Learn More About Medication Abortion
Want to understand your options before booking? Our blog covers everything from how the abortion pill works to what to expect after treatment.

Skip London waiting list and get a CQC-regulated medical abortion from home. Our London clinic near Farringdon station offers same-day telephone or video consultations with a GMC-registered gynaecologist, next-day discreet delivery, or same-day collection — all for £399.
Top at Home is a CQC-regulated private abortion clinic in London (No. 1-18246474358). We provide same-day telephone consultations and in-clinic medication collection, allowing you to
complete your medical abortion safely at home. Available for patients up to 9 weeks and 6 days pregnant.

Book your telephone or video consultation online in minutes through our website. You'll be asked a few short questions to confirm eligibility before your appointment is confirmed. No GP referral is needed and no in-person visit to our London clinic is required at this stage.
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Speak with a GMC-registered doctor by phone or video from wherever you are. Your doctor will review your medical history, confirm eligibility, and answer any questions you have. All consultations are confidential and conducted under strict doctor-patient confidentiality.
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Once your consultation is complete, collect your MHRA-approved medication package from our London clinic at 1-5 Portpool Ln, London EC1N 7UU — minutes walk from Chancery Lane Station and Farringdon Station.
All collection appointments must be booked in advance. We do not accept walk-ins.
If you'd prefer delivery, next-day tracked delivery to any address in England and Wales is also available.
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Our clinical team is available around the clock for up to 4 weeks following your treatment — for medical reassurance, symptom guidance, and support throughout your recovery. You will never be left to manage your recovery alone. If further treatment is required, our team will support you from arranging additional scans to referral to the NHS or BPAS at no additional cost.

Yes. We offer same-day telephone or video consultations, with the option to collect your medication from our London clinic or have your abortion pills delivered the next day via Royal Mail tracked post.
Our flat fee covers your telephone or video consultation, MHRA-approved abortion pills, pain relief (ibuprofen and co-codamol), a low-sensitivity pregnancy test, and 24/7 aftercare support, all provided by a GMC-registered consultant gynaecologist through a CQC-regulated service.
With Top at Home, we understand that medical abortion is time-sensitive — and that many patients want to manage their care privately and on their own terms. We offer same-day telephone and video consultations with next-day pill delivery, and we're open 7 days a week from 8am to 9pm including weekends.Rather than a helpline, you'll have direct access to your named GMC-registered doctor's personal number, available to you 24/7 for the full duration of your treatment. If anything concerns you at any point during the process, you can reach a senior doctor immediately.
Yes - the abortion pill is a safe and effective way to terminate an early pregnancy at home when prescribed by a qualified clinician.
In June 2025, the law in England and Wales changed so that women can no longer be prosecuted for ending a pregnancy themselves. You can read our full article on what this legal change means for women seeking a medication abortion.
There is no evidence that the abortion pill affects future fertility.
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Top at Home is a CQC-regulated private abortion clinic in London (No. 1-18246474358). Our London clinic is just minutes from Chancery Lane Station, making it easy to reach by train, bus, or car. All in-clinic collection appointments must be booked in advance - call 0333 305 9004 or book online today.
Fully wheelchair accessible with step-free entry and adapted facilities. Need support? Call us ahead.
For over a decade, we’ve delivered judgment-free abortion care to women across Central London, including Holborn, Clerkenwell, Shoreditch, and the wider Greater London area. Our discreet, CQC-regulated service is trusted for safe, same-day consultations and private abortion pill delivery to your home.

“By far the most professional, dedicated and caring clinic I have ever been a patient of.”
CQC Reg #1-18246474358 - your treatment follows the UK’s highest clinical standards.
Abortion care led by Dr Aka, GMC-registered with 25 years of experience (GMC #4275695).
You can book directly through Top at Home - no GP referral needed. Choose a telephone or video consultation at a time that suits you, 7 days a week between 8:00am and 9:00pm.
During your consultation, your GMC-registered consultant gynaecologist will confirm your eligibility, answer your questions, and arrange your care.
If you'd prefer to collect your medication in person rather than receive it by post, let your doctor know during the consultation and we'll arrange collection at our London, Croydon, or Birmingham location for you. To book or speak to our team, call us on 0333 305 9004.
Yes, abortion is free through the NHS in England and Wales. However, NHS wait times in London can range from one to three weeks depending on demand, and you may be seen by a nurse or general practitioner rather than a specialist.
At Top at Home, you book directly with a GMC-registered consultant gynaecologist - no referral, no waiting list. We are regulated by the Care Quality Commission (No. 1-18246474358) and offer same-day telephone or video consultations, 7 days a week. Across 917 verified patients, our first-cycle success rate is 98.69%. For women who need fast, discreet, specialist-led care, Top at Home offers an alternative to NHS waiting times.
NHS abortion wait times in London typically range from one to three weeks, depending on your location and local service capacity. While NHS guidelines aim for care to be completed within 14 days of first contact, delays are common due to high demand.
At Top at Home, same-day consultations are available 7 days a week between 8:00am and 9:00pm - with no referral or waiting list. For consultations completed before 3:00pm on a weekday, medication is dispatched the same day for next-day delivery.
No. You do not need a GP referral to access abortion care in London, whether through the NHS or a private provider. At Top at Home, you can book directly online or by calling 0333 305 9004 — no referral, no GP involvement, and no waiting list. Your consultation is led by a GMC-registered consultant gynaecologist, regulated by the Care Quality Commission (No. 1-18246474358). Your GP is not notified unless you request it.
Yes. If you live in London, Greater London, or anywhere in England or Wales, you may be eligible for abortion pills by post through Top at Home. Following a same-day telephone or video consultation with a GMC-registered consultant gynaecologist, your MHRA-approved medication is dispatched via Royal Mail Tracked delivery - arriving the next working day in plain, unmarked packaging. For consultations completed before 3:00pm on a weekday, medication is dispatched the same day. No GP referral is required.
Top at Home does not offer in-person consultations. All consultations are conducted by telephone or video with a GMC-registered consultant gynaecologist, 7 days a week between 8:00am and 9:00pm. If you would prefer to collect your medication in person rather than receive it by post, let your doctor know during your consultation and we will arrange collection at our London, Croydon, or Birmingham location. A booked consultation is required before collection can be arranged.
Private abortion costs vary across London depending on the provider and type of care. At Top at Home, our £399 flat fee includes:
- Telephone or video consultation with a consultant gynaecologist
- MHRA-approved abortion medication (mifepristone and misoprostol)
- Pain relief medication (ibuprofen and co-codamol)
- Low-sensitivity pregnancy test for at-home confirmation at 3 weeks
- 24/7 direct access to your doctor for up to 4 weeks after treatment
No hidden fees. Everything is provided through a CQC-regulated service (No. 1-18246474358).
A medication abortion can be painful. Most women experience strong cramping and bleeding, typically more intense than a normal period. Discomfort usually peaks within two to four hours of taking the second medication (misoprostol) and can be managed with ibuprofen, a heat pad, and rest in a comfortable setting at home.Common temporary side effects include nausea, chills, dizziness, and fatigue. Bleeding and light spotting may continue for one to two weeks following treatment. Our clinical team will walk you through exactly what to expect before, during, and after treatment — and are available 24/7 throughout your aftercare period if you have any concerns. For a full guide, see here.
Yes. You are welcome to speak with a doctor before making any decision. Call us on 0333 305 9004 to arrange a pre-consultation call with Dr. Albert Aka (GMC No. 4275695), our lead consultant gynaecologist. Top at Home is regulated by the Care Quality Commission (No. 1-18246474358).
During this call, Dr. Aka will review your situation, explain your options, confirm your likely eligibility, and answer any questions you have — with no pressure and no obligation to book. We understand this is a significant personal decision and we are here to support you in making the choice that is right for you.
You will have direct 24/7 access to our clinical team throughout your aftercare period, which covers up to four weeks post-treatment. Your package includes a follow-up test to confirm the abortion was successfu.
All aftercare is overseen by GMC-registered consultant gynaecologists. If you experience any symptoms that concern you at any point - including unexpected bleeding, pain, or fever, you can contact our team directly by phone or WhatsApp at any time.
We offer same-day telephone and video consultations, 7 days a week from 8am to 9pm. Choose in-clinic collection or next-day abortion pills by post. Book online or call us on 0333 305 9004 - a senior GMC-registered ldoctor is ready to see you today.
Want to understand your options before booking? Our blog covers everything from how the abortion pill works to what to expect after treatment.