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
You read through all the info about medical abortion by tele-medicine to ensure that it is the right option for you and we recommend that you complete the suitability checklist. If all ok...
Make a Booking
You make a booking online for your first consultation and will receive an email confirmation including a link to your video appointment. Your first consultation is covered by Medicare.
Your connect to your TeleAbortion doctor via a link in the email we sent you. Your first consultation will take approx 30 minutes.
You click on the link in your confirmation email to attend your second consultation online, which will take approx 30 mins.
Schedule & Pay
You'll receive an email with a link to make your second appointment and pay $320 which will cover the private fees for managing your medical abortion including consultations,
You arrange for and get your ultrasound done locally as soon as possible, We'll invite you to make your second appointment once we've received your results.
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.
One week later, we'll contact you to make sure that all is well following the procedure. No charge for this appointment.
4 weeks later, you do a home (urine) pregnancy test to ensure that the procedure was successful..
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, we recommend that you first 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, and you live in the Sydney region, we can assist you with an 'in-clinic' appointment for medical or surgical abortion. Visit our Clinic 66 website for more information.
2. Schedule your first consultation (Medicare - Bulk Billed)
Click the 'Book an Appointment' button at the top of your screen to book an appointment with one of our tele-abortion doctors at a time that suits you within our availability.
If you're covered by Medicare, your first consultation will be bulk billed (no cost to you). But if you don't have Medicare, the cost will be $90 which you need to pay up front.
You will receive a confirmation email which includes a link to your online tele-health appointment.
3. First Consultation - Initial assessment (30 mins)
At the time and date you booked, click on the link in your email to meet with your Tele-Abortion doctor (we recommend that you connect at least 5 minutes before the scheduled appointment to avoid any delays). Your doctor will 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 ultrasound scan request
Following your first appointment, we will give you access to our secure online tele-consulting room, and we will also send you an ultrasound scan request so that you can get that done quickly and close to your home or work.
This scan will ensure that you are suitable for medical termination of pregnancy, confirm your gestation, and provide a baseline so that we can best manage your personal journey through the medical abortion.
5. You get your ultrasound done locally
You arrange for and get your ultrasound done locally. This scan is often bulk billed with a Medicare card, but prices will vary according to your local providers, and you may need to pay separately for this.
Important Note: It is critical that you get the scan done as quickly as possible. We must have the results before we can prescribe the medication. If you delay getting the scan, 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. Scan results reviewed and book second consultation
When we receive your scan results, 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 your appointment and pay $320. This is a private, non-refundable fee that covers the entire medical abortion process including consultations, and management of any complications (but excluding medications).
After you have paid, you will receive a confirmation email which includes a link to your second online tele-health appointment.
7. Second consultation (30 mins)
At the time and date that you have booked, click on the link in your confirmation email to access your tele-health consultation.
During this 30 minute consultation, you will be assessed based on all the information you have provided during your first consultation, 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.
We'll also determine any additional medications which may be required before, during or after the medical abortion process.
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. Final Consultation - Follow up (Check-in) Call
One week after your medical termination, we'll call you to follow up and ensure that all is well.
Of course, if you experience any complications or are feeling unwell at all following the procedure, we encourage you to get in touch with us earlier. All follow-up appointments are bulk-billed, so no charge to you.
12. At home (urinary) pregnacy test
Four weeks after your medical termination, you do a urinary pregnancy test at home to confirm that all is complete.