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Questions and answers — all in one place

Prices, safety, legality, how the visit works. If you can't find your answer, call us — we're happy to talk.

Last updated: July 18, 2026

In brief

The key facts to start with

Before you get into the detailed questions — the key facts in one table.

Where?Stadskliniek Utrecht — Biltstraat, Utrecht (the Netherlands)
Referral?Not required
Cost of the procedure?Free for those insured in the Netherlands · otherwise: message us for a quote
Up to which week?Up to 22 weeks of pregnancy
Safety?EU medical standards, licensed by the Dutch Ministry of Health
Anonymity?Complete discretion, GDPR + medical confidentiality

Practicalities and the law

Can you end a pregnancy in the Netherlands?
Yes. The Netherlands is one of the few countries in Europe where ending a pregnancy is legal up to 22 weeks — with no reason and no referral required. The procedure fully complies with Dutch law and is available to people from other countries too.
Is abortion abroad legal for women from countries where it is restricted?
Yes. A procedure carried out in a country where it is permitted complies with that country's law. Polish legislation, for example, imposes no criminal liability on a woman for ending her own pregnancy. Details: legal questions.
Is abortion in the Netherlands safe?
Yes. Dutch clinics are subject to strict oversight by the Ministry of Health and the IGJ inspectorate. Procedures are carried out by specialist doctors with many years of experience.
How much does an abortion cost in the Netherlands?
The cost depends on how far along the pregnancy is and on the method. For people with Dutch insurance the procedure is free. Always included: the ultrasound, anaesthesia and follow-up check — transport from Poland and a Polish-speaking interpreter are available as options. Call us for details.
Will my data end up in a pregnancy register in my home country?
No. Medical records in the Netherlands are protected by medical confidentiality and the GDPR. The clinic passes no information to authorities abroad.
How long is the visit and can I travel home the same day?
The visit usually takes 3 to 5 hours. Most patients travel home the same day.
How quickly can I get an appointment?
Appointments are available quickly — usually within 3–5 days of getting in touch.
What documents do I need to bring?
A valid ID card or passport is enough. For a procedure after 12 weeks you also need a recent ultrasound (no older than 7 days) showing BPD and FL. Full list: before the procedure.
Do I need a referral?
No. You book directly — by phone or through the contact form.
Is there a statutory reflection period before the procedure?
No. On 1 January 2023 the Netherlands abolished the mandatory five-day reflection period — you can book the procedure straight away, with no statutory delay.

Medical questions

Do you offer medical abortion (abortion pills)?
Our clinic specialises in surgical procedures — vacuum aspiration and D&E — because they offer certainty (99.9% effective), take place under full medical care and are done in a single day. Medical abortion is sometimes used in early pregnancy, but it is less effective, the process takes days and involves heavy bleeding without a doctor present. If you are weighing up both options, call us — we'll explain the differences without judgement.
Why are pills not an option after 12 weeks?
After 12 weeks, a medical abortion at home is dangerous — the risk of an incomplete miscarriage, haemorrhage and complications requiring urgent care all rise. That is why in the second trimester the only safe route is an instrumental D&E procedure carried out at the clinic, under anaesthesia and with full medical supervision.
Is the procedure painful?
The procedure is done under sedation or general anaesthetic — you sleep and feel nothing. After you wake, you may have cramps like a heavier period.
Does the procedure affect fertility?
A properly performed procedure does not affect your ability to conceive in future — ovulation can return within two weeks. The risk of complications that affect fertility (such as uterine adhesions) is negligible — a handful of cases in several thousand procedures — and we minimise it through careful preparation and a preventive antibiotic afterwards.
What can I expect afterwards?
Mild cramping in the lower abdomen and period-like bleeding, lasting up to a couple of weeks. Full guide: after the procedure.
When can I have sex again?
Waiting 7–14 days is advised, to lower the risk of infection and give your body time to recover.
When can I start contraception?
Hormonal contraception can usually be started immediately after the procedure. The doctor will go through the details with you during your visit.
Can I buy abortion pills in the Netherlands?
No. In the Netherlands the abortion pill can only be given at a clinic or hospital under a doctor's supervision — you cannot buy it at a pharmacy or order it online. Be wary of sites selling so-called "abortion pills" by post — those are scams. Our clinic carries out surgical procedures only (vacuum aspiration and D&E), under full medical care.
I'm breastfeeding — can I carry on afterwards?
In most cases yes, usually without a break. The medicines used during the procedure are generally not harmful to a breastfed baby — tell the doctor at your initial consultation so they can choose suitable medication and, if needed, advise how long to pause feeding.
Why is the procedure only possible from about week 5?
Before then the pregnancy is often not yet visible on an ultrasound, so the doctor cannot confirm with certainty that it is inside the uterus rather than, for instance, outside it. A procedure done too early is also less reliable: it is harder to tell afterwards whether all the pregnancy tissue has been removed. In practice this means the scan is usually done about 12 days after a missed period.
I take regular medication (blood thinners or diabetes medicine, for example) — is that a problem?
Most regular medication can be taken as normal, with water. If you take anticoagulants (blood thinners) or diabetes medicine, let the clinic know in advance so the doctor can factor it into the plan for your procedure.
What is the risk of complications with each method?
The risk is small and rises slightly the further along the pregnancy is. With vacuum aspiration (up to 13 weeks): heavy bleeding <1%, retained tissue <1%, injury to the uterus <0.1%, infection 0.5–1%. With a D&E (13–22 weeks): heavy bleeding 1–3%, retained tissue 1–3%, infection 1–2%, injury to the uterus 0.1–0.4% (usually with no lasting effects). All of these complications can be recognised and treated — which is why the procedure always takes place under full medical supervision.
Can I have an IUD fitted straight after the procedure?
Yes — with vacuum aspiration up to 13 weeks, an IUD can be fitted right after the procedure, during the same visit. You will feel nothing if the procedure was done under sedation. Mention it when you book.

Practical

Can someone come with me?
Yes — they can wait in the waiting room, be there for you afterwards and take you home from the clinic.
Can I travel here under my own steam?
Yes. Just remember that you must not drive for 24 hours after sedation — come with someone who can drive, or use our transport.
How does it work for people under 18?
Anyone under 16 comes with a parent or legal guardian. People aged 16 to 18 can come on their own — parental consent is not required.
Can I bring my child?
No — children cannot be brought into the clinic. Please arrange childcare in advance for the duration of your visit.
Might there be protesters outside the clinic?
Anti-abortion protesters are sometimes present near the clinic. It is best not to engage with them or respond to their questions and comments. If anyone approaches you, tell the clinic staff as soon as you come in.
Will I get a document confirming the procedure?
Yes. On discharge you receive a sealed envelope containing a discharge letter confirming the procedure — with the date, the method used and the clinic's details. It can be issued in English or Dutch. Nothing is posted anywhere: you collect the envelope in person, and the clinic gives out no information about patients over the phone.
Can I get another copy of my records later on?
Yes. If you lose the discharge letter or need a copy in future, contact us — we can reissue your records once we have verified your identity.
Will I get an ultrasound picture?
Yes, if you ask the doctor before the scan — you can be given a printout of the ultrasound image on discharge.

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