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KEY TAKEAWAYS
- Medical termination of pregnancy (MTP) is legal in India under the MTP Act 1971, amended significantly in 2021.
- The amended MTP Act 2021 allows termination up to 20 weeks with one doctor’s opinion and up to 24 weeks for specific categories with two doctors.
- Medical abortion (pills) is safe and effective up to 9 weeks of pregnancy and is widely available in Pune.
- You are not alone: compassionate, non-judgmental counseling is available alongside clinical care at La Femme Clinic.
- Privacy and confidentiality are maintained throughout the evaluation and procedure process.
- Dr. Bhagyashri Naphade at La Femme Fertility Clinic, Wakad, provides safe, legal, and supportive MTP care.
An unwanted pregnancy can happen to any woman, at any stage of life. Whether it’s a contraceptive failure, changed circumstances, or a difficult personal situation, you deserve accurate information, safe care, and genuine support, not judgment.
This guide, reviewed by Dr. Bhagyashri Naphade at La Femme Fertility Clinic, Wakad, explains your safe, legal options in Pune in a clear, compassionate, and clinically accurate way.
Quick Facts: Unwanted Pregnancy and MTP in Pune
| Parameter | Details |
| Legal framework | MTP Act 1971, amended 2021 |
| Termination up to 20 weeks | Permitted with one registered doctor’s approval |
| Termination 20 to 24 weeks | Permitted for specific categories with two doctors |
| Medical abortion (pills) effective up to | 9 weeks of pregnancy |
| Approximate cost in Pune | INR 3,000 to INR 20,000 depending on gestational age and method |
| Consultation at La Femme, Wakad | INR 600 |
MTP in India: Legal Framework 2025–2026
| Legal Parameter | Details | Source |
| Original MTP Act | 1971 – termination up to 20 weeks | Government of India |
| MTP Amendment Act 2021 | Extended to 24 weeks for special categories | MoHFW India 2021 |
| Provider requirement (up to 20 weeks) | One registered medical practitioner | MTP Act 2021 |
| Special categories up to 24 weeks | Rape, incest, foetal anomaly, contraceptive failure (married or unmarried) | MTP Act 2021 |
| Privacy protection | Woman’s identity to be kept confidential | MTP Act, Section 5A |
| Minors and guardianship | Guardian consent required for women under 18 | MTP Act |
Your Options: Medical vs Surgical Termination
| Option | How It Works | Effective Until | Cost in Pune | Recovery |
| Medical abortion (MTP pills) | Mifepristone and misoprostol taken orally | Up to 9 weeks | INR 2,000 to INR 5,000 | 1 to 2 weeks; managed at home |
| Surgical (MVA – Manual Vacuum Aspiration) | Minor day-care procedure under sedation | Up to 12 weeks | INR 8,000 to INR 15,000 | 1 to 3 days |
| Surgical (D&E – Dilation and Evacuation) | Surgical procedure under anaesthesia | 12 to 20+ weeks | INR 15,000 to INR 25,000 | 3 to 7 days |
| Counselling and continued support | Non-directive counselling, contraceptive advice | Any stage | Included in consultation | Ongoing as needed |
What Happens During Your Consultation?
Your first visit involves a confidential consultation with Dr. Bhagyashri Naphade. Gestational age is confirmed through an ultrasound. Your medical history is reviewed to ensure the safest method is chosen. No judgement. No pressure. The decision is yours and you will receive full information on each option before proceeding.
A follow-up visit 1 to 2 weeks after the procedure confirms complete termination and your physical recovery. Contraceptive counseling is offered at this visit so you can choose the right option to prevent a future unplanned pregnancy.
Emotional Support and Counselling in Pune
Facing an unwanted pregnancy is emotionally complex, regardless of the decision you make. La Femme Fertility Clinic provides access to non-directive, compassionate counseling as part of the MTP process. You will never be made to feel ashamed or judged. Your emotional well-being matters as much as your physical health.
If you need to speak with someone before your first appointment, reaching out to a trusted friend or family member or a professional counselor can provide additional support.
Contraceptive Options After MTP in Pune
Following an MTP, contraceptive counseling is an important part of aftercare. Options discussed will include hormonal pills (from INR 100 to INR 500 per month), copper or hormonal IUD insertion (INR 3,000 to INR 8,000, can be inserted immediately after MTP), condoms, and, for those who have completed their family, permanent options. La Femme Fertility Clinic provides full contraceptive services at the Wakad clinic.
A: Yes. Medical termination of pregnancy is fully legal in India under the MTP Act 1971 and its 2021 amendment. Termination up to 20 weeks requires one registered doctor. Up to 24 weeks is available for specific categories, including contraceptive failure for married and unmarried women.
A: Medical abortion (pills) involves cramping similar to a heavy period, which is managed with pain relief. Surgical MVA is performed under sedation and is generally not painful during the procedure. Some cramping occurs for a day or two afterwards.
A: Fertility returns quickly after MTP, often within the first menstrual cycle (2 to 6 weeks after the procedure). If you wish to avoid pregnancy, start contraception immediately after the procedure.
A: Medical abortion costs approximately INR 2,000 to INR 5,000 in Pune, including consultation and medication. Surgical MTP ranges from INR 8,000 to INR 25,000 depending on gestational age and method. Consult La Femme Fertility Clinic for a private, accurate estimate.
Medical Disclaimer: This article is for informational purposes only and does not constitute professional medical advice. Always consult a qualified doctor before making healthcare decisions. Costs are indicative and may vary.
Dr. Bhagyashree Naphade
Dr. Bhagyashri Naphade is a highly trusted lady gynecologist and IVF specialist in Wakad, Pune, with an overall 20 years of practice and 10 years of experience as a gynecologist IVF specialist. Internationally trained in IVF from Germany and an ASRM award winner, she specializes in IVF, IUI, PCOD/PCOS, and women’s health.

