Always accepting MTOP patients even if a “new patient” to the clinic. Call reception to book

Medical Termination of Pregnancy

Medical abortion - also known as Medical Termination of Pregnancy (MTOP) or pill abortion - is a safe and effective alternative to surgical abortion, where two medications are taken that cause a miscarriage. Dr Tosch has been a certified MTOP prescriber since 2018, and can provide a medical abortion up to 9 weeks (63 days) gestation for patients on the Central Coast of NSW.
The first medication Mifepristone (Step 1) blocks the hormone progesterone, this stops the pregnancy growing and causes the placenta to detach.
The second medication Misoprostol (Step 2) is taken 36 to 48 hours later at home, this causes the uterus to contract and expel the pregnancy.

Medical Abortion is:

• Discreet: Looks like you are just having a GP appointment.

• Confidential: Fewer people involved. Only the receptionist, doctor, and pharmacy need to know.

• Non-surgical: Less-invasive, no cervical or uterine instrumentation, and no additional general anesthetic risks or recovery.

• Highly successful: Up to 98% do not require further treatment.

• Economical: Usually a lower out-of-pocket gap fee than surgical termination.

• Supportive: Dr. Tosch will spend the time explaining the entire process and what to expect, and call you to check on your progress. This ensures you are properly prepared and can pick up and manage any complications early on.

• Holistic: Dr. Tosch has a patient-centered approach. She can provide effective contraception going forward that is tailored to your lifestyle and family plans, support you through your abortion, and can manage the other aspects of your health.

Who Can Have a Medical Abortion?

To be eligible to have an MTOP with Dr. Tosch, patients must meet the following criteria:

• Less than 9 weeks pregnant

• Have an ultrasound that confirms intrauterine location of foetal pole or gestational sac and yolk sac (Dr. Tosch can organise a scan if not already done)

• Be no further than 2 hours from emergency medical care in the 14 days following MTOP

• Be checked for chlamydia and gonorrhoea and if present have treatment prior to MTOP (Dr. Tosch can organise a urine test if not already done)

• Not have any of the following medical conditions:

  • Chronic adrenal failure

  • Bleeding disorders or treatment with anticoagulants (eg. Warfarin, Xaralto, Pradaxa)

  • Disease that is dependant on steroid medication (severe asthma)

  • Epilepsy on anticonvulsant therapy (phenytoin, phenobarbital, carbamazepine)

  • Unstable diabetes or cardiovascular disease

What Happens at the Appointments?

Two long appointments

First Appointment (Planning) Dr. Tosch will take a history, discuss what is involved, check you are eligible to have a medical termination, and give you printed information to take away and read. She will order the medication, and if not already done organise bulk billed blood and urine tests, and a bulk billed ultrasound. 

Second Appointment (Treatment) The doctor will discuss your results and confirm that you can have MS-2 Step. You will sign consent forms, be given the abortion medication and pain and anti-nausea medications, and make a plan on exactly when to take the tablets. Dr. Tosch will give you a blood form to check your hormone levels 1 week later and arrange a time for follow up to discuss these results, usually by phone.

Important Information

1) The first two appointments must be booked as long appointments.
2) Your second appointment must be no later than exactly 9 weeks pregnant, using the dates on your scan not your period.
3) Around 2% of people having MTOP will need surgical D&C for heavy or prolonged bleeding, or for continuing pregnancy. Dr Tosch will explain the specific risks of MTOP, and can help you access this in the rare case it is required.
4) It is strongly recommended that you have an adult support person present during the process.
5) You must have a blood test to check your hormone levels 1 weeks later.

How Do I Book an MTOP?

Dr. Tosch only offers medical termination through Mingara Medical on the Central Coast of NSW. Call reception to book a long appointment and let them know it’s for medical termination so they can ensure you are seen promptly and booked correctly. If you are a new patient and haven’t been to Mingara Medical before, please arrive a little early so the clinic can get everything ready for your appointment.

How Much Does it Cost with a Medicare Card?

Total Gap* without concessions $324.30
Total Gap* with Concession/Pension Card $301.60
This includes doctor fees and medication fees.
Your bloods, urine, and ultrasound tests can be organised through bulk-billing providers.
If you are struggling financially discuss reduction in fee with the doctor.
*gap fees are your out-of-pocket cost after Medicare Rebate, up-front costs are higher, see below

Doctors Fees

First appointment:
$140 with Medicare rebate of $80.10. Gap fee of $59.90
Second appointment:
$300 with Medicare rebate of $80.10. Gap fee of $219.90

Planned follow up phone appointments: Bulk billed

Click here for MTOP Fees for Private Patients (No Medicare Card)

Useful Links:
fpnsw.org.au - medical abortion information
childrenbychoice.org.au - medication abortion
mariestopes.org.au - medical abortion
fpv.org.au - medication abortion (abortion pill)
childrenbychoice - making a decision