Pregnancy termination surgery

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Pregnancy termination surgery at The Gynae Centre

Medical abortion using surgical procedure

If you are considering terminating your pregnancy, it is of paramount importance that you receive the safest care possible from experienced and compassionate experts. The right to choose is yours, and here at The Gynae Centre we aim to provide you with the best available options when it comes to pregnancy termination.

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WHY US?

Same day appointments

Where possible we will endeavour to book you in on the same day.

Consultant-led service

You’ll be seen by an experienced consultant gynaecologist, not a nurse.

Fixed fees & no hidden costs

At The Gynae Centre, abortion using MVA is provided as a comprehensive package, from consultation to recovery — ensuring you feel comfortable, informed and supported throughout your journey.

State of the art facilities

Equipped with state of the art facilities, The Gynae Centre is one of the foremost centres for gynaecology care in the UK, and home to renowned gynaecology expert – Dr Alex Eskander.

KNOWLEDGE

Everything you need to know about surgical termination of pregnancy/removal of retained placental tissue

Here we explain everything you need to know about pregnancy termination surgery (surgical abortion).

Manual Vacuum Aspiration (MVA) is a gentle, early abortion option which is available between 6 — 15 weeks of pregnancy. It is one of the least invasive procedures available, done with a mini handheld vacuum, creating gentle suction. With this procedure, you have the option to be under local anaesthesia or general anaesthesia.

MVA differs significantly from Machine Aspiration, which is commonly used in many hospitals — requiring general anaesthesia and creating a very strong vacuum pressure leading to significant pain.

By contrast, MVA creates gentle pressure and can therefore be done under local anaesthesia. However, cramps of the uterus will still be felt for small periods of 10-15 seconds, up to 3-4 times, allowing periods of rest in between.

Alternatively, If you prefer to be asleep during the procedure, we can arrange conscious sedation, which allows you to go home after 30-60 minutes and even return back to work the same day.

If performed under local anaesthesia:

  • Undress from the waist down only
  • No need for fasting the night before
  • You will be placed in Lithotomy position with your legs resting on special poles
  • The vaginal area will be cleaned with antiseptics
  • The lower body parts are covered with sterile drapes
  • A speculum is inserted into the vagina
  • The cervix will be cleaned with antispetics
  • A local anesthestic is injected into the cervix with a very fine needle (<25% of discomfort felt at the dentist)
  • A small cannula is introduced to the uterus, resulting in a small cramp.
  • MVA suction is activated for up to 15 seconds and gentle curettage is carried out. During this step, bad period pain is felt. Rest for 1-2 minutes, then procedure is repeated up to 3-4 times
  • Ultrasound is carried out to ensure that there is no remaining tissue
  • Re-dress, followed by observation for 30-60 minutes, where you will be offered a drink and a snack.
  • Discharge
Manual Vacuum Aspiration (MVA) normally takes between 10 and 30 minutes, and you can usually go home after an hour, whether the procedure is carried out under local anaesthetic or conscious sedation.
The removal of a pregnancy through surgical abortion is a safe procedure with a high success rate close to 100%. The procedure is carried out under abdominal ultrasound control and we routinely check after the procedure to ensure success and exclude any remaining tissue.

Complications are rare. According to Gov.uk statistics, the rate of surgical complications increased from 1.7 in 2019 to 1.9 in 2020, but decreased for medical complications, from 1.6 in 2019 to 1.1 in 2020.
A surgical abortion has common physical side effects including bleeding and cramping. Other side effects that may affect some patients, but not all, include breast tenderness; mucus-like vaginal discharge; gastrointestinal symptoms including nausea, vomiting and diarrhoea; chills; and fatigue.

The time it takes to recover from a surgical abortion differs from patient to patient, but most patients recover and can go back to their normal activities within three days. Your next menstrual period should begin four to six weeks after the procedure has taken place, rarely up to 12 weeks.
Although some patients feel well enough to go back to work on the same day as their surgical abortion, you may wish to rest. This might mean taking some time away from work and other activities.

When caring for yourself after a surgical abortion, the following tips may help:
  • Take pain medication such as ibuprofen.
  • Use a heat pad to ease the pain of cramps.
  • Stay hydrated, especially if experiencing gastrointestinal symptoms.
  • Wear loose clothing and avoid trousers that are tight around your lower abdomen.
  • Ask a trusted friend or family member to support you during this time.

FEES

Please note: For all surgical abortions please book the Consultation + Ultrasound package. We will examine you and assess your needs. The surgery will then be booked as soon as possible, depending on availability. The cost of this will be deducted from the overall cost of your surgery. Please note that surgical abortion above 12 weeks requires 48 hours preparation.

Cost of surgical abortion under local anaesthesia, (awake)

6-10 weeks
£ 1,250
  • Consultation
  • Ultrasound scan
  • Haemoglobin
  • Blood group
  • Chlamydia test (optional)
  • Surgery
  • Theatre fees
  • Ultrasound during surgery
  • Any related follow-ups and scans up to 4 weeks after, if required
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Note: For surgical abortion there is an additional £100 cost for anti-D if your blood group is RH negative.

All surgery requires a negative COVID-19 test. This can be carried out at the clinic at an additional cost of £40.

Cost of surgical abortion under local anaesthesia (awake)

10-12 weeks
£ 1,450
  • Consultation
  • Ultrasound scan
  • Haemoglobin
  • Blood group
  • Chlamydia test (optional)
  • Surgery
  • Theatre fees
  • Ultrasound during surgery
  • Any related follow-ups and scans up to four weeks after
Book online now
Note: For surgical abortion there is an additional £100 cost for anti-D if your blood group is RH negative.

All surgery requires a negative COVID-19 test. This can be carried out at the clinic at an additional cost of £40.

Cost of surgical abortion (with sedation)

6-12 weeks
£ 1,850
  • Consultation
  • Ultrasound scan
  • Haemoglobin
  • Blood group
  • Chlamydia test (optional)
  • Surgery
  • Theatre fees
  • Ultrasound during surgery
  • Any related follow-ups and scans which may be required up to 4 weeks after surgery
Book online now
This type of sedation allows you to fall into a light sleep and removes about 75% of the period pain.

Note: For surgical abortion there is an additional £100 cost for anti-D if your blood group is RH negative.

All surgery requires a negative COVID-19 test. This can be carried out at the clinic at an additional cost of £40.

Cost of surgical abortion (with sedation)

12-15 weeks
£ 2,650
  • Consultation
  • Ultrasound scan
  • Haemoglobin
  • Blood group
  • Chlamydia test (optional)
  • Ultrasound during surgery
  • Any related follow-ups and scans up to 4 weeks after
Book online now
This type of sedation allows you to fall into a light sleep and removes about 75% of the period pain.

Note: For surgical abortion there is an additional £100 cost for anti-D if your blood group is RH negative.

All surgery requires a negative COVID-19 test. This can be carried out at the clinic at an additional cost of £40.

Approval of The Gynae Centre for the Termination of Pregnancy under Section 1(3) of the Abortion Act – granted by The Department of Health, Whitehall, London – 2024.

What our patients say...

Z & J
Thank you so much for all the advice, guidance and support over past month, and for making us feel so comfortable in our time at The Gynae Centre. You do extraordinary work and we will always be grateful.
Anna
I have been treated by the Gynae Centre for a few years now. The service I have received has always been very efficient and professional. The staff there are very friendly and helpful and the new surgery is lovely. I would recommend the Gynae Centre highly to anyone that is in need of the services provided there.
Luna
You went above and beyond your duty of care and were so kind an understanding towards me. You gave me the support, care, and reassurance I really needed. I will always be grateful to you for that.
Gina
Thank you so much for treating my vaginismus. Thank you for your knowledge and skills in a condition that is not widely known. I also want to thank nurse Jessica, I was very anxious the day before the procedure and she was so reassuring and comforting and really helped me. A great nurse!
Hannah
Thank you all for looking after me through my pregnancy termination and for caring for me so kindly. Kay, a special note of thanks – when I contacted the clinic I was so sad, vulnerable and devastated. I will never forget your kindness and compassion in getting my appointments organised. Forever grateful.
L
One year after having treatment for vaginismus I am enjoying pain-free sex and can use tampons. You really changed my life! I cannot thank you enough. I am the happiest I have ever been. When I have my babies I will name them Alex and Jessica after your lovely nurse! I wish I had the confidence to do this years ago as it really does work!
Liz
The care and support I received from Dr Eskander and his team was exemplary. I would not have made it through several years of IVF on either a physical or emotional level without them. Dr Eskander's clinical care and advice was important in my pregnancy being healthy and happy. More than this, Dr Eskander's kindness meant that I always felt respected and well treated throughout a very demanding period of my life. The nurses were very friendly and also skilled, and the overall service meant that I was able to get advice and make good decisions about the treatment I was receiving. My little boy was a team effort for which I am eternally grateful.
S&D
My husband and I had a 12 week Gender Scan with you last year and it was confirmed that after five boys we were finally having a little girl! We were so shocked we asked Dr Eskander to tell both of our mums over the phone as we didn't think they would believe us. It is absolutely amazing that you can tell at 12 weeks. We would like to thank Dr Eskander very very much.
Eva
I am currently a patient of Dr. Eskander and would highly recommend him. He is a knowledgeable, caring and highly experienced doctor who really looks after his patients. During each visit he has ensured I know exactly what is going on and made me feel relaxed and comfortable. He always discusses the results of the examination in detail and I have full confidence in his practice. I am very glad to have found The Gyane Centre.
Iris
Over all these years Dr. Eskander has seen me through two pregnancies and we have thereby formed the most memorably patient - doctor relationship I have ever experienced. He is the professional and passionate specialist I was looking for. He has never disappointed my 'German' expectations!
Tanya
Following a series of unhappy experiences under the NHS system when my gynaecological problems started, I found the Gynae Centre myself online and have been visiting Dr Eskander ever since. I feel totally at ease with Dr Eskander and crucially, my husband feels reassured that I am in good hands when I am in his care.
Nicola
I have been a patient of Dr Eskander since 2002. Over the years, I have been treated with the upmost courtesy and professionalism. All of the investigations and treatment I have received have been dealt with quickly and thoroughly to the highest standard in a relaxing and friendly atmosphere and at a time that has suited me. I have complete faith in Dr Eskander and wouldn't hesitate to recommend him to friends and family as I know they will be in safe hands.
Marilyn
I have been a patient of Dr. Eskander since 2003. Throughout the years, I have found Dr. Eskander to be a caring and highly experienced doctor. On every occasion he took time to listen to my problem and was gentle and considerate during the examination. He always discussed the results of the examination in detail and the reason for any tests required to help in the diagnosis.
Mrs Y
I would like to thoroughly recommend Dr. Eskander, who has helped me so much when I experienced bleeding between periods and very heavy, painful periods. I felt completely at ease with him, totally reassured and very comfortable throughout the consultations and examinations. I felt very safe in the knowledge of his expertise and skills.
O & O
Our experience really could not have been better. Dr Aka was completely de-stigmatising, warm, informative and gentle. I felt beautifully taken care of and was so grateful yesterday for the little pack with all the clear information. The lovely nurse was also absolutely sweet and calming. We just wanted to say thank you for making such a miserable and painful experience tolerable. We didn’t really know what to expect but it certainly wasn’t to be treated with such unquestioning kindness and dignity.