Family Planning Services

Comprehensive contraceptive services

We are pleased to offer a focused family planning program at the OHSU Center for Women’s Health, a nationally recognized Center of Excellence for Women's Health Care.  Our attending physicians are faculty members of the Department of Obstetrics and Gynecology at OHSU, and are leading specialists and researchers in the field of family planning.

We specialize in innovative contraceptive techniques, and provide comprehensive contraceptive services, especially for patients with complex medical issues.  Some of these conditions may include hypertension (high blood pressure), diabetes, coagulation disorders (blood clotting problems), history of blood clots (deep vein thrombosis or pulmonary embolism), cardiac disease, migraines, extensive uterine or cervical surgeries, or a compromised immune system.

Contraceptive services we offer include:

• Sterilization including Essure tubal occlusion procedure (www.essure.com)
• IUD insertion and removal (www.paragard.com, www.mirena.com)
• Implanon insertion and removal (www.implanon.com)
• Emergency contraception
• Adolescent reproductive health care
• Counseling regarding all available and cutting edge research contraceptive methods to match the best method with your medical and social needs.

Medical and Surgical Termination of Pregnancy including Management of Miscarriage and Fetal Anomaly

We provide management of miscarriage, fetal anomaly and medical and surgical termination of pregnancy in a private and specialized outpatient environment.  All patients receive comprehensive counseling regarding pregnancy options, procedure, and contraception. We provide 24-hour patient phone contact for emergencies.

Our physicians will help you determine the appropriate method:

• Medical termination of pregnancy
  Non-surgical terminations using a combination of medications are offered to appropriate patients up to 56 days gestation.  This procedure uses two medications to end a pregnancy.  The first pill, mifepristone, is taken in the office with the physician.  The second medication, misoprostol, is placed between the gums and cheeks at home.  These two medications work together to end the pregnancy and empty the uterus.  You will experience cramping and bleeding similar to a heavy period.  Spotting and bleeding usually lasts for about two weeks.  A return visit for a follow-up ultrasound is needed to ensure that the termination is complete.
• Surgical termination of pregnancy
  This procedure is performed as a one-day procedure for pregnancies up to 14 weeks.  Depending on the length of the pregnancy (gestational age), it may take one to three visits to provide a combination of agents to gently prepare the cervix and empty the uterus.  Pregnancy terminations after 17 weeks and medically complex cases are performed in the operating room.  Genetic testing of pregnancy tissue is performed in cases of abnormal pregnancy.  In addition, several counseling options are available to help patients cope with emotional issues.

Anesthetic Options for Pregnancy Termination

• Local anesthetic
• Oral medications
• Moderate intravenous sedation
• General anesthetic (performed in the operating room)

Appointments

We take all major insurance carriers including Oregon Health Plan. We also can offer financial assistance to uninsured or underinsured patients paying out of pocket. Please call our Family Planning Coordinator directly at 503-418-8448 for more information or to make an appointment.

This Service is Located in the OHSU Center for Women's Health

View a map and get directions to the OHSU Center for Women's Health in the Peter O. Kohler Pavilion.

Contact Information

• Appointments and inquiries 503 418-8448
• Fax 503 418-4604
• After hours 503 494-8311
• Email famplan@ohsu.edu

See also:

• Contraception research at OHSU