How Tele-Abortion Works
In this 10 minute video, Dr Emma Boulton steps you through the whole process so that you know and understand what to expect.
How long does it take?
It is possible to complete the medical termination process within a few days but this will be dependent upon how quickly you will be able to get your required blood test and ultrasound done locally.
It is important that we have the test results before we can prescribe the medication. It is your responsibility to arrange to have the tests promptly. Once we have the results of the tests, we can proceed with the prescribing process.
Women undergoing medical termination of pregnancy must have an intrauterine pregnancy of under 63 days so if there is a delay getting the tests, and you are over 63 days gestation by the time the second consultation occurs, then you will need to seek a surgical abortion with a local provider instead.
The Tele-Abortion Process
Your first consultation will take approx 45 minutes and will be done via video chat (skype, facetime, google meet or whatsapp) or by phone.
You have Tests
You arrange for and get your blood test and ultrasound done locally as soon as possible, and let us know as soon as they're done so we can follow up.
You take the first tablet (1st Step) which stops the pregnancy. You wait 24 hours for this medication to take effect before taking the second medication.
10 days later, you organise your 2nd blood test to ensure that the procedure was successful.. You let us know when done and schedule your final appointment.
Your final follow up appointment with the Doctor is important to make sure that all is well following the procedure. No charge for this appointment.
Note: There can be issues that may arise throughout this process, which could mean that your procedure won't go exactly as laid out here. All known potential risks are described in the information that you must read before committing to Medical Abortion via Tele-Health.
The Tele-Abortion process in detail...
1. Understanding & Suitability
It is important that you read through the information on this website so that you fully understand what medical abortion and tele-abortion is and what it means for you.
If you decide to go ahead with a tele-abortion, you need to complete a Suitability Checklist to ensure that you are suitable for this method of abortion. There are rules we must follow to ensure your safety.
If you are not suitable for tele-abortion, unfortunately you will not be able to register. If you live in the Sydney region, we can assist you with an 'in-clinic' appointment for medical or surgical abortion. Visit for more information.
2. Schedule and pay for your first consultation, and complete the Registration form
If you do pass the Suitability Checklist, you will be asked to schedule an online appointment with one of our tele-abortion consultants at a time that suits you within our availability.
Your first consultation will require an initial payment of $150. Once this has been paid, your booking is confirmed and you will be guided to our registration and medical history form. It is important that you complete and submit this form before your consultation.
3. First Consultation - Initial assessment (45 mins)
You will meet with the tele-abortion consultant at your scheduled time and preferred platform to review and assess your situation and confirm the next steps. This will be a great opportunity for you to ask any questions you may have about the tele-abortion process.
4. We give you your test requests
Following your first appointment, we will give you access to our secure online tele-consulting room, and we will also send you blood test and ultrasound scan request forms so that you can get them done quickly and close to your home or work.
These tests will ensure that you are suitable for medical termination of pregnancy, and provide a baseline so that we can best manage your personal journey through the medical abortion.
5. You get your blood test and ultrasound done locally
You arrange for and get your blood test and ultrasound done locally. You will need to pay for these tests yourself (additional to the costs quoted by us), and prices will vary according to your local providers. If you hold a medicare card, you may be able to negotiate 'bulk billing'.
Important Note: It is critical that you get these tests done as quickly as possible. As soon as they're done, you need to let us know. We cannot proceed until these tests are completed, as we must have the results before we can prescribe the medication. If you delay getting these tests, it is possible that your tele-abortion will need to be canceled. If your pregnancy goes beyond 9 weeks (63 days) gestation, you will need to have a surgical abortion.
6. Test Results reviewed and book second consultation
When the initial test results are received, we will notify you and invite you to schedule your second consultation. If there are any issues with your test results which may preclude you from continuing with the tele-abortion, we will guide you on your alternative options.
If all is ok, you will schdule and pay ($245) for your second appointment.
7. Second consultation (45 mins) & consent form
During this 45 minute consultation, you will be assessed based on all the information you have provided in the registration process, along with the test results. We will also take you through what you can expect and how best to prepare for the tele-abortion process.
Before preparing your prescription for the abortion medication, we will ask you to first sign an electronic consent form, which is a legal requirement.
8. Prescriptions sent to a pharmacy of your choice
A prescription will be sent to your choice of dispensing pharmacy. You will arrange with that pharmacist to either pick it up in person, or organise for them to send it to you (depending on your preferences and circumstances). The important thing is that we get the medication to you asap. You are the best person to decide whether to collect your medications in person or get the pharmacist to courier them to you.
You are responsible for the cost of all medications, including the medical abortion pills. If you do not have a Medicare card, you will not receive a PBS benefit for the medical abortion pills, though your private health insurance may cover costs depending on your policy.
9. You take the first tablet
There are two differerent types of tablets that are taken separately (at least 24hrs apart), and together they make up the medical abortion medication (which is why is it called 'Two Step')
The first step is a tablet which blocks the effects of progesterone, which is a hormone that is needed for a pregnancy to continue. Some people feel nauseous or start bleeding after taking it, but it's not common.
10. You take the second tablets
The second step includes four tablets, which need to be taken between 24 and 48 hours after the first step. These tablets cause the cervix to soften and the uterus to contract, essentially inducing a miscarriage.
You should expect cramping which may be severe for about 6 hours, bleeding and passage of tissue. It is important that you are at home or somewhere safe and comfortable, and you should have 'nothing else to do' (including looking after children).
Your consultant will guide you on how (best taken buccally) and when to take the tablets. Ideally, these tablets should be taken in the morning, allowing the medical abortion process to occur throughout the day.
In about 95% of cases, this is a straightforward process and safely completes the pregnancy termination.
Pain does not usually continue beyond 6 hours after the second step, though bleeding may continue for three weeks.
11. Blood Test
Ten days after your medical abortion, it is important that you organise your second follow-up blood test, so that we can be sure that the procedure was successful.
If the second step has not expelled all of the pregnancy, you could get very sick (or even die), so please do not consider skipping this important step.
Once you've had your test, you can schedule your final consultation, which will only take about 15 minutes if all is well, and will be free of charge.
12. Final Consultation - Check in and Follow up.
A follow-up blood test done at 10 days (which you need to get done locally again) and tele-consultation (which is free of charge), will be undertaken 3 weeks later. It is essential that this follow-up assessment occurs to ensure that the Medical Abortion process is complete.