SHORE Centre offers the abortion pill up to 9 weeks of pregnancy. Please review the information below and fill out the booking form to start the process.
Step 1: Fill out Booking Form Online: Once you have submitted your form a counsellor from SHORE Centre will contact you within 2 business days.
Step 2: Intake phone call with SHORE: You will speak with a counsellor at SHORE Centre to book your appointment. You will then be sent requisitions for blood test and ultrasound. These can be emailed to you, faxed directly to the clinic or you can pick them up at our Centre.
Step 3: Ultrasound and blood work: You will need to make appointments with an ultrasound provider and blood lab for these tests. Results of the ultrasound and blood test will be sent directly to SHORE Centre. Please remember to drink 1 Litre of water an hour before your ultrasound appointment.
Although Health Canada no longer requires an ultrasound for the provision of Mifegymiso, SHORE Centre clinicians still require them in the majority of cases.
Step 4: Appointment with clinician: You will meet with the clinician and review eligibility criteria. The prescription for Mifegymiso will be provided at this appointment. You can fill this prescription at one of the recommended pharmacies. You will receive a care package with information about what to do when you go home, medication for pain and nausea relief, and a requisition for a blood test that must be done 7 to 10 days after you take the medication. If you prefer a female clinician, please let us know.
Step 5: At Home (see Mifegymiso instruction guide): Swallow mifeprisone pill (green box). Then, 24 – 48 hours later use the second medication, misoprostol (orange box). You will take a sip of water to moisten your mouth, then place 4 pills into your mouth: 2 on the left side and 2 on the right side between your gum and cheek – do not swallow – and let it dissolve for 30 minutes. After 30 minutes you will take a sip of water and swallow any of the medication still in your mouth. Cramping and bleeding can begin as quickly as 30 minutes later, but may take longer to begin.
After using Misoprostol: Within 30 minutes to an hour you can expect to have very heavy bleeding and pass clots that will lessen as time passes, generally between 4 to 6 hours. You can take the medication the clinician recommends to help manage the pain and nausea. Bleeding and cramping often lasts for several days.
Side effects include: Nausea, vomiting, diarrhea, dizziness, abdominal discomfort/pain, cramps, fever and chills. These side effects usually last a short time and go away on their own. Bleeding can last for 11 days and may be heavy. While you can return to your normal activities, you may be more tired than usual for a few days. Avoid strenuous activities or exercise until your follow-up visit. If you choose, the clinician will advise you how and when to begin the contraception method of your choice.
Step 6: Follow-up blood test: 7-10 days after taking the medication. This is required to confirm if the medication worked as expected.
Step 7: Follow-up appointment with clinician: You will have a follow-up appointment with the clinician to review the results of your blood test. In the event that the Mifegymiso did not end the pregnancy as expected, you will discuss next steps with the clinician. These steps may include waiting longer, taking medication or having a surgical procedure to complete the abortion.
Health Card And Payment Info
You must bring your Ontario health card (OHIP), with it the cost of the clinic visits and medication is covered.
Out of province health cards may be accepted for clinic visits only. The cost of Mifegymiso is separate and ranges from $337.25 – $375.97 based on pharmacy. Other insurance that may be accepted for for the cost of clinic visits (only) includes: University Health Insurance Program (UHIP), Guard Me Insurance, Interim Federal Health Program (IFH), Department of National Defence (DND). With private insurance, you may need to pay upfront and submit claims to your insurance company for reimbursement.
We strive to provide trans-inclusive abortion care and have an all gender washroom and facility.
Friends, partners, support workers and children are welcome at our Centre.