Surgical Removal of Retained Products of Conception

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Anaesthetic

Local anaesthetic available only

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Length of appointment

Up to 2 hours

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Recovery

You will need someone to take you home

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Locations

London & Birmingham

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Fees

Click here

Journey Overview

A surgical removal of retained products of conception (RPOC) involves gently removing any remaining pregnancy tissue from the uterus using suction (Vacuum Aspiration). It is commonly performed to help resolve symptoms and reduce the risk of ongoing bleeding or infection following a miscarriage or medical abortion.

#1 Pre Appointment Questionnaire

In order to book you at the right time, with the right person, we will request you to complete our pre-appointment questionnaire.

Click here to request an appointment.

#2 Consultation & Ultrasound Scan

We will begin by reviewing your questionnaire and discussing any symptoms or questions you may have regarding the surgical removal of retained products of conception.

An ultrasound scan will then be performed to confirm whether any retained pregnancy tissue is present. We will also assess for any complications, such as infection, and carry out a clinical review, including your medical history and current medications.

If retained tissue is confirmed and the procedure is appropriate, treatment can be carried out on the same day. If no retained tissue is identified, no procedure will be required, and only the consultation fee (£150) will apply.

#3 Procedure

If you choose to continue, local anaesthetic will be applied to the cervix to reduce discomfort. A small tube will then be inserted through the cervix, and the pregnancy tissue will be removed via suction, with ultrasound guidance throughout. The procedure typically takes a few minutes.

#4 Aftercare & Recovery

Following the procedure, we will give you some time to recover. If needed, pain relief will be provided. You may experience period-like cramps and bleeding for a few days, which is normal.

We’ll give you aftercare advice, and you’ll receive details for our 24/7 emergency support line, should you need medical assistance following the procedure.

For any concerning symptoms like severe pain, heavy bleeding, or fever, you should contact us or seek medical advice.

Eligibility



Best For

Safe removal of retained pregnancy tissue after miscarriage or abortion to reduce the risk of infection, ongoing bleeding, and pain.

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Pregnancy Restrictions

Avoid sex and tampons until bleeding stops to prevent infection. You can usually try to conceive again after you have had one normal period.

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Menstrual Restrictions

N/A

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Prior/Repeat Use

Previous use does not prevent another.

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Contraindications

Not suitable without patient consent, in cases of untreated severe infection, or when certain medical conditions make surgery or anaesthesia unsafe.

Consult Your Clinician If...

You experience very heavy bleeding, severe abdominal pain, fever, or foul-smelling discharge, as these symptoms require an urgent clinical review.

FAQs

Show All Answers

How can I prepare for my Surgical Removal of Retained Products of Conception?

You can prepare by following simple steps to ensure you are comfortable and ready on the day.

• Complete your pre-appointment questionnaire
• Wear loose, comfortable clothing
• Bring absorbent sanitary pads
• Eat a light meal beforehand unless advised otherwise
• Arrange someone to accompany you home

You may wish to have simple pain relief (e.g. paracetamol or ibuprofen) ready for after the procedure. A consultation will take place beforehand to explain the process and answer any questions.

Will I need to take time off for my Surgical Removal of Retained Products of Conception?

Most people take 1–2 days off to recover.

You may feel tired, with mild cramping and light bleeding for a few days. If your work involves physical activity, you may need longer. Return to normal activities when you feel ready.

Seek medical advice if you develop heavy bleeding, severe pain, or a high temperature.

Can I bring someone with me?

Yes, you can bring a partner, friend, or family member for support.

They can usually stay with you during the consultation but will be asked to wait during the procedure. If you are having sedation or feel unwell afterwards, it is important to have someone accompany you home.

What travel arrangements should I make after the Surgical Removal of Retained Products of Conception?

You should arrange for someone to take you home after the procedure. A friend, family member, or taxi is recommended. Public transport is best avoided if you feel unwell or need to rest.

How does the Surgical Removal of Retained Products of Conception work?

It is a short procedure that removes remaining pregnancy tissue from the womb.

An ultrasound may be used beforehand to confirm the tissue. The cervix is gently opened, and a thin suction tube (vacuum aspiration) is used to remove it. The procedure usually takes 10–15 minutes and does not require cuts or stitches.

You can usually go home the same day. Mild cramping and light bleeding are common for a few days afterwards.

Does the Surgical Removal of Retained Products of Conception hurt?

Pain is usually well managed with anaesthesia.

Local anaesthetic is commonly used to numb the cervix. You may still feel pressure or cramping during the procedure. Some people choose gas and air or sedation for additional comfort.

Afterwards, mild cramping is common and can usually be managed with standard pain relief.

Can I listen to my music during the Surgical Removal of Retained Products of Conception?

Yes, you can listen to music if you wish.

If you are awake during the procedure, music can help you feel more relaxed. Bring your own headphones and keep the volume low enough to hear instructions if needed.

Can I have an STI test during my appointment?

Yes, STI testing can be done during your appointment.

A clinician will advise which tests are appropriate. This may include urine samples, swabs, or blood tests, depending on your risk and symptoms.

What happens if my Surgical Removal of Retained Products of Conception does not go as planned?

In some cases, a small amount of tissue may remain and require further treatment.

This may involve medication or a repeat procedure. Rare complications include infection, heavier bleeding, or injury to the womb.

Seek urgent medical care if you have:

• Heavy bleeding (soaking two pads per hour for two hours)
• Severe pain not controlled with pain relief
• A high temperature or unusual discharge

Follow-up advice will be provided to support your recovery.

Do I need to bring feminine hygiene products for use after the Surgical Removal of Retained Products of Conception?

Yes, it is recommended to bring sanitary pads.
Bleeding or spotting is common after the procedure. Use pads rather than tampons or menstrual cups for at least two weeks to reduce infection risk.

What should I expect after my Surgical Removal of Retained Products of Conception?

You can usually go home the same day after a short recovery period.

Light to moderate bleeding and mild cramping are common for 1–2 weeks. Most people return to normal activities within 24–48 hours, depending on how they feel. Avoid tampons and vaginal sex for 1–2 weeks.

Seek medical advice if you have heavy bleeding, severe pain, fever, or unusual discharge.

Will I require a follow up appointment after my Surgical Removal of Retained Products of Conception?

Routine follow-up is not usually required.

You should monitor your symptoms and seek medical advice if you have heavy or persistent bleeding, severe pain, fever, or unusual discharge. A follow-up can be arranged if needed.

How soon after my Surgical Removal of Retained Products of Conception can I have sex?

It is best to wait until bleeding has stopped, usually around 1–2 weeks.

This reduces the risk of infection and allows the cervix to close. Only resume when you feel physically and emotionally ready.

What if I think I’m still pregnant?

Contact a healthcare provider if you still have pregnancy symptoms after the procedure.

Wait at least 3 weeks before taking a pregnancy test, as hormones can remain in your body and affect results. Earlier assessment may be needed if you have heavy bleeding, severe pain, or fever.

Can I continue to use tampons and menstrual cups if I had a Surgical Removal of Retained Products of Conception?

No, these should be avoided for at least 1–2 weeks.

Use sanitary pads instead to reduce the risk of infection while the cervix is healing.

When will my Surgical Removal of Retained Products of Conception start to work?

The procedure works immediately by removing the remaining tissue.

Symptoms such as heavy bleeding or pain usually improve quickly. Mild bleeding and cramping may continue for a few days as your body recovers.

What should I expect my periods to be like?

Your period usually returns within 4–8 weeks.
The first period may be heavier or more uncomfortable than usual. Your cycle should settle over the following months. Seek medical advice if your period has not returned after 8 weeks or if bleeding is very heavy.

Patient Feedback

    
 
 
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 Trustindex verifies that the original source of the review is Google. Mr Aaron Williams saw us while we were visiting London from the US and he treated us well, with compassion and professionalism. Seeing him helped put us at ease for the rest of our trip, which ended up being great.
  
 
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 Trustindex verifies that the original source of the review is Google. Incredible care and treatment. Can't thank Dr Jayadeva and his team enough who put me at great ease and looked after me. Wonderful clinic will be recommending.
  
 
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 Trustindex verifies that the original source of the review is Google. I had a copper coil removal yesterday with Dr Praveen Jayadeva. If you are at all nervous about an iud fitting or removal, I couldn't recommend this clinic enough. I had a very painful experience at a different clinic that made me really scared about the removal procedure. They really take the time to talk you through what's going to happen and what type of pain relief options you have. They were so friendly and comforting (both the doctor and the amazing assistant) and procedure was so quick. They even offer you tea and biscuits afterwards. Really fantastic and professional clinic!
  
 
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 Trustindex verifies that the original source of the review is Google. I had a coil done here. It was an amazing experience, really worth the money paid. The doctor took the time to go through the process and all the options in detail. I felt prepared and well cared for. I had numbing gel and spray and also gas and air. The actual coil fitting was less then 5 minutes. I felt a little discomfort, but the gas and air managed this very well. The team were all very supportive and caring. My coil lasts for 5 years, I'm very happy with my experience. Could not recommend enough.
  
 
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 Trustindex verifies that the original source of the review is Google. Dr. Malu was able to help me fully understand and put into context my concerns surrounding HPV, which at times can feel like a confusing subject. His ability to listen and understand my concerns with empathy and without judgement was very helpful. I am grateful for the expertise and care given by Dr. Malu and the staff at his clinic. The team provides a very professional and comfortable experience.
  
 
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 Trustindex verifies that the original source of the review is Google. Fantastic and caring team from booking process, reception, appointment and billing. Went for a coil removal. They had ultrasound and gas for pain management (when I checked it seemed they were the only clinic that offered this!!). 100% recommend. Especially if you’re getting a coil, want to make sure you do it with a top professional team. I inserted it elsewhere and it was a barbaric procedure for me, insanely painful and just awful. So save yourself unnecessary trauma/pain
  
 
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 Trustindex verifies that the original source of the review is Google. I had such a great experience at Clarewell Clinic. I was extremely nervous about the pain before my copper IUD fitting, but Dr Praveen Jayadeva explained everything clearly throughout the appointment and made me feel completely comfortable. I was given pain relief and the fitting was honestly so much easier than I expected — I barely felt any pain at all. Yasmin was also incredibly lovely and reassuring throughout. I’m genuinely so happy I chose Clarewell and would definitely recommend them. 10/10.
  
 
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 Trustindex verifies that the original source of the review is Google. Fantastic service and excellent communication.
  
 
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 Trustindex verifies that the original source of the review is Google. Both Dr Jayadeva and Jasmine were absolutely lovely and super skilled. They really listened to me and made sure I was comfortable. I really appreciate the pain relief that was provided as well! Whenever I need anything gynae related I will come back to this surgery.
  
 
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Fees

Medical Abortion (From Home)

£550

The full treatment fee is payable at the time of booking and includes your consultation and treatment.

If, during the consultation, you decide not to proceed with the abortion, we can refund £400 and retain only the £150 consultation fee. This is only possible before you sign the consent form, as our compliance and medication dispatch process begins immediately afterwards.

Surgical Abortion

£1000

Surgical Removal of Retained Products of Conception/Miscarriage

£1000

Pregnancy Advisory (Online) Consultation

£150

Patients who book a treatment appointment do not need to book a separate consultation.

If you book an online consultation first and later decide to proceed with treatment, the treatment must be booked separately and charged at the full treatment price. The online consultation fee is non-redeemable and cannot be deducted from the cost of treatment.