Medical Abortion Services
What is medical abortion?
Medical abortion is a safe and effective method of ending an early pregnancy, up to 9 weeks gestation, using medication rather than surgery. You will receive personalised care from experienced doctors and nurses. Medical abortion is also known as non-surgical abortion and is available in-clinic across Australia.
If you are under 9 weeks pregnant (63 days), you may be eligible for an abortion by telehealth (also called teleabortion).
Medical abortion is a two-stage process. The first stage involves taking a tablet which blocks the hormone necessary for the pregnancy to continue. This is followed 24-48 hours later by a second medication which causes the contents of the uterus to be expelled. Overall, medical abortion is a low risk non-surgical option for early termination with a high success rate, up to 98%.
Download our clinical services guide for more information or read an accessible online version of this booklet.
It can be hard to know how best to support someone who has had an abortion. We provide this guide for anyone who wants to learn more about timely and empathic support.
How much does a medical abortion cost
People with Health Care Card
Your starting price is $580
People with Medicare Card
Your starting price is $620
People without Medicare
Your starting price is $1,280
- The prices include the cost of blood tests, ultrasounds, follow up appointments and treatments.
- Confirm your out of pocket price using our Cost Estimate tool.
- Clients can access a discounted insertion of a long-acting contraceptive (LARC) method following their appointment.
Comparison of abortion services at MSI Australia
For a detailed comparison of the two methods, read Understanding your options: surgical abortion vs medical abortion.
Abortion by telehealth
- Up to 9 weeks gestation
- No referral required
- Ultrasound through local imaging provider
- Phone/video clinical consultations
- Medications delivered to your home
- Support person recommended for Day 2
- Less than 4% incomplete abortion risk
- Medium to heavy bleeding
- Variable pain
- Self-managed follow up
Learn more about our Abortion by telehealth services.
Medical abortion in clinic
- Up to 9 weeks gestation
- No referral required
- Ultrasound in clinic
- In person clinical consultations and support
- Medications provided in clinic
- Support person recommended for Day 2
- Less than 4% incomplete abortion risk
- Medium to heavy bleeding
- Variable pain
- Self-managed follow up
Surgical abortion
- Up to 22 weeks gestation in some states
- No referral required
- Ultrasound in clinic
- In person clinical consultations and support
- In a licensed day surgery
- Sedation or local anaesthetic
- Support person required for pick-up
- Less than 2% incomplete abortion risk
- Light bleeding
- Follow-up not usually required
Learn more about our surgical abortion services.
What kind of abortion can I have?
Your gestation (how far pregnant you are) will determine which kind of abortion you can have. To check which abortion methods are available to you, use our gestation calculator by entering the first date of your last period. This will provide you with a gestation estimate in weeks and days, which will later need to be confirmed by an ultrasound.
Contact our friendly staff
Make an abortion appointment, suited to your needs
Medical abortion process
As there is no surgical procedure performed for a medical abortion, you will not require an anaesthetic, and you are not required to fast before your appointment.
You will also be able to drive yourself home after the appointment. You can bring a support person with you.
As a general rule, when booking your medical abortion appointment, we recommend you give yourself a day or two to recover. You should keep this in mind when booking your appointment.
Call 1300 003 707 to speak to our friendly staff about making a medical abortion appointment or enquire online.
Expect to spend around 2 hours at the clinic.
1. You will have an ultrasound to check how many weeks pregnant you are.
- We will not show you the ultrasound unless you ask to see it.
- We need to check that you are no more than 9 weeks (63 days) pregnant to go ahead with a medical abortion.
2. You will have a consultation with both a nurse and a doctor. The nurse will talk to you by yourself. They will ask you about your decision and whether you are sure. Your support person is then allowed to join you in the consultation.
- We will ask about your medical history and previous pregnancies.
- We will explain the treatment, as well as any risks.
- You can ask any questions you might have.
- We will discuss your contraceptive options and sexual health screening.
- Some contraceptive methods can be started immediately.
3. Sexual health screening
Unless you ask not to, we will screen you for sexually transmitted infections at your appointment. You can also choose to have a Cervical Screening Test (previously known as a Pap smear) at the same time.
- These tests are free.
- We will only contact you for positive or abnormal test results.
- You can ask for a copy of your results to go to your GP.
4. The 2 steps of a medical abortion
Medical abortion happens in 2 steps. You will take 2 different tablets which work together to end the pregnancy.
Follow up 2-3 weeks after your appointment is essential to make sure the abortion has worked.
- You will be given a special urine pregnancy test to use at home and answer a set of questions. This should be done no earlier than 14 days after your treatment. You will be given an instruction sheet to help with this.
- If you need to be seen in the clinic for any reason, we will make an appointment for you.
Do not travel overseas until you have confirmed your treatment is complete.
FAQs
Is a medical abortion safe? Will this affect future pregnancies?
An uncomplicated medical abortion will not affect your chance of becoming pregnant in the future.
How do I reduce the risk of infection after getting an abortion?
To reduce the chances of infection, do not insert anything into your vagina for 1 week.
- This includes tampons, menstrual cups, fingers, or having vaginal intercourse.
- If you intend to use the vaginal ring or a diaphragm for contraception, please discuss this with the doctor at your appointment.
What can I expect during my medical abortion?
These are some symptoms you will probably experience during your medical abortion. If you experience any of the uncommon symptoms or are worried about anything you’re feeling, you can call our free 24/7 support line on 1300 888 022.
Bleeding
You will probably bleed more than your usual menstrual period, bleeding should get lighter after the pregnancy has passed.
- You may also pass some clots, which can be different sizes.
- You can expect to have some bleeding for around 2 weeks.
- You may have some light bleeding until your next period.
Call us if you experience very heavy bleeding, such as:
- soaking through a maxi-pad every 30 minutes for more than 2 hours
- passing clots larger than a tennis ball size
- heavy bleeding lasting more than 2 weeks.
Abdominal pain
Pain in your abdomen (lower tummy) is normal and can range from mild to strong. Pain should get better after the pregnancy has passed. Strong cramping does not usually last longer than 24 hours. If you have pain in your abdomen, there are some tips in the pain management section of this book.
Call us if you have:
- strong cramping that does not get better with pain medication
- strong cramping for more than 24 hours
- concerns about your health.
Other side effects of medication
|
Step 1 can cause:
These side effects are not common, but if you do experience them, they are usually mild. |
Step 2 can cause:
These side effects can be common, but they usually don’t last long. |
When can you get a medical abortion?
- You are within the first 63 days of gestation.
- You value a more private and convenient abortion option.
- Generally suitable for most, but not recommended if you have bleeding disorders or experience adrenal gland problems.
- You live in rural or remote areas. Learn more about our abortion by telehealth (teleabortion service)
Where in Australia can you have a medical abortion?
MSI Australia provides medical abortion services in:
How does a medical abortion compare to a miscarriage?
A medical abortion is similar to a miscarriage but induced by medication. Both experiences can vary significantly between individuals.
What side effects can I expect during a medical abortion?
Step 1 typically causes no noticeable effects. Step 2 leads to bleeding and cramping, varying in intensity. Temporary nausea, vomiting, diarrhoea, and chills may occur but usually subside within hours.
How long does the medical abortion process take?
Most patients expel the pregnancy within 4-6 hours of the second medication. Expect intense cramping and heavy bleeding with clots during this period. Symptoms generally ease after expulsion, with light bleeding potentially lasting several weeks.
How much discomfort is involved in a medical abortion?
Abdominal pain ranges from mild to strong but typically improves after pregnancy expulsion. Severe cramping rarely lasts beyond 24 hours. Pain medication is provided, and our medical abortion booklet offers additional management tips.
Is follow-up required after a medical abortion?
Post-procedure follow-up involves a Low Sensitivity Urine Pregnancy (LSUP) test and a symptom questionnaire. This is typically done 2-3 weeks after taking the medication, with exact timing discussed during your initial appointment. A negative LSUP result and no health concerns usually mean no further appointments are needed. If the test is positive or you have any worries, contact us to schedule a review.
How many tablets will I need to take for a medical abortion?
The process involves two medications. Step 1 is one tablet taken at the clinic or home. Step 2 consists of four tablets taken at home 36-48 hours later. Additional pain and anti-nausea medications are provided. Dosage instructions are explained during your appointment.
If you have any other questions, please get in touch.