Up to 12 weeks

Surgical Termination

A pessary is sometimes placed in the vagina before the operation to soften the neck of the womb.

Then, while under a general anaesthetic, the contents are gently sucked out. This only takes five minutes and the procedure is usually done as a day case in hospital. You go to the ward in the morning and are usually allowed home later the same day. Occasionally you may be required to stay overnight.

After the operation you may feel some period-type cramp. You will probably bleed for a few days and you may also be given an antibiotic to cut down any risk of infection.

Medical termination

This may be offered up to nine weeks but not everyone is suitable, e.g. if you suffer from asthma or heart disease.

The method does not usually involve an operation, but you will require two visits to the hospital:

1st Visit
One tablet of Mifepristone is given and you will be asked to stay for 1-2 hours for observation before being allowed home.

2nd Visit
Two days later, you go to the ward and a pessary (tablet) is inserted into the vagina. The contents of the womb are then expelled within the next six hours, though it may take longer. This is rather like a heavy period and you will probably have some crampy pains which may require a painkiller. Once this has happened, you can go home if you feel well. Occasionaly all the contents of the womb are not expelled and you may need a short surgical procedure called dilation and curettage (D&C).

After returning home, if you have heavy bleeding or an offensive discharge, contact the hospital, Sexual Health Service or your GP.