SoftCare Clinic

Abortion

Frequently Asked Questions About Abortion

The legal limit, the procedure, privacy, fertility, and cost — SoftCare Clinic's answers

For most women, the decision about abortion starts with the same three questions: am I within the law, will I become infertile, will my family find out? This text answers, topic by topic, the questions that come to SoftCare Clinic by phone and during consultations. The short answer sits on top, the reasoning underneath. The goal is not to frighten or to string together sales lines — it is to state plainly the 10-week legal framework, the vacuum procedure, and the realities that follow it.

In Turkey, elective termination of pregnancy is legal, under Article 5 of Population Planning Law No. 2827, until the completion of the tenth week of pregnancy. Contrary to a common belief, the week is counted not from the date of intercourse but from the first day of the last menstrual bleeding; clinical confirmation is by ultrasound. After completion of the tenth week, the procedure can only be considered — with the relevant reports — in situations that threaten the mother's life or in cases of severe fetal anomaly. This text describes the elective procedure within the legal limit.

Diagnosis and a personal decision cannot replace an examination. A definitive fee and plan emerge only after ultrasound and history.

Legal framework

Is abortion legal in Turkey?

Yes. Elective abortion is legal until the completion of the 10th week of pregnancy. The procedure is performed by an authorized obstetrician-gynecologist, at an appropriate healthcare facility, with written consent. Legal is not the same as practically accessible; public-hospital appointment availability, marriage-requirement practices, and physician reluctance can narrow access. A legal right is not an appointment guarantee.

Up to which week can abortion be performed?

The upper limit for the elective procedure is completion of the 10th week of pregnancy. A four-week pregnancy and a nine-to-ten-week pregnancy do not carry the same technical burden. Until the week is confirmed by ultrasound, the sentence "I think I'm five weeks along" is not binding. In an application beyond the limit, what is discussed is not a private clinic's price list but the law.

How is the week calculated?

The calendar starts from the first day of the last menstrual bleeding. A woman's own calculation of "how many days late" and the ultrasound week frequently diverge. Irregular periods, breastfeeding, and stopping the contraceptive pill widen this gap. Price and legal eligibility are read according to the ultrasound week.

I'm past 10 weeks — can a private clinic still do it?

Not on an elective basis. Beyond 10 weeks, it can only be considered with medical indication and reports from the relevant specialists. The thought "let me wait a little longer to be sure of my decision" is human, but it can close the legal window. After the eighth week, the first task is not to ask about price but to pin down the exact week.

Can an unmarried woman have an abortion?

An unmarried woman who has turned eighteen can apply within the legal limit with her own written consent. The claim "it's easier if you're unmarried" circulates, but medically the married/unmarried distinction does not change the technique. What changes is the consent paperwork. For a married woman, spousal consent is required under the current regulation.

Is spousal consent required for a married woman?

Under the current regulation, spousal consent is required for a married woman. Situations where the spouse is abroad, cannot be reached, or the woman's safety is under threat require separate legal assessment; "okay" over the phone is not sufficient. The document is not bureaucracy — it is a required record.

Can someone under 18 have an abortion?

Minors require parental permission. For an adolescent applicant, age, gestational week, and who will accompany her are clarified first. A request for confidentiality does not override the legal-guardian requirement.

Is the time limit the same for a pregnancy resulting from sexual assault?

A pregnancy resulting from sexual assault follows a separate legal path. The timeline and paperwork may work differently from the elective 10-week framework. This text is not a guide to that path; such an application proceeds through judicial and medical channels.

Is abortion a crime?

Within the legal limit, performed by an authorized physician at an appropriate facility with complete consent paperwork, the elective procedure is not a crime. Outside the limit, or performed by an unauthorized person or in an unregistered setting, the intervention puts both the woman and the provider at legal risk. SoftCare Clinic only accepts applications within the legal framework.

Who can have the procedure, and for whom does the plan change

I've never given birth, this is my first abortion — is that okay?

Yes. A uterus that has never given birth does not automatically rule out the procedure. The cervix and uterine cavity differ from a uterus that has given birth; the physician reads this in your history. The claim "a first abortion is more dangerous" is true of any procedure in inexperienced hands — it is not a fate tied specifically to the number of births.

I've had a C-section — can an abortion be performed?

Yes. A C-section scar does not cause a problem in every case. If there are two or more C-sections, a thin lower segment, or another incision on the uterus, the plan may change: ultrasound guidance, duration, observation. This is not a "C-section penalty" — it is a safety margin.

I've had a previous abortion or a miscarriage evacuation — does that matter?

Repeated intervention can increase the likelihood of adhesions or a thin endometrium. This does not happen to every woman. If the risk exists, the procedure proceeds with more control and the follow-up appointment is moved earlier.

I have a chronic illness.

Diabetes, hypertension, thyroid disorders, epilepsy, asthma, clotting disorders, and immune-suppressing conditions change the anesthesia plan and discharge process. A consultation may be requested. A price obtained by concealing the condition is only provisional.

I have anemia.

Mild anemia does not stop the procedure; it requires a blood count and longer observation. In severe anemia, the procedure may be postponed. If postponement threatens the legal week, the decision is made with the risks discussed in writing.

I take psychiatric medication / I have panic attacks.

You will be asked about the medication-anesthesia interaction and whether you can be alone at home afterward. Not mentioning it does not lower the price — it lowers safety.

There is a suspicion of ectopic pregnancy.

An ectopic pregnancy cannot be resolved by abortion. A procedure rushed before the gestational sac is clearly located inside the uterus can miss an ectopic pregnancy. If there is no clear diagnosis at an early week, the procedure day is postponed.

Is a missed abortion (no heartbeat) the same as an elective abortion?

No. A missed abortion is a medical evacuation; an elective procedure is subject to the legal timeframe and consent regime. Technically, the uterine cavity is emptied in both. The indication, paperwork, and sometimes the timing differ.

Before the procedure

What is checked before an abortion?

Last menstrual date, gestational week by ultrasound, intrauterine location, blood type, a basic blood count, medications, previous surgery and births, allergies. If Rh-negative, an anti-D plan is discussed. Legal eligibility and written consent are completed before the procedure.

Do I need to come on an empty stomach?

Yes, if sedation or general anesthesia is planned — the fasting period is specified by the physician. The rule may differ for local anesthesia. If a patient arrives having eaten, the procedure time may shift. A shift in timing is not stalling — it is safety.

Is a companion required?

Driving on the same day after sedation is not recommended. A companion makes the trip home easier. Whether it is required depends on the type of anesthesia and the woman's home situation.

What should I bring to the appointment?

ID, any previous ultrasound and test results, a list of medications you use, and, if married, the paperwork required for consent. For privacy, you can leave anyone you do not want present in the waiting room; you will be asked who may enter the procedure room.

Is the price given over the phone final?

No. In Turkey, the first factor looked at is the gestational week. The final fee is discussed in writing after ultrasound, history, and testing. The range given over the phone is preliminary information.

How is the procedure performed?

How is abortion performed today?

For an elective early pregnancy, the current method is vacuum aspiration. Classic "scraping" (sharp curettage) is not the first choice in every case; the risk of perforation is higher in inexperienced hands. The word "curettage" literally means scraping, but in practice most centers use vacuum.

How many minutes does the procedure take?

Emptying the uterine cavity takes minutes in most cases. Including preparation, anesthesia, recovery, and the first check, the total time spent at the clinic usually does not exceed a few hours. Gestational week, anesthesia, and any additional condition lengthen this.

Does it hurt?

Pain is not expected during the procedure under anesthesia. Afterward, period-like cramping and spotting may occur. A promise of "you won't feel anything at all, not even at home" is not realistic. The sensation decreases within hours; pain that keeps increasing is not considered normal.

Local anesthesia or sedation?

Local anesthesia numbs the cervix; the woman is awake. Sedation gives a brief sleep-like state and requires a team and a recovery period. This is where the difference in comfort and cost lies. The decision is made based on the week, anxiety level, and medical history.

Is the abortion pill the same as surgical abortion?

No. Medical termination is a separate protocol with separate follow-up and a separate legal-medical framework. A "miscarriage pill" taken at home without supervision is not an abortion — it carries the risk of incomplete miscarriage and heavy bleeding. What SoftCare describes is the vacuum procedure planned at the clinic.

Is an ultrasound done right after the procedure?

A post-procedure ultrasound is often performed to check the cavity. This is how it is determined whether any tissue remains. The claim that "the follow-up appointment is a sales package" is the approach that makes a second intervention more costly.

After the procedure

When do I go home?

The same day, once recovery is complete and vital signs and bleeding are appropriate. Do not drive if you received sedation. Do not return to strenuous work, sports, or pools before the time given by your physician has passed.

How long does the bleeding last?

The first days may resemble a period, followed by spotting that can continue for a few days. Increasing bleeding with growing clots, fainting, foul-smelling discharge, fever, and steadily worsening pain are not expected — reach out without waiting if they occur.

When will my period return to normal?

For most women, the first period arrives within a few weeks. The timing can shift depending on your previous cycle and the gestational week. Do not interpret bleeding you have as meaning "my pregnancy is still there" — what matters is the empty cavity on ultrasound.

When can I have intercourse again?

Tampons, pools, and intercourse are not recommended until the cervix and inner lining have healed. The timeframe varies by person; your physician will give you a specific window. Early intercourse raises the risk of infection and bleeding.

When can I return to work?

Desk work is usually possible the next day or within a few days. Heavy lifting, prolonged standing, and shift work increase cramping and bleeding. Whether you need a medical note is discussed based on your job.

When does contraception start afterward?

A new ovulation can occur before your first period returns. The thought "just once more won't matter" is the classic route to a new pregnancy. The pill, an IUD, or another method can be planned for the same day as the procedure or at the follow-up visit. If an IUD is to be fitted in the same session, this may be an additional line item on the fee and should appear in the written breakdown.

I'm Rh-negative — is the injection necessary?

If the mother is Rh-negative and the father is Rh-positive, anti-D is discussed within a specific window. If the blood type is unknown, it is checked on the day of the procedure. The injection usually stands as a separate item in most packages — it is not a hidden fee but a separate medical product.

Fertility, hymen, and myths

Does abortion cause infertility?

With proper vacuum technique, an appropriate week, and an experienced provider, permanent infertility is not the expected outcome. What actually raises infertility risk is infection, a delayed second intervention for remaining tissue, perforation, and unregistered settings. The belief "it's my first abortion, I'll never get pregnant again" is hearsay.

Does a repeat abortion end fertility?

Each additional intervention increases the theoretical risk somewhat. It does not end fertility. The real issue is why the pregnancy recurred — if a contraceptive plan hasn't been put in place, the problem is not the procedure but the gap afterward.

Does abortion cause cancer?

It has not been shown that elective early abortion causes uterine or ovarian cancer. This claim circulates in the fear-based marketplace; it does not replace the routine of screening and Pap smears.

Is the hymen damaged?

The speculum and cannula pass through the vaginal canal. In a woman who has not previously had intercourse, the hymen can be affected. No guarantee of "no one will notice" can be given. This is not a reason to refuse the procedure — it is a matter of honest consent.

Does abortion leave a psychological mark?

Some women describe relief; others describe grief, guilt, or emptiness. Neither is labeled "abnormal." If there is severe depression, panic, or suicidal thoughts, the procedure plan and follow-up change. Dismissing the emotion is not medically sound.

Privacy

Will my family find out?

At a private clinic, patient information is not shared with family, employer, or any third party without your written consent. This falls under patient rights. The claim that "except at public hospitals, there's no trace anywhere" is incomplete — every healthcare facility has a legal record-keeping obligation. Confidentiality does not mean an absence of records; it means no speculation is passed to a third party.

Will it appear in the national e-Nabız health record system?

Public and some registration systems can carry a procedure code. A promise that "it will never appear in any official system" is not reliable if it disregards a legal obligation. At SoftCare, privacy is applied as not leaking information to a third party, from the waiting room to the file. How the official record is kept is explained to you before the procedure.

Will my employer find out?

If you use a medical note, your employer sees that you had leave, not the diagnostic detail automatically. Disclosing the diagnosis yourself is a separate matter. If you want the procedure name not to appear on the invoice, ask in advance — the accounting line item and the medical record do not have to be the same document, though the legal invoice reality cannot be hidden either.

Cost, public hospitals, and practice in Istanbul

Is abortion free at a state hospital?

At public institutions, the procedure within the legal framework follows a different fee and appointment system. The number of public facilities performing elective abortion in Istanbul is limited; some may in practice expect marriage or additional paperwork, and anesthesia options may be narrower. "Free" and "appointment available, private, sedated, same-day" are not the same package.

Why does the price vary from clinic to clinic?

Gestational week, anesthesia, testing, the Rh injection, the follow-up examination, and the operating-room standard. Four weeks and eight weeks are not the same job. The lowest price quoted over the phone is not the safest care.

What should be included in the package?

Assessment, ultrasound, basic testing, consent, the procedure, anesthesia, brief observation, the first follow-up. The Rh injection, additional testing due to severe anemia, and an IUD fitted in the same session can be separate line items. A single-line "everything included" hides items that appear later.

What changes the price of an abortion?

The first factor looked at is the gestational week. Previous births, a C-section, chronic illness, anemia, and psychiatric condition all move the plan and the fee.

Emergencies and the wrong doors

Can I have an abortion at home with a pill?

That means an unregistered medication, an incomplete miscarriage, heavy bleeding, and a delayed presentation. The sentence "I took the pill, I no longer need an abortion" is not closed until confirmed by ultrasound.

I have a fever and foul-smelling discharge.

This is a sign of infection. Do not wait. Do not mask it with a painkiller.

My pad is filling up within an hour.

This is not "normal spotting." Get help immediately.

I'm past 10 weeks and I was offered an unlicensed back-alley option.

Refuse. Being beyond the legal limit, an unauthorized setting, and a promise of "no trace" all come in the same package. SoftCare Clinic does not accept this kind of application.

The process at SoftCare Clinic

How does the consultation work?

It begins in a private room, in your own words. The week is confirmed by ultrasound. Legal eligibility and any medical contraindication are checked. The fee is explained in writing, including what is and is not included. No line is left unexplained.

Can the procedure be done the same day?

If the week is suitable, testing and fasting are complete, and the consent paperwork is in place, it can be scheduled. A promise of "walked in the door, done in five minutes" is not safe without a clear diagnosis.

Is the follow-up visit required?

The first follow-up exists to check for remaining tissue and bleeding. Skipping it turns a second intervention into a surprise.

Short, common questions

Is abortion the same as curettage?

In everyday language, yes. In medicine, curettage means emptying the inside of the uterus; elective termination is one indication for it. Diagnostic curettage and pipelle biopsy are separate procedures.

Does the procedure leave a scar?

There is no visible incision from the outside. It is done through the vaginal canal.

I'm breastfeeding — can I have an abortion?

Anesthesia and medication affect breastfeeding. The timing and a pumping plan are worked out with the physician. Breastfeeding does not remove your legal right — it changes the plan.

I missed a birth control pill — is abortion the only option?

No. If the delay is short, a test and ultrasound come first. Emergency contraception is not abortion — it has a separate 72–120-hour window and does not work for every delay.

Where can I get a "secret" abortion in Istanbul?

The word "secret" is a marketing term. The right questions are: is it legal, who is the physician, is the facility appropriate, could information leak to a third party, is there a written price?

When can I exercise, use a sauna, or swim in the sea after an abortion?

No hot environments, pools, or strenuous exercise until bleeding stops and your physician gives permission. Sweat, moisture, and pressure make infection easier.

Does abortion change my blood type?

No. The Rh-incompatibility injection addresses the immune risk to a future pregnancy, not your blood type.

Quick summary

In Turkey, elective abortion is legal until completion of the 10th week. The week is confirmed by ultrasound. An unmarried woman who has turned eighteen needs her own consent; a married woman needs spousal consent. Vacuum aspiration, performed properly, is not a procedure that \"ends fertility.\" A pill taken at home, an unlicensed back-alley provider, and an elective offer beyond 10 weeks are all part of the same risk package. Confidentiality means no speculation reaches a third party — it does not mean an absence of records. A definitive plan and fee emerge only after an examination.

This text has been prepared for general information purposes. It does not replace diagnosis, treatment, or your personal legal situation. The decision to have an abortion is finalized only through a physician's examination and current legislation.

References

  1. Abortion care guideline. World Health Organization (WHO), 2022.
  2. Abortion care (NICE guideline NG140). National Institute for Health and Care Excellence (NICE), 2019.
  3. Abortion. NHS (UK National Health Service).
  4. 2827 sayılı Nüfus Planlaması Hakkında Kanun. T.C. Cumhurbaşkanlığı Mevzuat Bilgi Sistemi, 1983.

Medically reviewed by Op. Dr. Şükrü Sanus, Obstetrician & Gynecologist · Last medical review: