Our clinic is located in a discreet office building in the heart of D.C. Your privacy is important to us, and each patient has their own private room. There are no waiting rooms and no lines, so you will likely never see another patient. We firmly believe that access to abortion is a right for all people regardless of the reason behind their decision. We offer a non-judgmental, compassionate, and supportive space for people to receive high quality care.

Our Services

Placement of Intrauterine Contraceptive Device with Sedation

We offer placement of Liletta intrauterine contraceptive device (IUD) under sedation. We combine multiple pain-reducing techniques with light oral or i.v. sedation for people who want an IUD placed with better pain control. Liletta is just like Mirena – same size and same low-dose of hormone – and both are approved for 6 years of use. Most people will experience a decrease of more than 80% in menstrual bleeding and a similar decrease in menstrual cramping. Many people will not menstruate due to the continuous release of a small dose of levonorgestrel (a hormone that prevents pregnancy) within the uterus – this is both a safe and common side effect.

Diagnosis and Management of Ectopic Pregnancy

We specialize in diagnosis and management of ectopic pregnancy of all types. Whether the pregnancy is located in the Fallopian tube, cervix, uterine cornua, cesarean scar, or elsewhere in the pelvis, we can accurately diagnose the ectopic pregnancy and develop a minimally invasive management plan. We have successfully treated cesarean scar implantations without surgery. Similarly, we have treated tubal ectopics, cornual ectopics and cervical ectopic pregnancies with ultrasound-guided therapies. We tailor the management plan to the specifics of each patient’s case.

The Abortion Pill

We offer the abortion pill, also commonly known as medication abortion 10 weeks into pregnancy. If you have missed one or two periods, you can end your pregnancy with a medication abortion. This is a safe and effective way to end your pregnancy using a combination of misoprostol and mifepristone to induce a miscarriage in the comfort and privacy of your own home.

Learn more about the abortion pill here.

At the clinic, you will meet your Patient Care Guide who will be with you throughout your entire journey in our clinic. The PCG will describe the medication abortion process for you, and help you understand what to expect both during and after you administer the pills. Then, one of our providers will confirm that you are less than 10 weeks into your pregnancy with a short ultrasound. We only rarely need to do a transvaginal ultrasound. Afterwards, we give you the mifepristone pill to take in the clinic and provide you with misoprostol to administer at home, as well as several medications to improve your pain and overall experience. You may then return home and the pregnancy will be passed over a couple of days, accompanied by bleeding and cramping that will likely be heavier than your normal period. A clinic staff member will follow-up over the phone with you a few days after your first appointment to check-in, and you will have access to a 24/7 phone line to reach the providers with any questions or concerns. The medication abortion requires either a follow-up ultrasound or blood test. Both options can confirm the success of the abortion pill and can be done in our office the week following your medication abortion. The blood test gives you the option to go to a location closer to home to have your blood drawn. We will then call you with the results.

First-Trimester Abortion

Many patients choose to end their pregnancy with a short, simple in-clinic procedure, known as a uterine aspiration. This abortion option removes the pregnancy with light suction from a handheld device. The entire appointment typically lasts less than two hours, and the vast majority is spent in the privacy of your own patient room where your partner, family members, or friends may be with you. We use multiple methods to reduce pain, including i.v. sedation at no additional fee.

Learn more about first-trimester in-clinic abortion here.

When you arrive at the clinic, you will meet your Patient Care Guide who will be with you throughout your entire appointment. The PCG will describe the abortion process for you, and help you understand what to expect both during and after your procedure. You will also have as much time as you’d like to speak with our nurses and physicians to make sure all of your questions are answered. After a brief ultrasound, the physician will complete the abortion procedure. You may receive IV sedation medications for this procedure if you would like. Whether you opt for sedation or not, however, we use a combination of other methods to control pain including advanced local numbing techniques to decrease pain and cramping. The procedure, called a uterine aspiration, lasts only a couple of minutes. You may have light bleeding and cramping after the procedure for a couple of days, but you may resume normal activity the day of your procedure and return to your normal routine.
A clinic staff member will follow-up over the phone with you a few days after your first appointment to check-in, and you will have access to a 24/7 phone line to reach the physicians with any questions or concerns.

Abortion from 16-26 weeks

If you are between 16 and 26 weeks along in your pregnancy, we can provide you with abortion care regardless of your medical history, background or fetal indication. We do not require any particular “reason” to be seen here – if you would like to terminate your pregnancy, we support you in that decision.

Learn more about this two-day process

The first day is a pre-procedure appointment. You will meet your Patient Care Guide, a specialist in patient support who will help you understand what to expect both during and after your abortion procedure, and support you through each step in the process. You will then have as much time as you’d like to meet with a nurse and physician. Both will review the procedure process and answer all of your questions. Next, the physician will do a brief ultrasound and administer medications to start the process of opening (dilating) the cervix. If needed, we may need to perform a pelvic exam to place Dilapan to help your cervix open slowly overnight. Dilapan is a sterile synthetic polymer similar to laminaria. You may have light to mild cramping overnight. We will provide you with several pain medications to keep you comfortable and to minimize the cramping.

When you return on the second day, you will receive IV medications to make you feel comfortable and relaxed and to control pain. Once you are comfortable, the physician will complete the abortion procedure, which takes about 15 minutes or less. We use ultrasound guidance for all procedures to ensure that you are safe. Afterwards, you will be able to recover in the privacy and comfort of your own patient room, where your partner, family, or friends can be with you. Typically, the anesthesia medications wear off within two hours and patients may then return home or to their hotel.

This procedure is commonly referred to as a "dilation and evacuation" or "D&E." This procedure typically requires two appointments to give the cervix type to dilate slowly and gently overnight. In some cases, usually after 24 weeks and depending on medical history, we may need to perform the procedure over 3 days, but this is not common. 

Abortion after 26 weeks

If you are farther than 26 weeks into your pregnancy, we can still see you, regardless of your medical history, background, or fetal indications. We do not require any particular “reason” to be seen here – if you would like to terminate your pregnancy, we support you in that decision.

Learn more about this three-day process

The first day is a pre-operative appointment. You will meet your Patient Care Guide, a specialist in patient support who will help you understand what to expect both during and after your abortion procedure, and support you through each step in the process. You will then have as much time as you’d like to meet with a nurse and physician. Both will review the procedure process and answer all of your questions. Next, the physician will do a brief ultrasound and administer medications to help ease the process over the next two days.

When you return on the second day, your provider will perform a brief pelvic exam to place Dilapan to help your cervix open slowly overnight. Dilapan is a sterile synthetic polymer similar to laminaria. We will give you medication beforehand, and we take several additional steps to make sure that you are comfortable through the exam. You may have light to mild cramping overnight. We will provide you with several pain medications to keep you comfortable and to minimize the cramping.

When you return on the third day, you will receive IV medications to make you feel very comfortable and relaxed, and to control pain. Once you are comfortable and your cervix is dilated, the physician will complete the abortion procedure, which takes about 15 minutes or less. While the procedure itself is short, the dilation process can take anywhere from one hour to several hours, which you will spend in your private room with your partner, family, or friends. After the procedure, you will return to recover in the privacy and comfort of your own patient room, where your partner, family, or friends can be with you. Typically, the anesthesia medications wear off within two hours and you may return home or to their hotel.

The procedure is called the DuPont Induction-Evacuation. On the third day, a short induction period is followed by evacuation of the uterus under ultrasound guidance. In some cases, depending on medical history, we may be able to perform the procedure in 2 days, but this is not common. Abortions after 26 weeks are often referred to, inaccurately, as "late-term abortion" which is a corruption of "late trimester" abortion. "Late term abortion" is commonly used in the media but does not refer to a specific procedure.

Our Providers

Matthew Reeves, MD MPH FACOG

 

Dr. Matthew Reeves is a board-certified obstetrician-gynecologist. Dr. Reeves attended Harvard Medical School and completed a residency in obstetrics and gynecology at the University of California, San Francisco (UCSF). Following his residency, Dr. Reeves completed a Fellowship in Clinical Ultrasound at the UCSF Department of Radiology followed by the Fellowship in Family Planning and Contraceptive Research at the University of Pittsburgh

Jennefer Russo, MD MPH, Chief Medical Officer

 

Dr. Jennefer Russo is a graduate of Cornell University with a Bachelor of Science with Honors, George Washington University School of Medicine, and the University of Pittsburgh Master of Public Health program. She completed her residency in Obstetrics and Gynecology at Harbor-UCLA Medical Center. She was a National Health Service Scholar. After residency, she served in a federally qualified health center in San Diego and then returned to training as a complex family planning specialist at the University of Pittsburgh.

 

Jessica Kuperstock, MD MPH FACOG, Medical Director

 

Dr. Kuperstock is a board-certified obstetrician-gynecologist. Dr. Kuperstock attended Stanford University School of Medicine and completed a residency in obstetrics and gynecology at Beth-Israel Deaconess Hospital at Harvard Medical School. She then completed a Fellowship in Family Planning at Brigham and Womens Hospital at Harvard Medical School.

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