of pregnancy, abortions are available in the following situations:

• • The pregnancy was conceived from rape or incest.

• • Continuing the pregnancy poses risk of serious injury to the pregnant person.

• • A serious foetal anomaly has been diagnosed.

• • The pregnant person claims serious social grounds.

Abortions after 24 weeks are available in exceptional circumstances, such as to save the life of the pregnant person, or if there has been a diagnosis of a severe or fatal foetal anomaly.

Isle of Man is not part of the United Kingdom but is part of the Common Travel Area. Isle of Man residents wanting to access a wide range of abortion services often travel to England.

Q: What are the abortion laws in Jersey?

A: In Jersey It is legal to have an abortion in the first 12 weeks of pregnancy if the pregnancy is causing the pregnant person distress. From 12 – 24 weeks of pregnancy you can have an abortion in the following situations:

• • Two doctors agree that having an abortion would prevent death or grave permanent injury to the pregnant person’s physical or mental health.

• • Two doctors agree that the foetus is suffering from an incurable and serious foetal anomaly.

Abortions after 24 weeks are possible to save the life of the pregnant person.

Jersey is not part of the United Kingdom but is part of the Common Travel Area. Jersey residents wanting to access a wide range of abortion services often travel to England.

Q: What are the abortion laws in the Republic Of Ireland?

A: In the Republic of Ireland, you can legally have an abortion up to 12 weeks of pregnancy.
Abortions after 12 weeks are available in exceptional circumstances, such as to save the life of the pregnant person, or if there has been a diagnosis of a fatal foetal anomaly.

Ireland is not part of the United Kingdom but is part of the Common Travel Area. Ireland residents wanting to access a wide range of abortion services often travel to England.

 

Q: How many weeks can you have an abortion?

A: If the pregnancy is 10 weeks and 0 days or less, then you can have a medical abortion. After this gestation, up to 23 weeks and 6 days pregnant, it is legal to have an abortion through surgical methods.

Q: How much does an abortion cost?

A: If you live in the UK and can access NHS services, abortion care will usually be available at no cost to you. Please give us a call to find out if you can access NHS funding.

If you live outside the UK then you would need to pay for abortion care. This is known as private healthcare, or self-funded treatment. At NUPAS we offer both NHS and private care options.

Find out more about our NHS and private abortion services.

Q: Will NUPAS staff try to talk me out of it?

A: No, we will never try to sway your decision, whatever that may be. Our patient advisors are trained to listen to you, provide medical information and support. We never judge you. We respect your right to choose and are transparent and honest in all that we do.

Find out more about counselling here.

Q: Is an abortion consultation necessary if I already know what I want to do?

A: Yes, the abortion consultation is a legal requirement of offering abortion care. You will have a consultation with a clinician before treatment is offered. This can be face-to-face, or over the phone. If you are under 16 years old you will be seen within one of our clinics.

The clinician will talk to you about your medical history to find the best treatment options for you. They explain what an abortion involves, including possible risks and complications so that you can consent to treatment. They will also answer any questions you may have.

Find out more about consultations at NUPAS here.

Q: What if I change my mind?

A: If you feel like you need more time to come to your decision, please tell us. If you feel that speaking to a trained counsellor could help you to feel more confident in your decision, we can arrange this for you.

If you start to feel unsure about having an abortion after your consultation, please don’t worry. You can change your mind right up to the point where treatment begins. If you do change your mind about having an abortion just let us know so we can cancel your appointment.

If you change your mind after taking the first medical abortion tablet (Mifepristone) and decide to continue the pregnancy please inform us as soon as possible. This is because although Mifepristone is not known to cause birth anomalies, there may be an increased risk of miscarriage later in the pregnancy. We encourage you to also inform your GP and Midwife

There are no clinical guidelines that recommend any medications to reverse a medical abortion.

Q: What type of abortion will I have to have?

A: The type of abortion you have will depend on your medical history and personal preference. If the pregnancy is 10 weeks and 0 days or less, you can opt for a medical abortion (abortion pills) to end it. After 10 weeks, a medical procedure called a surgical abortion will be needed instead.

Q: Do I have to be examined internally before a abortion?

A: Some people will need to have an ultrasound scan before an abortion. We do this to date your pregnancy and ensure this is within the uterus (womb). How many weeks pregnant you are is also known as gestational age. Knowing your gestation will help us know what treatment options are available to you.

Sometimes the pregnancy can be too early for us to see with an abdominal (tummy) scan. If the pregnancy is under 8 weeks, it's best practice to perform a vaginal ultrasound for more accurate results. We will only do this with your permission.

Q: I'm breastfeeding, can I still have an abortion?

A: If you are having a surgical abortion under general anaesthetic, you can breastfeed straight away, provided you are not drowsy and can hold the baby safely.

If you have an early medical abortion (abortion pills) you can continue with breast feeding.

Q: Can I have an abortion if I take prescription medication?

A: You can let us know if you are taking any regular medication during your clinical assessment. If you are taking prescribed medication you should continue to take these as normal. If you are prescribed Aspirin, Warfarin or Clopidogrel (Plavix), please tell the clinician during your consultation. We will ask you lots of questions about your medical history and medications you take, this helps us ensure you are safe to have an abortion with NUPAS. In some cases, we have to refer our patients to the NHS for abortions, but will talk to you before doing this.

Q: Are abortions safe?

A: Abortions are very safe when provided by a registered clinic like NUPAS. Our teams are highly trained as abortion care specialists.

As with any medical treatment, there are some known risks, side effects and possible complications. Complications have warning signs so we will give you information on what to look out for. You can call our 24-hour Aftercare Line to speak to a nurse if you have any concerns after your abortion.

Q: Will having an abortion stop me from getting pregnant in the future?

A: Having an abortion should not affect your ability to get pregnant in the future.

However, as fertility can return to normal very quickly after an abortion, it is very important that you use contraception to prevent becoming pregnant again.

We will talk to you about possible risks, complications and side effects of abortion treatment at your consultation. Learn more about medical abortion and surgical abortion.

 

Q: What do I need to have ready for my abortion?

A: For your consultation please have a list of any medicines or inhalers that are prescribed to you.

For your abortion treatment:

• Wear loose fitting, comfortable clothing.
• Have a supply of sanitary towels that are suitable for a heavy flow (not tampons).
• Have a supply of pain relief at home, such as paracetamol and ibuprofen, or any regular pain relief medication you would normally use.
• Heat pads or a hot water bottle can also be effective at managing pain.

If you are having a surgical abortion with sedation or general anaesthetic, we will give you instructions on how to prepare for treatment.

Q: I'm not sure if I want to have an abortion, can I talk to someone about it?

A: Yes, we offer counselling sessions for anyone considering abortion. In pre-abortion counselling you can discuss your feelings around pregnancy options. This can happen before booking your abortion appointment.

Our counsellors will not make decisions for you. They are there to listen to your feelings and work with you on coping strategies. If you decide to have an abortion, you can access care with us.

Q: I had an abortion with another provider, can I have counselling with NUPAS?

A: We can only offer post-abortion counselling to patients who have had their abortion care with us. All abortion providers will have post-abortion counselling services. We recommend getting in touch with your abortion provider to access free counselling.

Q: I had my abortion many years ago, can I still have counselling?

A: No matter how long ago you were in our care, you are welcome to access our counselling service.

Q: Can my partner access abortion counselling?

A: We are only able to provide abortion counselling for NUPAS abortion patients or those considering an abortion with us. Sadly, this means we are not able to offer counselling services to partners or other family members. If you are not a NUPAS patient and would like counselling, you can find information on NHS counselling services here.

Q: How do I find someone to talk to who is not a counsellor? 

A: If you don’t feel like you need counselling but would still like a place to talk about your abortion decisions, visit our friends at www.abortiontalk.com. Their Talkline is for anyone with abortion experiences, including partners.

Q: What is the abortion pill?

A: The Abortion Pill is actually two pills that are taken to end a pregnancy. Mifepristone and Misoprostol are used in conjunction for a medical abortion. This is a safe and effective way toterminate a pregnancy.

Q: Is Abortion Painful?

A: Most people are able to continue with everyday activities following the first pill, called Mifepristone.

Following the second pill (Misoprostol), you may experience lower abdominal pain or cramping, along with vaginal bleeding. For most people, the pain is manageable, but in some cases, it can be more intense and may require strong pain relief, like codeine.

The pain can be intense when the pregnancy is passing, this is normal and usually happens within 2 to 4 hours, but it can happen sooner or later too. The pain can also be in your back, thighs and tops of your legs.

Q: Abortion Pill Cost

A: If you live in the UK and can access NHS services, abortion care will usually be available at no cost to you. Abortion pills cannot be bought at pharmacies or health clinics; you have to be referred to NUPAS or another abortion provider to receive abortion care.

If you live outside the UK then you would need to pay for abortion care. This is known as private healthcare, or self-funded treatment. At NUPAS we offer both NHS and private care options.

Find out more about our NHS and private abortion services.

Q: What's the difference between the 'morning after pill' and the abortion pill?

A: Abortion pills (a medical abortion) are two types of medication used together to end an existing pregnancy. These pills do not contain hormones. The first abortion pill (mifepristone) works by blocking the hormone needed for a pregnancy to grow.

The emergency contraception pill (sometimes called ‘the morning after pill’) is used before a person is pregnant. It contains hormones that can delay an egg from being released. This delays ovulation, prevents the egg from being fertilised after sex and also prevents implantation.

Q: Can I order abortion pills online without speaking to someone?

A: It is not possible to legally order abortion pills without speaking to a clinician. The abortion consultation is a legal requirement. During the consultation we talk about your pregnancy and medical history. This is to make sure abortion pills are a medically suitable option for you.

Q: Can my GP give me an abortion pill?

A: GP surgeries are not able to prescribe abortion pills for collection at a pharmacy. In the UK, abortion pills must be supplied to patients through a licensed clinic or in a hospital.

Q: Can someone pick up the abortion pill for me?

A: No, if you have asked to collect the abortion pills from a NUPAS clinic you must come in person.

NUPAS offer a pills-by-post service to deliver medical abortion pills to our patients. This allows you to take the medical abortion pills at home without having to come to a clinic.

Q: Is a medical abortion painful?

A: You will feel some pain and cramping as your uterus (womb) contracts during the abortion. You may find the cramps are more painful than period pains. We will give you pain medication. We recommend that you have some paracetamol and ibuprofen or any of your regular painkillers ready at home. Being comfortable at home with a heat pad is also effective at soothing pain.

The best pain relief for you to take will depend on your medical history. We will talk to you about pain relief during your consultation.

Learn more about what to expect during a Medical Abortion.

Learn about Abortion Aftercare here.

Q: Will I bleed during a medical abortion?

A: Yes, you will have vaginal bleeding. This is the effect of the womb contracting and pushing out the pregnancy tissue. You may also pass blood clots.

Bleeding can vary for each person and each abortion. It is normal to have light, moderate, or heavy bleeding during a medical abortion. Bleeding usually begins about 2 hours after taking the second pills.

After you have passed the pregnancy, you may have period-like bleeding up to 14 days. Some women may bleed lightly (on/off) up to their first period, which is 4-6 weeks from treatment.

Learn more about what to expect during a Medical Abortion.

Read more on Abortion Aftercare here.

Q: What are the side effects of the abortion pills?

A: The medical abortion pill can cause diarrhoea, nausea, sickness, feeling light-headed, hot flushes and chills. These symptoms usually disappear within a few hours.

Learn more about Medical Abortions.

Q: What are the risks of taking abortion pills?

A: Abortion pills are very safe. As with any medication there are some potential risks. We will talk to you about these possible complications during your consultation.

If you feel worried about your recovery, or if you feel unwell call our 24-hour aftercare line.

Understanding Complications

Serious complications have warning signs. If you have any of the symptoms listed below call our Patient Support Line Aftercare line straight away as they can (but not always) be a sign of infection or complication:

• • Flu-like symptoms such as a fever, high temperature and feeling generally unwell  after your abortion , this could be a sign of infection or sepsis.

• • Abdominal (tummy) pain or discomfort that is not helped by pain relief medication, or by using a heat pad.

• • Vaginal discharge that smells foul.

• • Very heavy bleeding. Soaking through more than 2 heavy-flow sanitary towels an hour for more than 2 hours in a row.

• • During a medical abortion - No bleeding, or only spotting or scant bleeding 24-48 hours after taking Misoprostol tablets.

• • If you have pregnancy symptoms 2 weeks after a surgical abortion.

Features suggestive of sepsis and indicating the need for urgent intervention include:

• • Low Blood Pressure which may present in the form of light-headedness or dizziness, feeling sick, blurred vision, generally feeling weak, confusion and fainting.

• • Fast Heart rate when not undertaking physical activities.

• • Increased breathing rate when not undertaking physical activities.

For further information about sepsis https://www.nhs.uk/conditions/sepsis/]

• •  Relatives concerned about mental status

• • Loss of consciousness

Find out more about Abortion Aftercare.

Call our Patient Aftercare Line

Call 999 or ask your support person to phone for an ambulance immediately if you have any of the following symptoms:

• • Loss of consciousness.

• • Severe allergic reaction such as facial, mouth, throat swelling or breathing difficulties.

• • Extreme heavy bleeding (flooding). Soaking through heavy-flow sanitary towels every 5 - 10 minutes and passing blood clots larger than the size of your hand.

• • Worsening pain in one side of the lower tummy, under the ribs, or up to the shoulders. This might indicate an undiagnosed ectopic pregnancy.

Q: Can I take birth control pills to end a pregnancy?

A: No, contraceptive pills will not end a pregnancy. Mifepristone contains the hormone that ends a pregnancy, whereas the contraception pill contains hormones that prevent ovulation and thicken the lining of the uterus.

Learn more about the abortion pills here

Q: How to use misoprostol vaginally?

A: Insert all 4 tablets vaginally one at a time, this may be easiest laying down. Lay down for 30 minutes after inserting to ensure they start dissolving properly.

If you prefer, place them between your gum and cheek. You can take your preferred pain relief 10 minutes before taking the misoprostol.

Q: How long does it take for misoprostol to soften the cervix?

A: Misoprostol is designed to gradually soften the cervix. It can take several hours. This enables the body to expel the foetus from the uterus. It is used not just for abortion but also to induce labour in women who are ready to give birth.

Q: What does Mifepristone do?

A: Mifepristone is a medication that blocks progesterone, a hormone essential for maintaining pregnancy. When combined with another drug called misoprostol, it is used to terminate a pregnancy up to 10 weeks gestation.

Q: How long does it take for Mifepristone to work?

A: Most pregnancies are passed 2 to 24 hours after taking the misoprostol tablets. Mifepristone alone will not terminate a pregnancy.

Q: Who should not use Mifepristone with Misoprostol for medical termination of pregnancy?

A: Mifepristone, in combination with misoprostol, should not be used for medical termination if more than 70 days have passed since the first day of your last menstrual period, or if you:

• • Have an ectopic pregnancy (a pregnancy outside the uterus)

• • Have adrenal gland issues (glands located near the kidneys)

• • Are on long-term corticosteroid treatment

• • Have had an allergic reaction to mifepristone, misoprostol, or similar medications

• • Have bleeding disorders or are taking blood-thinning medications

• • Have inherited porphyria (a rare disorder affecting the liver and other organs)

Q: How long do you bleed after taking Misoprostol?

A: You might experience light, moderate, or heavy bleeding. Some people pass clots, these can vary in size but should not be larger than a lemon. Once the pregnancy passes, the bleeding should start to ease. Light bleeding or spotting can continue for up to two weeks and occasionally until your next period.

Contact NUPAS on 0333 004 6666 if:

• • You haven’t bled at all or have only light spotting 48 hours after taking misoprostol OR 24 hours only if the nurse or midwife in clinic has advised you to do this.

• • You’re soaking (Heavy) 2 maxi pads per hour for 2 hours in a row.

Q: How long should I lay down after inserting Misoprostol?

A: If you've inserted Misoprostol tablets vaginally, it's a good idea to lie down for about 30 minutes while they dissolve. As long as you insert them as far in as possible, they shouldn't fall out, but once you start bleeding, you may see a chalky residue of the pills- this is normal.

Q: Can I have contraception after my abortion?

A: Yes, NUPAS offers a full range of contraceptive methods – the implant, injection, intra uterine device (coil), patches and oral contraceptive pills.

If you are having a medical abortion using our pills-by-post service, we can arrange for your contraception pills to be posted out to you or you can book a follow-up face-to-face consultation at a later date.

Q: How long does an IUD or LNG IUS last?

A: Once fitted a LNG-IUD can be used for 3-8 years, depending on the brand.

After a Cu-IUD is fitted it works for 5-10 years, depending on the brand.

Both  Cu- IUD and LNG-IUD can be taken out sooner if you choose. Your fertility returns to normal as soon as the coil is removed.

Q: What is the most effective contraception type?

A: The most effective contraception is the implant. This is followed by the contraceptive coils , the injection, patches, vaginal rings, contraceptive pills and condoms.

How effective contraception is can depend on how they are used. Long-Acting Reversible Contraception (LARC) is highly effective. This is because you don’t have to remember to take it or use it during sex. LARC includes the implant, injection, Cu-IUD and LNG-IUD.

Condoms are the only contraception to protect against sexually transmitted infections (STI’s).

Q: How soon will I be able to get pregnant after an abortion?

A: Fertility returns quickly after an abortion. This can be as soon as 5 days after. Contraception will be essential if you want to avoid pregnancy after an abortion.

There are lots of contraception types to choose from. We can help you find a new method if your old contraception hasn’t been right for you.

Learn more about our post-abortion contraception services.

Q: Can I have an abortion if I'm under 16?

A: If you are under 16 years old and considered able to consent to medical treatment, the law allows you to have an abortion without permission from your parent or carer. We will require you to have a responsible adult for support.

You do not need to speak to your GP for an abortion referral. You can refer yourself for abortion care by calling 0333 004 6666.

 

Q: Can I have a consultation over the phone?

A: You will have an initial telephone consultation with one of our nurses/midwives. We will then see you face-to-face in one of our clinics. This is for us to speak to you in person to make sure that you understand the treatment options, and possible risks and complications.

You can book a consultation appointment by calling 0333 004 6666.

 

Q: Can I consent to my own treatment if I'm under 16?

A: We will make sure that you are fully aware of what is involved with the abortion treatment. You can agree to the treatment yourself if you understand the procedure and the possible risks and complications. You can ask us any questions you have about the abortion and what to expect.

You do not need anyone else’s consent for an abortion. We do encourage you to tell a parent or other adult who can support you. This could be a friend, family member, social worker or anyone else over 18 who you trust.

 

Q: Will anyone be told I am having an abortion?

A: Our services are confidential, If you tell us something that suggests you or someone else may be at risk of harm, we may have to talk to other professionals to make sure you are safe. We have a duty of care to do this. We will tell you if we need to do this and why.

Although you don't need permission to have an abortion, you are required to have a responsible adult to support you.  We will not tell your parents or carers about your abortion. We will never force you to tell them. We do encourage you to tell a parent or other adult who can support you through this process. This could be a friend, family member, social worker or anyone else over 18 who you trust.

We will not tell your GP about your abortion unless you want us to.

 

Q: Do I need to bring anyone with me to the clinic?

A: If you are under 16 years old, we recommend that an adult accompanies you home after your appointment. This could be a friend, family member, social worker or anyone else over 18 who you trust.

If you would like someone to stay with you throughout your treatment in the clinic, please discuss this with the clinician at your appointment.

 

Q: Where can I get a free pregnancy test?

A: NUPAS offer free pregnancy testing. Book a consultation for pregnancy advice.

If you’re unable to do a pregnancy test yourself, you can bring a urine sample to your consultation. For accurate testing, bring a sample of the first wee in the morning as this will contain higher levels of the hormone we detect for pregnancy.

Alternatively, you may be able to get a free pregnancy test from your GP.

 

Q: Can I take a pregnancy test before a missed period?

A: Yes, some very sensitive pregnancy tests can detect pregnancy hormones even before a missed period. Pregnancy hormones start to be produced around 6 days after fertilisation. Most pregnancy tests are best used from the first day of a missed period. Learn more about taking a pregnancy test on the NHS website.

 

Q: How soon after a missed period can I do a test?

A: You can take most pregnancy tests from the first day of a missed period. The tests are very sensitive at detecting pregnancy hormones.

 

Q: Can I have a negative test and still be pregnant?

A: Pregnancy tests measure the level of pregnancy hormones in your urine. Pregnancy tests are very sensitive and a ‘false negative’ could happen if it is very early in the pregnancy as a pregnancy test take 3 weeks to show after sexual contact. In this situation your body may not have built up enough pregnancy hormone for the tests to detect yet. If you have any doubts, you can do a second test two or three days later.

 

Q: Is there a charge for pregnancy tests at NUPAS?

A: We do not charge for carrying out pregnancy tests at our clinics. However, we do not offer ‘walk in’ pregnancy tests in our clinics.

 

Q: If I'm having a pregnancy test at NUPAS, do I need to bring a urine sample from first thing in the morning?

A: If you're unable to do a pregnancy test yourself, please bring in a urine sample from first thing in the morning, in a clean plastic container, as this will give the most accurate test result.

Q: How long will I be at the clinic on the day of the surgical abortion?

A: This will depend on which type of surgical abortion procedure you have. You will usually need to be at the clinic for half a day. We will talk to you about the different types of surgical abortion during your consultation.

To learn more about surgical abortion at NUPAS, head to our Surgical Abortion page.

Q: How should I prepare for a surgical abortion with general anaesthetic?

A: For information on preparing for a surgical abortion please click here

When visiting our clinic for your surgical abortion appointment you should:

• • Wear comfortable and loose clothing.

• • Bring heavy flow sanitary towels.

• • You will have been told if you need to remove any facial and body piercings, makeup and nail varnish.

• • Remove contact lenses if you wear them (bring a pair of glasses with you)

We ask that you have a trusted person (over 18) to take you home after your appointment and stay with you for 24 hours.

If you are ill in the 2 days before your surgical abortion, please call us. We may have to rebook your appointment for when you are feeling better.

Q: Can I drive home after a surgical abortion?

A: You cannot drive for at least 24 hours after conscious sedation or general anaesthetic. Please arrange transport home before your appointment. You may feel like your memory and concentration is affected for a day or two. If you are involved in a road accident after being anesthetised you may not be covered by your insurance. Please check with your motor insurance company for their rules on driving after having anaesthetic.

You would be able to drive after a surgical abortion if you had local anaesthetic only. However, you may have cramps after a surgical abortion. You should aim to rest for 24 – 48 hours after your procedure. For your comfort we recommend that you arrange a lift home.

Q: What are the risks of a surgical abortion?

A: Surgical abortions provided by licensed clinics such as NUPAS are very safe. As with any medical procedure there are some potential risks. We will talk to you about these possible complications during your consultation.

Find out more about Surgical Abortion Aftercare.

Understanding Complications expanding / collapsing content section]

Serious complications have warning signs. If you have any of the symptoms listed below call our Patient Support Line Aftercare line straight away as they can (but not always) be a sign of infection or complication :

• • Flu-like symptoms such as a fever, high temperature and feeling generally unwell  after your abortion , this could be a sign of infection or sepsis.

• • Abdominal (tummy) pain or discomfort that is not helped by pain relief medication, or by using a heat pad.

• • Vaginal discharge that smells foul.

• • Very heavy bleeding. Soaking through more than 2 heavy-flow sanitary towels an hour for more than 2 hours in a row.

• • During a medical abortion - No bleeding, or only spotting or scant bleeding 24-48 hours after taking Misoprostol tablets.

• • If you have pregnancy symptoms 2 weeks after a surgical abortion.

Features suggestive of sepsis and indicating the need for urgent intervention include:

• • Low Blood Pressure which may present in the form of light-headedness or dizziness, feeling sick, blurred vision, generally feeling weak, confusion and fainting.

• • Fast Heart rate when not undertaking physical activities.

• • Increased breathing rate when not undertaking physical activities.

For further information about sepsis https://www.nhs.uk/conditions/sepsis/]

Find out more about Surgical Abortion Aftercare.

Call our Patient Aftercare Line

Call 999 or ask your support person to phone for an ambulance immediately if you have any of the following symptoms:

• • Loss of consciousness.

• • Relatives concerns about mental health

• • Severe allergic reaction such as facial, mouth, throat swelling or breathing difficulties.

• • Extreme heavy bleeding (flooding). Soaking through heavy-flow sanitary towels every 5 - 10 minutes and passing blood clots larger than the size of your hand.

• • Worsening pain in one side of the lower tummy, under the ribs, or up to the shoulders. This might indicate an undiagnosed ectopic pregnancy.

Q: What happens to the foetal remains and pregnancy tissue after a surgical abortion?

A: If you don’t have specific wishes for the pregnancy remains, we will dispose of them in a respectful and sensitive way. We follow guidelines for cremation of remains from:

• • The Royal College of Nursing

• • The Human Tissue Authority

If you wish to take the remains with you to arrange a burial or cremation service, please let us know during your consultation. Personal requests for the remains will be met wherever possible.

Q: Do I have to bring someone with me?

A: We strongly recommend that you bring someone (over the age of 18) with you when having a surgical abortion. This is to support you, and to accompany you home.

Q: Can I bring someone with me to my clinic appointment?

A: Of course! You may find that having support will help you through the day. However, there will be times when we need to speak to you on your own. During your procedure, they can stay in the waiting room.

If you are under 16 and would like someone to stay with you throughout your treatment in the clinic, please discuss this with the clinician at your appointment.

Q: Can I bring my young children with me?

A: We do not have facilities for young children at the clinics. If you have children, please arrange childcare for the day of your appointment.

We know there will be some circumstances that make finding childcare difficult. Please let us know if you think this may apply to you when booking your appointment.

Q: Will I need to come back to the clinic after an abortion?

A: No, however, if you have had an Early Medical Abortion (EMA), you will need to take a pregnancy test at home after 3 weeks. This is to make sure the treatment has worked. We will give you a pregnancy test in your Aftercare Pack. If the test is positive, please call us for further advice. You may need to have another appointment with us if the test is positive.

Q: Will my treatment be kept confidential?

A: We will not share your details with anyone unless we have your permission. Your GP does not need to be informed unless you want us to tell them. We always respect your privacy and dignity.

All consultations and treatments are completely confidential. However, if we feel that you or someone else is at risk of abuse or harm we have a duty to contact a local safeguarding team. We will always let you know if we are contacting safeguarding services and our reasons why.

Q: How is my information used?

A: We send limited data to the Chief Medical Officer at the Department of Health and Social Care. This is to notify them that an abortion has been authorised. This is a legal requirement for all abortion providers. The information we send includes our patients’ date of birth, postcode, ethnicity, marital status, number of previous pregnancies and gestation of pregnancy before the abortion. It will not be possible to identify you from the data we send.

The information is used for statistical purposes by the Department of Health and Social Care. Abortion statistics for England and Wales are published each year by the Office of National Statistics (ONS).