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.

Whether you're looking to terminate a pregnancy privately or simply want care on your own terms, you can speak with a consultant gynaecologist by phone or video today - no GP referral, no waiting lists. If your consultation is approved before 3pm, collect your MHRA-approved medication from our South London partner pharmacy, or choose free next-day delivery - all for £399.
Top at Home is a CQC-regulated abortion clinic in London . We provide telephone consultations with same medication collection or next-day delivery,
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.
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You'll speak with Dr. Aka who 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, you can collect your MHRA-approved medication package in person
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Our clinical team is available around the clock for up to 4 weeks following your treatment.
You will never be left to manage your recovery alone.

You may be eligible for same-day London collection if you are currently in London, up to 9 weeks and 6 days pregnant on the day of treatment, and a doctor confirms that medical abortion at home is clinically appropriate for you. Our London collection pathway is designed for patients who:
- Are suitable for medical abortion at home: Your doctor will review your pregnancy dates, medical history, current medication, allergies and symptoms before approving treatment. If our doctor decides treatment is not clinically appropriate, we will explain the safest next step and process your refund in line with our refund policy.
Before approving abortion medication, your doctor checks that early medical abortion at home is safe and clinically appropriate for you. This assessment is completed during your confidential phone or video consultation and focuses on the key safety checks required before prescribing mifepristone and misoprostol.
Pregnancy dates: Your doctor confirms how many weeks pregnant you are, usually from the first day of your last menstrual period.
Symptoms: Your doctor will ask about pain, bleeding, shoulder-tip pain, dizziness, fainting or other symptoms that may need further assessment.
Medical history: Your doctor reviews any relevant health conditions that could affect whether medical abortion is suitable for you.
Current medication and allergies: Your doctor checks whether you take any medication or have any allergies that may affect treatment.
Contraindications: Your doctor screens for reasons why mifepristone or misoprostol may not be clinically appropriate.
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Top at Home doctor consultations are available 7 days a week from 8:00am to 9:00pm, including Sundays. If your consultation is approved before 3pm Monday–Friday, your prescription can be sent to our South London partner pharmacy for same-day collection until 5:00pm.
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 London. 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.”
Your treatment follows the UK’s highest clinical standards.
Abortion care led by Dr Aka, GMC-registered with 25 years of experience.
With Top at Home, you can complete your entire care pathway - from your initial online form to collecting your medication - in just a few hours.
Choose Your Time: Choose your consultation day and time online to secure your private medical call with a Top at Home GMC-registered doctor.
Same-Day Collection: If your consultation with our gynaecologist is completed before 3:00 PM (Monday–Friday), your prescribed Top at Home treatment pack will be ready for you to collect at our Balham pharmacy counter that very afternoon.
Yes, you can self-refer directly to Top at Home London medical abortion service without an NHS GP referral, prior appointment, or notification.
Absolute Discretion: Your private medical records, consultation data, and Balham pharmacy pickup files are kept completely independent of your standard NHS GP file.
Yes, early medical abortion through Top at Home is exceptionally safe, with a verified 99.35% overall treatment success rate across our London and UK patient cohorts.
Clinical Guardrails: National guidelines show a 1% to 2% baseline chance that home treatment remains incomplete. If your 3-week test shows the medication didn't fully work, Top at Home immediately provides a secondary dose or coordinates on-site clinic care. You are never left alone.
Top at Home provides 4 weeks of continuous 24/7 access to our gynaecologists direct telephone line - no call centres, and no waiting for call-backs.
If you experience severe bleeding, call our 24/7 urgent London clinical team immediately at 0333 305 9004.
When to Call: Heavy bleeding is expected, but soaking through 2 or more max-absorbency maternity pads per hour for 2 consecutive hours requires a professional assessment.
Immediate Support: Our specialist gynaecologists will guide you over the phone or directly coordinate localized medical evaluation. Top at Home never leaves a patient alone.
Treatment success is verified safely at home exactly 3 weeks after your appointment using the specialized pregnancy test included in your London pack.
Accurate Testing: Standard store-bought tests can give false positives for weeks due to lingering hormones. Our low-sensitivity kit checks for a complete drop in active pregnancy hormones.
Follow-up Care: If the test indicates an incomplete termination, we instantly initiate RCOG protocol to arrange your follow-up care or secondary dosage. Top at Home never leaves a patient alone.
Yes, your prescription pickup at our South London partner pharmacy is completely private, seamless, and confidential.
Zero Clinic Signs: The Balham venue operates as a standard high street retail pharmacy storefront with no external abortion clinic signage.
Plain Packaging: Your Top at Home care pack is prepared behind the pharmacy counter and handed over in a completely plain, unbranded envelope.
Our London clinic offers telephone consultations, 7 days a week from 8am to 9pm. Book online or call us on 0333 305 9004 to schedule your CQC-regulated consultation..
Want to understand your options before booking? Our blog covers everything from how the abortion pill works to what to expect after treatment.