
Abortion Pill by Post (Up To 10 Weeks) - Available Across England & Wales
Legal since 2020, medical abortion pill by post are now used by over 90% of women in England & Wales up to 10 weeks. At Top at Home, we provide safe, doctor-led care with same-day consults & next-day delivery for £399 - no GP referral required, no NHS waits.

Same-Day Appointments
Online Consultations
Next-Day Delivery or Same-Day Collection
£399 transparent, all-inclusive cost

What Are Abortion Pills by Post?
At-Home Medical Abortion
Our pills-by-post service allows you to complete an early medical abortion (termination of pregnancy using pills) up to 10 weeks, safely & privately at home, without needing to visit a clinic.
Doctor-Led, Discreet Process
After a short online consultation with one of our GMC-registered doctors, you’ll receive two tablets - mifepristone and misoprostol - by tracked next-day delivery, with clear instructions and 24-hour medical support.
CQC-Regulated
Top at Home is CQC-regulated. Every step of your care is doctor-led and follows CQC and NICE clinical guidelines, offering the same medical safety as the NHS - without the waiting lists or referral delays.
Who Is Eligible for Pills by Post in England & Wales?
You Are Eligible If You:
Are under 9 weeks and 6 days pregnancy
Are aged 16 or over
Live or visiting in England or Wales
Have no contraindicating medical conditions (confirmed this during consultation)
You May Not Be Eligible If:
You are beyond 9 weeks and 6 days of pregnancy
You are outside England or Wales
You have certain medical conditions (e.g., bleeding disorders, severe anaemia, ectopic pregnancy risk)
If you prefer an in-person assessment, you can visit one of our private clinics in London, Croydon, Birmingham, or Manchester.


Cost of At-Home Abortion Treatment
Our fixed £399 fee covers everything you need for a safe at-home medical abortion - including your doctor consultation, medication, next-day tracked delivery, aftercare, and follow-up pregnancy test.
Included in your £399 care package:
Same-day online consultation with a GMC doctor
Medical screening and prescription
MHRA Abortion pills (mifepristone & misoprostol)
Pain medication (Co-codomol & Ibprofen)
Low-sensitivity pregnancy test
Unmarked, tracked next-day delivery
24/7 aftercare up to 4 weeks
How Our Pills by Post Service Works
What’s Inside Your Abortion Care Package?
.avif)



How Would You Like to Receive Your Pills?
During your consultation, you’ll have the option for confidential delivery or same-day collection.
Home Delivery
- Next-day tracked delivery across England & Wales - unmarked, confidential packaging included.
Collect In-Person
- Collect your medication the same day from one of our abortion clinics in London, Croydon, Birmingham or Manchester (Booking Required)
London
1-5 Portpool Ln, London EC1N 7UU
Mon-Sun: 8:00am-9:00pm
Croydon
2 Lansdowne Rd, Croydon CR9 2ER
Mon-Sun: 8:00am-9:00pm
Birmingham
90 Pope Street, Jewellery Quarter, Birmingham B1 3AG
Mon-Sun: 8:00am-9:00pm
Manchester
1st Floor, 64 Bridge St, Manchester M3 3BN
Mon-Sun: 8:00am-9:00pm
What’s Inside Your Abortion Care Package?
Same-Day Dispatch
If you book your consultation before 4 pm (Monday to Friday), your medication will be approved and dispatched the same day via Royal Mail Tracked 24.
Next-Day Delivery
You’ll receive your tracking code within 24 hours of your consultation, and your unmarked care package will arrive the following day.
Unmarked Packaging
All packaging is plain and unmarked - there’s no mention of abortion care or Top at Home.
Do You Need an Ultrasound to be Eligible for a Medical Abortion?
Ultrasound Is Not Usually Required
For an abortion under 10 weeks, an ultrasound scan isn’t routinely required before a medical abortion.
- Guidelines from the RCOG and the NHS confirm a scan is only needed if there are medical reasons - such as possible signs of an ectopic pregnancy.
When a Scan Might Be Recommended
An ultrasound may be arranged if:
- Your pregnancy dates are uncertain
- You have symptoms of ectopic pregnancy
- You’ve recently had an IUD fitted or removed
- You’ve had unusual bleeding or irregular cycles

Before Your Treatment
What happens before I receive my abortion pills by post?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
How will my doctor confirm I’m eligible for pills by post?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
What information will my doctor ask for during the consultation?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
How soon will my abortion pills arrive after booking?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
What’s included in my abortion care package?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
Can I collect my pills instead of having them delivered?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
Is the package discreet and unmarked?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
What if I’m visiting England or Wales - can I still use this service?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
How do I take mifepristone and misoprostol?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
What happens after taking the first pill (mifepristone)?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
How long after the first pill should I take misoprostol?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
What’s the difference between buccal & vaginal use of misoprostol?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
How soon should I expect bleeding or cramps after taking the abortion pills?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
It’s been 2 hours and I haven’t felt cramps - what should I do?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
What should I expect during the abortion process at home?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
How much bleeding is normal during a medical abortion?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
What pain relief can I use, and how often?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
When should I call the doctor or emergency line?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.

During Your Treatment

After Your Treatment
How long will bleeding last after a medical abortion?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
What if I’m still bleeding heavily or feel unwell?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
How long before I can travel or return to work?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
When should I take the low-sensitivity pregnancy test?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
What if my test still shows positive after two weeks?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
Can I start contraception immediately after treatment?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
When can I have sex again after a medical abortion?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
Why Choose Top at Home?
Unlike general private clinics, Top at Home focuses solely on abortion care. Our gynaecologists bring over 25 years of experience in medical abortion in England & Wales.
CQC-Regulated:
Top at Home is a CQC-regulated, GMC-led private abortion clinic in London, offering safe, evidence-based care in-clinic or by post - meeting the highest UK standards for safety and confidentiality.
Experts in Medical Abortion Care
Top at Home is the only clinic in England & Wales dedicated solely to medical abortion. Led by Dr Aka (GMC #4275695), our doctors have 25+ years’ experience providing safe, specialist abortion care.
98% Success Rate:
We’re proud of our 98% success rate in early medical abortion. With decades of experience and attentive monitoring, we ensure every treatment is delivered with clinical precision and compassionate care.
Same-Day Appointments
We know timing matters. That’s why we offer same-day medical abortion appointments, 7 days a week, from 8:00 am to 9:00 pm.
Real patient stories
Read what our patients say about their experience with us.

Our Team of NHS-Trained & GMC-Licensed Gynaecologists
At Top at Home London, we provide timely, expert abortion care - with no waiting lists or unnecessary delays.
Our team of NHS-trained, GMC-registered gynaecologists, led by Dr Albert Aka (GMC #4275695), brings over 25 years of experience in early medical abortion and reproductive health.




Why Women Choose Top at Home instead of waiting for NHS care?
Many women choose private abortion care in London for faster access to same-day appointments with next-day delivery or in-clinic collection of abortion pills.
Although NHS clinics are free, appointment delays in London often exceed 1-2 weeks, which can be challenging for patients nearing the 9-week-and-6-day gestation limit.
Top at Home
(London)
NHS-funded abortion (via BPAS or MSI)
Average Wait Time
✓ Same-day Consultation
1-3 weeks
Hours of Operations
✓ Weekdays & Weekends (8:00am-9:00pm)
Weekdays Only (9:00am-5:00pm)
Time to Recieve Medication
✓ Next-day delivery or same-day pick-up
1–3 weeks after midwife/GP consults
Type of Doctor
✓ Gynaecologist - specialized in abortion care
Midwife, Nurse or GP
Aftercare
✓ 24/7 direct line to Dr. Aka
24/7 aftercare line

Book Your Pills by Post Care Across England & Wales
Book your confidential consultation today and receive treatment as early as tomorrow.
Frequently Asked Questions
Can you book an abortion if you’ve already had one this year?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
When is the next available appointment?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
Can I book an appointment on behalf of someone?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
Do you have to contact your GP?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
How long does it take to get abortion pills?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
What happens if the pills don’t work?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
How long does delivery take?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
What is the total cost?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
Is there aftercare if you have questions or side effects?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.
Is abortion legal in the UK?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.





