WHAT TO EXPECT ON THE DAY OF YOUR APPOINTMENT

Sometimes just knowing what to expect can help lessen any trepidation that may arise prior to an appointment. As such, described here is a general look at what to expect during a typical Medical Abortion appointment, which we split into two (2) general stages: Reception and Counselling, and the Medical Appointment.

• We collect all your lab specimens at the clinic and forward to the labs. There is no need for you to visit a lab on your own except prior to the follow-up visit.
• We dispense the abortion pill at the clinic so there is no need to visit the pharmacist.
• We do all the ultrasounds for the first and follow-up appointments at the clinic. There is no need for an external ultrasound, unless there are complications.
• For patient privacy concerns, only an interpreter is allowed with you into the clinic.
• You must bring your Ontario Health Insurance Plan (OHIP) card or Insurance Documents.
• There are fees for optional services that are not covered by OHIP or other insurance parties; you do not have to pay or receive these uninsured services to access an abortion.
• If you have an IUD, it will be removed during your visit. Please inform us, if this is the case.

We bill most 3rd party insurance companies on your behalf, so there is no need to pay up-front and collect later. We also reciprocal bill out-of-province patients on your behalf. And, of course, uninsured and out-of-country patients are also welcome. 

• Upon arrival, you will be greeted by a receptionist who will ask you to complete a medical history form and review pre-counselling material.
• The nurse/counsellor will then meet with you privately to talk about what your various options are, if an abortion is wanted, and what kind makes sense for you.
• The nurse/counsellor will then review your medical history, and explain what to expect with abortion, how to take any medications, follow-up plans, as well as answering any questions or concerns you may have.

• After counselling you will meet with the physician to assess your eligibility for a safe Medical Abortion.
• A dating ultrasound will be done to ensure that your pregnancy is less than 9 weeks (63 days)
• You will require a blood test 
• If your blood type is Rh-negative you will be given a WinRho (RhoGAM) injection to protect any future pregnancies.
• If deemed safe, you will take the first tablet (mifepristone) under the supervision of your doctor.
• You will be provided with a kit to take home that includes four (4) misoprostol tablets (to take between 24 to 48 hours after taking first tablet).
• You will be given a lab requisition form and reminded that a second blood test is required in 7 days from your first clinic visit. This test can be done at any laboratory for your convenience.
• You will be offered a follow-up appointment in 14 to 21 days from your first clinic visit, to confirm that the abortion is complete – if the abortion is not complete, additional medication, or a surgical procedure, may be recommended.
• Our health professionals will monitor your lab work and will contact you if there are any concerns. They are also available to answer any concerns you may have throughout your case.

A Patient Information Brochure is provided below, to help provide some more details about Medical Abortion.