Before we go any further, I want you to know: there's no 'right' way to feel right now. Whether you're anxious, calm, or somewhere in between, what matters is that you're taking the first step toward understanding your options.
If you’re considering abortion at 5 weeks or later, you probably have a lot of questions: Is it legal? Is it safe? What happens next? This guide will walk you through everything you need to know before you take your next step.
- Can you get an abortion in India at 5 weeks or later?
Yes, absolutely. Abortion is legal in India under the Medical Termination of Pregnancy (MTP) Act, which allows termination up to 20 weeks (and beyond in special cases). The law ensures that women have access to safe and legal abortion services without unnecessary restrictions. At 5+ weeks, you have safe, legal options—you just need the right information and care.
The MTP Act was amended in 2021 to extend the legal limit for abortion. This progressive step ensures that more women can access safe abortions when needed.
- Is abortion legal after 5 weeks
Yes. Here’s a simple breakdown of the legal framework:
- Up to 20 weeks: Abortion is legal with the approval of one registered doctor. This covers most cases, including contraceptive failure, risks to the woman’s physical or mental health, and other special cases.
- 20–24 weeks: Requires approval from two doctors and applies to special circumstances, such as fetal anomalies or pregnancies in vulnerable groups.
- Beyond 24 weeks: Only permitted if there’s a severe threat to the woman’s life or if the fetus has severe abnormalities.
If you’re at 5+ weeks, you’re well within the legal limit. There’s no need to resort to unsafe methods or unregistered clinics- safe, professional care is available.
Abortion Methods for pregnancy >= 5 weeks
At this early stage, medical abortion (using pills) is the most common and effective method. The process involves two medications: Mifepristone and Misoprostol, which work together to terminate the pregnancy safely.
How it works: The first pill (Mifepristone) blocks the hormone needed for the pregnancy to grow. The second pill (Misoprostol), taken 24–48 hours later, causes contractions to expel the pregnancy tissue. The experience is similar to a heavy period with cramping and bleeding.
Effectiveness: Over 95% when taken correctly under medical supervision.
What to expect: You’ll need an initial consultation with a doctor to confirm the pregnancy (via ultrasound or blood test) and rule out risks like ectopic pregnancy. Follow-up is crucial to ensure the process is complete.
According to the World Health Organization (WHO), medical abortion is safe and effective when used as directed by your doctor.
- Abortion for 5-6 week pregnancy
Medical abortion is still an option at this stage. Alternatively, surgical abortion (Manual Vacuum Aspiration or MVA) is a quick and safe procedure.
How it works: Under local anaesthesia, the doctor gently removes the pregnancy tissue using a small suction device. The procedure takes about 5–10 minutes, and you can go home the same day.
Recovery: Mild cramping and spotting are normal for a few days. Avoid strenuous activity and sex for at least two weeks.
- Abortion for 7-8 week pregnancy
Beyond 9 weeks, surgical abortion (Dilation and Curettage or D&C) becomes more common.
How it works: Doctors might suggest medical termination (pills) or surgical termination of pregnancy based on your health and other criteria. In surgical abortion, the cervix is gently dilated, and the pregnancy tissue is removed using surgical instruments. The procedure is done under sedation or local anaesthesia and takes about 10–15 minutes.
Recovery: You may experience cramping and bleeding for up to two weeks. Rest and avoid heavy lifting during this time.
- Where to get a legal abortion in India
Finding a safe and reputable clinic is crucial. Here are your options:
Government Hospitals: Offer free or low-cost services, but wait times can be long, and privacy may prove to be an issue.
Private Clinics: Provide faster, more confidential care. Clinics like Proactive For Her prioritise your comfort and safety.
Avoid unregistered clinics or buying pills online without a prescription—your health and safety should always come first.
- Costs of abortion after 5 weeks in India
The cost varies depending on the method, location, and facility:
Medical Abortion (Pills): ₹5000–₹10,000 (cost may vary based on brand, clinic, after care provided).
Surgical Abortion: ₹20,000–40,000 (depends on gestation period and clinic standards).
At Proactive For Her, we believe in transparent pricing and offer all required details upfront. Book an appointment with our gynaecologist to understand your options better.
- What can you expect after an abortion?
After an abortion—whether medical or surgical—your body needs time to recover. Here’s what you can expect and how to care for yourself:
Physical Recovery
Bleeding & Discharge: Light to moderate bleeding (like a period) is normal and may last up to 4 weeks. Use sanitary pads (not tampons) to reduce infection risk.
Cramping: Mild to moderate cramping is common, especially in the first few days. Over-the-counter pain relief (like ibuprofen) and a heating pad can help.
Rest & Recovery: Avoid strenuous exercise, heavy lifting, or intense activity for at least 1–2 weeks to allow your body to heal.
Menstrual cycle: Your regular menstrual cycle should return in 4–8 weeks. If it doesn’t, check in with your doctor.
Emotional Well-Being: Hormonal changes may cause mood swings. This is completely normal.
If you’re feeling overwhelmed, talking to a counsellor can help. We at Proactive For Her provide mental health support at all stages. You can book a discovery call with our therapists here.
Follow-Up: A check-up after two weeks ensures everything is healing properly.
- Risks to consider in abortion
While abortion is safe when performed by professionals, potential risks include:
Incomplete Abortion: Rare but may require additional treatment.
Infection: Follow hygiene guidelines and avoid swimming or baths for a week.
Emotional Impact: Some women feel relief, others sadness- both are valid. Counselling is available if you need it.
- Conclusion
Making this decision wasn’t easy, but remember—you’ve already taken the most important step by seeking safe, compassionate care. However you’re feeling right now is okay. Whether it’s relief, sadness, or uncertainty, your emotions are valid.
At Proactive For Her, we believe every woman deserves:
✔ Accurate information without judgment
✔ Safe medical care tailored to her needs
✔ Ongoing support through recovery and beyond
Your body is strong, and so are you. When you’re ready, we’re here to listen, to care, and to help you move forward with confidence.
You’ve got this. And we’ve got you.
-How Proactive For Her can help
Proactive for her can handhold you through your procedure of medical termination of pregnancy, or in cases of surgical abortion, we offer comprehensive pre and post-procedure care.
✅ STI Screening & Treatment: We test for and treat common sexually transmitted infections before the procedure to reduce complications.
✅ Personalised Birth Control Guidance: Our doctors help you choose the best contraception method for your needs.
✅ Follow-Up Care: We schedule a check-up to ensure your recovery is on track and answer any questions.
✅ Non-Judgmental Support: Whether you need medical advice or just someone to listen, we’re here for you.
FAQs
1. Can you get an abortion in India at 5 weeks or later?
Yes, abortion is legal and accessible in India for pregnancies at 5 weeks or later under the Medical Termination of Pregnancy (MTP) Act, 1971, which permits termination up to 20 weeks with one doctor’s approval. For pregnancies between 20–24 weeks, approval from two doctors is required, particularly for cases like rape, contraceptive failure, fetal abnormalities, or risks to maternal health. Beyond 24 weeks, abortion is allowed only if the woman’s life is at risk.
2. Is abortion legal in India after 5 weeks of pregnancy?
Yes. The MTP Act (amended in 2021) guarantees legal abortion access up to 24 weeks for specific categories of women (e.g., rape survivors, minors) and up to 20 weeks for others. At 5 weeks, the procedure is fully legal and safe when performed at registered facilities.
3. What are the abortion methods available for pregnancies of 5 weeks and beyond?
Methods depend on gestational age:
- 5–7 weeks: Medical abortion (pills: mifepristone + misoprostol).
- 7–12 weeks: Manual Vacuum Aspiration (MVA) or Surgical abortion (Dilation and Curettage, D&C).
- Beyond 12 weeks: Requires more advanced surgical methods, often in a hospital setting.
4. How is an abortion performed at 5–6 weeks of pregnancy?
- Step 1: A doctor confirms the pregnancy via ultrasound and rules out contraindications (e.g., ectopic pregnancy).
- Step 2: Mifepristone (200 mg) is taken orally to block progesterone, followed by Misoprostol (400–800 µg) 24–48 hours later to induce contractions.
- Outcome: Heavy bleeding and cramping occur, similar to a menstrual period. Follow-up ensures completion.
5. What are the procedures for abortion at 7–8 weeks of pregnancy?
- Medical abortion: Still an option but slightly less effective (higher risk of incomplete abortion).
- Surgical abortion (MVA): A 5–10 minute procedure under local anaesthesia where pregnancy tissue is gently suctioned out. Recovery is quick, with mild cramping and spotting.
6. Where can you get a legal and safe abortion in India?
- Government hospitals: Low-cost but may have long wait times.
- Private clinics: Faster, confidential care (e.g., Proactive For Her).
- Avoid unregistered clinics or online pill purchases without prescriptions.
7. How much does an abortion cost after 5 weeks in India?
- Medical abortion: ₹500–₹2,000 (pill cost).
- Surgical abortion:
- 5–7 weeks: ₹3,000–₹5,000.
- 7–12 weeks: ₹15,000–₹25,000.
- Beyond 12 weeks: Up to ₹40,000.
Costs vary by city, facility, and gestational age.
8. What should you expect physically and emotionally after an abortion?
- Physical:
- Bleeding for 1–4 weeks (use pads, not tampons).
- Cramping, nausea, and fatigue.
- Avoid intercourse for 1–2 weeks.
- Emotional:
- Relief, guilt, sadness, or anxiety are common.
- 16% of women report complications like prolonged grief or PTSD; counselling is recommended.
9. What are the potential risks and side effects of abortion?
- Medical abortion: Incomplete abortion (3–5% cases), heavy bleeding, infection.
- Surgical abortion: Uterine perforation, cervical injury (rare).
- Long-term: Emotional distress (e.g., guilt, depression) affects 65% of women; suicidal thoughts are rare but possible.
10. How can you ensure a safe and legal abortion experience?
- Verify facility registration: Ensure the clinic is MTP Act-approved.
- Consult qualified providers: Only registered OB-GYNs can perform abortions.
- Follow-up care: Attend post-procedure checkups to monitor recovery.
- Avoid stigma: Seek non-judgmental clinics like Proactive For Her, which offer STI screening and counselling
Medical Disclaimer: The information provided is for educational purposes only and not a substitute for professional medical advice. Always consult a qualified healthcare provider before making any health decisions.