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.
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Avoid NHS delays with our fast, safe & private abortion clinic in Manchester. Our CQC-regulated gynaecologists offer same-day virtual consultations for medical abortion pills by post (£399) or same-day in-person collection.
Top at Home is a CQC-regulated private abortion clinic in Manchester (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.
No GP referral is needed and no in-person visit to our Mancheter clinic is required at this stage.
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Speak with a GMC-registered doctor by phone or video from wherever you are.
You'll speak with Dr. Aka (GMC #4275695) 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, collect your MHRA-approved medication package from our Manchester clinic at 64 Bridge St, Manchester M3 3BN
- minutes walk from Salford Central 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 Manchester.
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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.

Yes. If you have a delivery address in England or Wales and are up to 10 weeks pregnant, you can receive MHRA-approved abortion medication by post through Top at Home. Book a same-day telephone or video consultation with a GMC-registered consultant gynaecologist — consultations completed before 3:00pm on a weekday are dispatched the same day, arriving the next working day via Royal Mail Tracked in plain, unmarked packaging. Women across Manchester, Salford, Trafford, Stockport, Oldham, and the wider Greater Manchester area use our service. No GP referral required.
No. You can book directly with Top at Home without a GP referral — online or by calling 0333 305 9004. Your GP is not contacted or notified at any stage unless you specifically request it. All care is led by GMC-registered consultant gynaecologists regulated by the Care Quality Commission (No. 1-18246474358). For women in Manchester who need fast, discreet access to medical abortion care, there are no extra steps, no referral letters, and no waiting rooms.
BPAS and MSI provide an essential NHS-funded service, but waiting times at Manchester clinics can extend several weeks and you may be seen by a nurse or general practitioner rather than a specialist. At Top at Home, the differences are speed, specialism, and privacy. Same-day consultations are available 7 days a week with a GMC-registered consultant gynaecologist — not a generalist. There is no waiting list, no GP referral, and no clinic waiting rooms. Your GP is never notified. Across 917 verified patients, our first-cycle success rate is 98.69%. For women who cannot wait or need complete confidentiality, Top at Home offers a regulated private alternative — all for a fixed £399 fee.
Yes. Medical abortion at home is safe, effective, and legal for pregnancies up to 10 weeks gestation. Top at Home is regulated by the Care Quality Commission (No. 1-18246474358) and all medication — mifepristone and misoprostol — is MHRA-approved. Your care is prescribed and overseen by GMC-registered consultant gynaecologists. Across 917 verified patients, our first-cycle success rate is 98.69%. You will have 24/7 direct access to our clinical team throughout treatment and for up to four weeks post-care, with a low sensitivity pregnancy test included to confirm successful treatment.
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Located minutes from Salford Central Station, our private abortion clinic in Manchester is easy to reach by train, bus, or tram. Booking is required for in-clinic collection appointments. Give us call us at 0333-305-9004 or book online.
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 Manchester, including Salford, Trafford, Stockport, Didsbury, Chorlton, and beyond. 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).
Medical abortion with Top at Home has a verified first-cycle success rate of 98.69% across 917 patients. Whether you collect your medication at our Manchester Bridge Street clinic or receive it by next-day post, the medication, clinical protocol, and outcome are identical — MHRA-approved mifepristone and misoprostol prescribed by a GMC-registered consultant gynaecologist. A low sensitivity pregnancy test is included in your package to confirm successful treatment.
Your consultation takes place by telephone or video with a GMC-registered consultant gynaecologist — available same-day, 7 days a week between 8:00am and 9:00pm, from wherever you are in Manchester or the Greater Manchester area. Your doctor will review your medical history, confirm your eligibility up to 10 weeks gestation, screen for any contraindications, and walk you through the full treatment process. This is also your opportunity to ask any questions you have — about the medication, what to expect, or anything else on your mind — in a private, judgement-free setting. Once approved, you can collect your medication same-day at our Bridge Street clinic in Manchester city centre or have it dispatched for next-day delivery to your door.
The most common side effects occur after taking the second medication, misoprostol, and include strong cramping, heavy bleeding, nausea, diarrhoea, chills, and fatigue. Cramping and bleeding typically begin within one to four hours and are a normal part of the process. Your package includes ibuprofen and co-codamol for pain relief, and your GMC-registered consultant gynaecologist will provide full written and verbal guidance on what to expect and how to manage symptoms at each stage.
Less common side effects include fever, vomiting, prolonged bleeding, and dizziness. Most pass within a few hours without intervention. However, you should contact our clinical team immediately if you experience a fever lasting longer than 24 hours, bleeding that soaks more than two pads per hour for two consecutive hours, or severe abdominal pain that is not relieved by ibuprofen or co-codamol. Our team is available 24/7 by phone and WhatsApp throughout your aftercare period for up to four weeks post-treatment.
Serious complications after a medical abortion are rare — but it is important to know the warning signs. Our clinical team is available 24/7 by phone and WhatsApp throughout your aftercare period for exactly this reason.
Ectopic pregnancyAround 2% of pregnancies are ectopic, meaning the pregnancy develops outside the womb. We screen for this during your consultation, but symptoms can develop afterwards. Call 999 or go to A&E immediately if you experience sudden sharp pain low in the abdomen, pain in the shoulder or upper abdomen, or dizziness, fainting, or abdominal bloating.
Heavy bleedingSome bleeding is expected and normal. Seek immediate medical help if you soak 9 or more pads within 6 hours, feel faint, or experience persistent dizziness.
Future fertilityA medical abortion does not affect your ability to conceive in the future. Your fertility typically returns within the first cycle following treatment.
If you are ever unsure or concerned, contact our team immediately via phone or WhatsApp — 24/7, for up to four weeks post-treatment.
Yes. Most types of contraception can be started immediately after a medical abortion — including the pill, implant, or injection — without waiting for your next period. If you are considering a coil (IUD or IUS), this should be fitted after confirming the abortion is complete, which your included low sensitivity pregnancy test will help confirm. Your GMC-registered consultant gynaecologist will advise you on your contraception options during your consultation and can guide you on how to access the right method locally in Manchester.
We advise against travelling for at least 48 hours after taking the second medication (misoprostol), as cramping and bleeding are typically at their most intense during this period. If you are planning to travel, please bear the following in mind:
• Wait at least 1–2 days after taking misoprostol before flying or travelling long distance
• Ensure you have access to emergency medical care at your destination
• If travelling abroad, check that it is legal to carry prescription medication — abortion pills are not permitted in all countries
If you have a trip planned or need to travel soon after treatment, raise this during your consultation and your doctor will help you plan the safest timing around your travel. Your health and safety always come first.
In line with UK best practice, remote medical abortion is safe and effective up to 10 weeks gestation without an ultrasound scan, provided gestational age can be reliably determined from your medical history. This is supported by both RCOG and NICE guidelines. However, an ultrasound scan may be required before we can prescribe if:
• The date of conception is unclear — for example, due to irregular cycles, recent hormonal contraception use, or uncertainty around your last menstrual period
• There is a clinical risk of ectopic pregnancyYou have had multiple caesarean sections or have a complex medical history
• There are concerns that the pregnancy may exceed 10 weeks gestation
If any of these apply, your GMC-registered consultant gynaecologist will discuss this with you during your consultation and advise on next steps. We will never prescribe outside safe clinical boundaries.
Yes. You are welcome to speak with Dr. Albert Aka (GMC No. 4275695), our lead consultant gynaecologist, before making any decision or booking. Call us on 0333 305 9004 to arrange a free pre-consultation call. Dr. Aka will review your situation, explain your options, confirm your likely eligibility, and answer any questions — with no pressure and no obligation to book. Top at Home is regulated by the Care Quality Commission (No. 1-18246474358). We understand this is a significant personal decision and we are here to help you make the choice that is right for you.
Our clinical team is available 24/7 by phone and WhatsApp throughout your aftercare period, which covers up to four weeks post-treatment. Your package includes a low sensitivity pregnancy test to confirm the abortion was successful. All aftercare is overseen by GMC-registered consultant gynaecologists. If at any point you experience unexpected symptoms — including heavy bleeding, severe pain, or fever — contact our team immediately and we will advise you on next steps.
Whether you need abortion pills by post in Manchester or prefer an in-person collection at our Manchester clinic, we’re here to help - quickly, privately, and without judgment. You can book online in minutes or speak to our care team directly. No GP referral needed.
Want to understand your options before booking? Our blog covers everything from how the abortion pill works to what to expect after treatment.