Meadow Reproductive Health and Wellness will be CLOSED on Thursday, November 28 and Friday, November 29.
Meadow Reproductive Health and Wellness will be CLOSED on Thursday, November 28 and Friday, November 29.
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We are located at 1749 Old Meadow Road in McLean, VA. We are on the sixth floor at Suite 600. Our building is a five minute walk from the McLean Metro Station on the Silver Line. There is also a parking lot with free parking.
You can call us at (703) 783-3300 during our regular business hours to make an appointment. In addition, you can access our Appointment Request form on our website to securely provide information to request an appointment, and one of our staff will get back to you shortly to schedule.
A medication abortion (also known as the “abortion pill”) is a safe and effective method for an abortion to 11 weeks. The first medication, mifepгistоnе, blocks the hormone progesterone which sustains a pregnancy. Without this hormone, the endometrial lining and pregnancy stops developing and shrinks from the uterine wall. The second step of a medication abortion uses misоpгostоl, which helps the cervix soften and the uterus expel the ended pregnancy.
Yes, medication abortion is very safe. Medication abortion has been used safely for more than 25 years. Terminating a pregnancy with medication abortion pills (mifepristone and misoprostol) is around 14 times safer than carrying a pregnancy to term. Medication abortion is extremely safe with 97-98% effectiveness in the first eight weeks and 93-95% in the first ten weeks. In the rare cases where there is a complication, our providers can provide guidance and support.
No. Medication abortion with mifepristone/misoprostol does not reduce your chances of having a safe and healthy pregnancy in the future.
We work with partner pharmacies to send abortion medication to our patients. It can only be sent to addresses in Virginia or Washington, DC due to licensing requirements. If you opt for a video/Telehealth visit, we will ask you to confirm that you are in Virginia or Washington, DC to proceed. Telehealth patients can either have medication sent to their address from an online pharmacy (usually 2-3 business days turnaround time); or to a CVS pharmacy location in Virginia (usually a 1-2 business day turnaround time); or the medication can be picked up at our office in McLean, VA during regular business hours (usually available 15-20 minutes after the end of the appointment).
Meadow provides medication abortion appointments Monday through Friday between 9:30 am and 3:30 pm in our office in McLean, as well as virtual video appointments through telehealth for patients in Virginia and DC during those times as well as extended earlier and later hours on Wednesdays. At this time we do not accept walk-in appointments; please call or schedule an appointment online.
You will receive a link to our patient portal once your appointment is scheduled. After you register, you will find several forms in your portal which we would like you to review and complete before your appointment. Completing these forms ahead of time will help to move things along more quickly at your appointment.
If your appointment is at our office, we may provide an ultrasound of your uterus to determine the estimated gestation of the pregnancy. You may want to wear comfortable, loose fitting clothing for an abdominal (“over the belly”) ultrasound. In addition, we may ask you to review consent forms with your provider and sign them in person. We also ask that you bring a photo ID to your appointment.
If your appointment is a video visit through telehealth, we ask that you have your forms completed ahead of time so our clinicians can review your health history and consent forms before your appointment. Our video visits use Zoom; please be sure that Zoom is installed on your computer or your phone before your appointment time. If you have any issues accessing your video visit, please call our office at (703) 783-3300.
If we will be sending abortion pills to your home or to a local pharmacy, please be sure to submit payment through our patient portal at the end of your virtual visit in order to prevent delays in having your prescription processed.
Most people experience strong cramping and discomfort that may feel like intense period cramps. You may not experience any discomfort after taking the first pill (mifepristone), but abdominal cramping is expected after taking the second day abortion pills (misoprostol). There are many things you can do to improve the pain and cramping. We recommend taking a prescription dose (600-800 mg) of ibuprofen prior to taking the misoprostol pills, and ibuprofen can be taken every 8-12 hours during the process. Between ibuprofen doses, you can also take up to 1000 mg of Tylenol to help more. We also recommend using a heating pad. If you are feeling severe, one-sided abdominal pain that is not going away with medicine, call us at (703) 783-3300 or call 911.
Heavy bleeding is expected within a few hours after you take the second day pills (misoprostol). Patients should expect bleeding that may resemble a period for around two weeks, although this may vary from person to person. Seeing blood clots is normal, and means the pregnancy is passing. Sometimes light bleeding or spotting can last for 6-8 weeks. If you are soaking through 4 maxi pads in 2 hours or feeling dizzy or lightheaded call the clinic at (703) 783-3300.
An abortion procedure takes place in our clinic and is very safe. It uses gentle suction to empty your uterus and usually lasts about 5-10 minutes. A suction abortion at Meadow can be done with minimal or moderate sedation depending on your preferences.
Yes, the abortion procedure is very safe and involves a 5-10 minute procedure in which we empty the contents of the uterus. Research has demonstrated that in the United States this procedure is around 14 times safer than carrying a pregnancy to term.
No. Having a procedural abortion does not change your chances of having a safe and healthy pregnancy in the future.
Meadow provides abortion procedures through the 14th week of gestation (14 weeks, 6 days). We recommend that patients wait until the 5th week of pregnancy to schedule an abortion procedure – at that time it is more likely that we will be able to see an intrauterine pregnancy on an ultrasound. If we cannot yet see your pregnancy on the ultrasound, we may ask you to come back at a later date.
Meadow offers abortion procedures on most Mondays and Thursdays, and on every other Saturday. Abortion procedures are mostly scheduled in the morning. At this time we do not accept walk-in appointments; please call or schedule an appointment online.
When you scheduled your appointment, you should have received an email inviting you to register for our patient portal. In the portal are several forms we'd like you to fill out including a medical history form. Completing these forms ahead of time will help ensure that you are seen quickly when you arrive at your appointment. Please call or text us at (703) 783-3300 if you need assistance accessing the portal.
Please bring a photo ID to your in-office appointment. There will be downtime throughout the appointment so feel free to bring a book, iPad, etc. to keep you occupied.
Because our appointments utilize only moderate sedation, there is no need to fast before your appointment with us. You can eat and drink as you would on a normal day.
Once check-in is complete and forms are done, an abdominal ultrasound will be completed and your clinician will review your health information and plan for pain management. You will be given pre-medications to prepare for the procedure, and there will be some down time until it is your turn. The procedure takes less than 15 minutes, and we confirm it is complete before moving to recovery, where you will be monitored for about 20 minutes to ensure everything is safe, and you then may head out.
Please anticipate being at the clinic for 3-4 hours if your pregnancy is 10 weeks or fewer. There will be downtime throughout the appointment so feel free to bring a book, iPad, etc. to keep you occupied.
If between 11-15 weeks, you may be here closer to 5+ hours, or your visit may take longer if there are health circumstances requiring additional care or forms to be done at arrival.
The experience of an abortion varies between individuals. The procedure may cause pain or cramping, but many people find the level of pain manageable with our sedation and pain management techniques. Each person’s experience is different, but typically people experience pain during the procedure that goes away or becomes very mild quickly once the procedure is finished. There are several options for reducing the pain during the procedure that we offer, including a nerve block, oral pills, medicine in an intravenous line, and inhaled medicine. We do not put people to sleep at our clinic, but our goal is to keep you as comfortable as possible while being awake enough to talk.
You can find out more about our sedation options here: sedation options here: http://meadowrepro.org/sedation . There is no extra charge for any sedation options during an abortion procedure.
Meadow uses a combination of Versed (midazolam) and fentanyl for IV sedation. The amount used of both medications is small and safe to use in an outpatient setting. If you are using IV sedation for your procedure we will be monitoring your progress and recovery carefully to make sure you remain responsive. Patients using IV sedation should refrain from driving or making big decisions following their procedure as these sedation options may affect one’s attention or ability to concentrate.
Most patients have no complications and feel relief once an abortion is completed. It’s common for patients to experience strong cramping – sometimes like a strong period — for a few days, and often on and off for up to about two weeks, although this may vary from person to person. We recommend that patients use menstrual pads rather than tampons or menstrual cups for the first few days after an abortion procedure to monitor bleeding.
Sometimes, light bleeding / spotting can last for several days or up to two weeks. If you are soaking through four maxi pads in two hours or feeling dizzy/ lightheaded, please call the clinic at 703-783-3300.
Most patients will have their period return in 3-5 weeks; some patients have their first period around 8 weeks later. Contraception, if being used, can be started the day of an abortion. Sexual activity can resume when the patient feels ready. All other normal activities can usually be resumed within 24 hours of an abortion procedure.
If you are using oral or IV sedation for your procedure, we strongly suggest that you refrain from driving or making big decisions following your procedure as these sedation options may affect your attention or ability to concentrate.
Yes, we can offer this service. We can extract the products of conception and send them to a lab for analysis. Please be aware that the this may either incur a separate charge by the lab or, if you are using insurance, may require preauthorization.
We offer many forms of birth control, which can be generally grouped into short-acting methods (actions you have to take daily or periodically), and long-acting methods (actions that are done once and last years):
Short-acting hormonal methods
Pill: Daily oral contraceptive with estrogen and/or progestin.
Patch: Weekly skin patch that delivers hormones through the skin.
Vaginal ring (e.g., NuvaRing/Annovera): Monthly/yearly flexible ring placed in the vagina that releases hormones.
Injection (e.g., Depo-Provera): Hormonal shot given every 3 months.
Short-acting non-hormonal methods:
Condoms (internal/external): Barrier method that also provides STI protection.
Diaphragm/cervical cap: Barrier inserted into the vagina before sex, used with spermicide.
Long-acting methods
Hormonal IUD (e.g., Mirena, Kyleena, Skyla, Liletta): T-shaped device inserted into the uterus, releases progestin, effective for 3–8 years.
Copper IUD (e.g., Paragard): Non-hormonal, creates a sperm-toxic environment, effective for up to 10–12 years.
Implant (e.g., Nexplanon): A small rod placed under the skin of the arm, releases progestin, effective for up to 3–5 years.
Yes. The copper IUD (Paragard), condoms, and diaphragm or cervical cap are all non-hormonal options.
Yes! Patients who are receiving care both for the insertion or removal of an IUD may opt for one of our moderate sedation options – which include a local nerve block, oral pills, medicine in an intravenous line, and inhaled medicine. We do not put people to sleep at our clinic, but our goal is to keep you as comfortable as possible while being awake enough to talk. We recommend scheduling a virtual or in-office appointment prior to insertion to discuss choosing the best LARC for you and go over sedation options.
** If you are using insurance to pay for your IUD service, please be advised that some insurance will not cover sedation for this procedure. If this is the case, we will ask for you to pay out-of-pocket for sedation. The cost for sedation will not exceed $80.
You can find out more about our sedation options here: http://meadowrepro.org/sedation
If you are interested in a form of Long Acting Reversible Contraception (LARC), such as an IUD or Nexplanon – please be advised that we may not have the specific device you’re requesting in stock, and we may need to order it beforehand. We recommend scheduling a virtual or in-office appointment prior to insertion to discuss choosing the best LARC for you and to go over sedation options.
If you are using insurance, we may ask for you to email or text us the front and back of your insurance card so we can determine your benefits and eligibility. Once the device is ordered we will contact you to schedule your appointment.
If you will not be using insurance for your contraception, please let us know. We may be able to provide a payment plan or financial support option on a case-by-case basis.
When you schedule your appointment, you should receive an email inviting you to register for our patient portal. In the portal are several forms we'd like you to fill out including a medical history form. Completing these forms ahead of time will help ensure that you are seen quickly when you arrive at your appointment. Please call or text us at 703-783-3300 if you need assistance accessing the portal.
Please bring a photo ID to your in-office appointment.
Because our appointments utilize only moderate sedation, there is no need to fast before your appointment with us. You can eat and drink as you would on a normal day. Please be aware that insurance might not cover sedation for IUD insertion, and you may be asked to pay out-of-pocket for sedation. The cost for sedation will not exceed $80.
If you will be using oral (pill) or intravenous sedation, please be prepared to have someone accompany you and/or drive you home. These sedation options affect your attention or ability to concentrate.
We provide care for both prevention and specific gynecological concerns, including Pap smears, STI and vaginal infection testing, contraceptive counseling, irregular or painful periods, menopause symptoms, preconception counseling, and pelvic pain.
Our clinic’s goal is to help you feel safe, seen, and supported in your body. Gender-affirming care looks different for everyone, and may include hormone therapy with estrogen and anti-androgens for feminizing changes, and testosterone for masculinizing changes. We also provide routine checkups, STI screening, and cancer screenings that are tailored to your body and respectful of your needs. We are happy to help you access affirming providers in other areas, such as OB/GYN, urology, surgery, mental health care, and speech therapy.
In addition to abortion services, contraception, gynecological care and gender-affirming care, our providers welcome appointments for the following:
Please be aware that some of these services are limited to specific provider availability. Please call us at (703) 783-3300 to schedule an appointment or request an appointment online.
We do not handle testing or assessment for Attention Deficit/Hyperactivity Disorder (ADHD). You would need to make an appointment with a psychiatrist or psychologist who offers these services. Dr. Rubino can only manage medications once a formal assessment has been made by a professional.
Appointment costs will depend on the type and duration of the appointment, as well as if health insurance is being used to pay for it. You can find a list of self-pay prices for many appointments here.
Meadow does not offer financial assistance for abortion services directly, but we have relationships with many of the support funds that do provide assistance. If you need financial support, we will walk you through the process to contact a fund. The fund will then work with you to determine their funding level and will remit the funds directly to us at the time of your appointment.
Meadow offers some funding support and resources for patients seeking long-acting reversible contraception, such as IUDs and Nexplanon. Funding may be provided on a case-by-case basis.
If there are financial issues with covering the cost of a visit, please call us at (703) 783-3300 before your appointment so we can explore options with you, including financial assistance resources and payment plan options.
At our office, Meadow accepts cash, most major credit/debit cards (including tap-to-pay options from mobile devices), Venmo and Zelle. You can also pay for services online with a credit/debit card using our patient portal.
Insurance can get tricky – the best thing you can do is provide us your insurance information when you book your appointment. One of our staff members will get in touch with your insurance carrier and let you know what the benefits are of your insurance and how much you will owe at the visit.
As of December 2025, we are in network with the following providers:
Aetna
Aetna Better Health
Anthem BCBS
Anthem Healthkeepers Plus
Carefirst BCBS
Cigna
United Healthcare
Please be advised that Virginia Medicaid plans by law do not cover abortion services except in cases of rape, incest or danger to the life of the pregnant person.
Yes. You can receive legal abortion care – whether by medication or the abortion procedure – if you are in Virginia. Meadow has provided abortion services to many patients from different states where abortion access has been significantly limited.
If you are a patient from a state where abortion has been limited, we encourage you to opt for an abortion procedure rather than abortion medication. The reason for this is that with an abortion procedure, the process is completed within Virginia, while medication abortion may continue for several days after you have taken your second medication. If you would still like to utilize medication abortion, you may want to contact the Repro Legal Helpline (844-868-2812, www.reprolegalhelpline.org) as a free resource to become aware of your rights as you return to your state.
No. Our clinicians are not licensed to provide abortion services to patients who are not physically in Virginia or Washington, DC at the time of their appointment, and we cannot have medication sent to addresses outside of Virginia or Washington, DC.
Meadow is a 20-25 minute ride away from two large airports in the Washington, DC region: Reagan National Airport (DCA) and Dulles International Airport (IAD). The clinic is also a five-minute walk from the McLean Metro (subway) station, and both airports are accessible through the Metro system.
There is a large selection of hotels with a wide price range in the local area. You can search under McLean or Tysons / Tysons Corner, VA.
Meadow does not offer financial assistance for abortion services directly, but we have relationships with many of the support funds that do provide assistance. If you need financial support, we will walk you through the process to contact a fund. The fund will then work with you to determine their funding level and will remit the funds directly to us at the time of your appointment.
In certain cases, the National Abortion Hotline (800-772-9100) may be able to assist by booking travel and lodging for your appointment. They will ask you about your personal financial situation to determine your eligibility.
Your state may allow for some early abortion services in the first few weeks. We recommend that you visit abortionfinder.org, a reputable website which contains accurate information about abortion in all 50 states and Washington, DC. If you enter your zip code and your estimated gestation (the first day of your last menstrual period), it will show you what options you may have sorted by distance to your location.
In the state of Virginia, anyone under the age of 18 needs written, notarized consent from a parent/guardian, custodian, or loco parentis in order to receive an abortion. Your parent/guardian will need to sign a form acknowledging consent for the decision to receive abortion care.
This can happen in one of two ways:
We ask that patients under 18 and/or their parent/guardian contact us by phone before the appointment so we can make sure that the proper paperwork is completed ahead of time in order to prevent delays in providing care.
We encourage you to talk to your parent if you can do so safely. If you would like, we can help you talk to them; please feel free to call us at (703) 783-3300 and speak with one of our patient advocates.
If you cannot discuss this with your parent, there may be other legal options which you can use in order to receive abortion care – through a judicial bypass (a process to appear in front of a judge to bypass parental consent) or by seeking care outside of Virginia. You can call us at (703) 783-3300 for more information about these options and resources.
Yes! In Virginia patients under 18 can schedule appointments for contraception or other healthcare without their parents’ permission. Please keep in mind that it may be possible for a parent to see if you are using insurance for a healthcare visit if you are on their insurance plan.
You can call or text (703) 783-3300. We are available from 9:00 am- 6:00 pm Monday through Friday for general questions. For after hour emergencies, please call and follow prompts for our after-hours voicemail. Someone will call you back shortly.
Yes. You will be sent a registration link through email. Once you have registered you can log into the patient portal through this link.
Patient health information is required to be private according to HIPAA laws. Patient information can only be shared with the patient, and it will not be shared to anyone else without the patient’s explicit consent. We will not share any electronic health records with other clinics or hospitals, so other doctors cannot see that you came to this clinic unless you provide explicit permission to share your records with them.
You can find our detailed privacy policy here.
Thanks! We are proud of our clinicians and staff and the compassionate, patient-centered care they provide to patients every day. We appreciate your appreciation.
If you have received outstanding care from Meadow and would like to share your experiences, please feel free to write a review on Google or ZocDoc.
If you would like to support us with a financial gift, that would be wonderful! You can find our Donate page here. You can also take a look at our Amazon wishlist and buy something for us.
At this time, we don’t have a need for onsite volunteers. But if any volunteer opportunities arise in the future, we can certainly let you know! You can scroll down to the “Have a question?” form on our contact page and let us know you’re interested.
We are located at 1749 Old Meadow Road in McLean, VA. We are on the sixth floor at Suite 600. Our building is a five minute walk from the McLean Metro Station on the Silver Line. There is also a parking lot with free parking.
You can call us at (703) 783-3300 during our regular business hours to make an appointment. In addition, you can access our Appointment Request form on our website to securely provide information to request an appointment, and one of our staff will get back to you shortly to schedule.
A medication abortion (also known as the “abortion pill”) is a safe and effective method for an abortion to 11 weeks. The first medication, mifepгistоnе, blocks the hormone progesterone which sustains a pregnancy. Without this hormone, the endometrial lining and pregnancy stops developing and shrinks from the uterine wall. The second step of a medication abortion uses misоpгostоl, which helps the cervix soften and the uterus expel the ended pregnancy.
Yes, medication abortion is very safe. Medication abortion has been used safely for more than 25 years. Terminating a pregnancy with medication abortion pills (mifepristone and misoprostol) is around 14 times safer than carrying a pregnancy to term. Medication abortion is extremely safe with 97-98% effectiveness in the first eight weeks and 93-95% in the first ten weeks. In the rare cases where there is a complication, our providers can provide guidance and support.
No. Medication abortion with mifepristone/misoprostol does not reduce your chances of having a safe and healthy pregnancy in the future.
We work with partner pharmacies to send abortion medication to our patients. It can only be sent to addresses in Virginia or Washington, DC due to licensing requirements. If you opt for a video/Telehealth visit, we will ask you to confirm that you are in Virginia or Washington, DC to proceed. Telehealth patients can either have medication sent to their address from an online pharmacy (usually 2-3 business days turnaround time); or to a CVS pharmacy location in Virginia (usually a 1-2 business day turnaround time); or the medication can be picked up at our office in McLean, VA during regular business hours (usually available 15-20 minutes after the end of the appointment).
Meadow provides medication abortion appointments Monday through Friday between 9:30 am and 3:30 pm in our office in McLean, as well as virtual video appointments through telehealth for patients in Virginia and DC during those times as well as extended earlier and later hours on Wednesdays. At this time we do not accept walk-in appointments; please call or schedule an appointment online.
You will receive a link to our patient portal once your appointment is scheduled. After you register, you will find several forms in your portal which we would like you to review and complete before your appointment. Completing these forms ahead of time will help to move things along more quickly at your appointment.
If your appointment is at our office, we may provide an ultrasound of your uterus to determine the estimated gestation of the pregnancy. You may want to wear comfortable, loose fitting clothing for an abdominal (“over the belly”) ultrasound. In addition, we may ask you to review consent forms with your provider and sign them in person. We also ask that you bring a photo ID to your appointment.
If your appointment is a video visit through telehealth, we ask that you have your forms completed ahead of time so our clinicians can review your health history and consent forms before your appointment. Our video visits use Zoom; please be sure that Zoom is installed on your computer or your phone before your appointment time. If you have any issues accessing your video visit, please call our office at (703) 783-3300.
If we will be sending abortion pills to your home or to a local pharmacy, please be sure to submit payment through our patient portal at the end of your virtual visit in order to prevent delays in having your prescription processed.
Most people experience strong cramping and discomfort that may feel like intense period cramps. You may not experience any discomfort after taking the first pill (mifepristone), but abdominal cramping is expected after taking the second day abortion pills (misoprostol). There are many things you can do to improve the pain and cramping. We recommend taking a prescription dose (600-800 mg) of ibuprofen prior to taking the misoprostol pills, and ibuprofen can be taken every 8-12 hours during the process. Between ibuprofen doses, you can also take up to 1000 mg of Tylenol to help more. We also recommend using a heating pad. If you are feeling severe, one-sided abdominal pain that is not going away with medicine, call us at (703) 783-3300 or call 911.
Heavy bleeding is expected within a few hours after you take the second day pills (misoprostol). Patients should expect bleeding that may resemble a period for around two weeks, although this may vary from person to person. Seeing blood clots is normal, and means the pregnancy is passing. Sometimes light bleeding or spotting can last for 6-8 weeks. If you are soaking through 4 maxi pads in 2 hours or feeling dizzy or lightheaded call the clinic at (703) 783-3300.
An abortion procedure takes place in our clinic and is very safe. It uses gentle suction to empty your uterus and usually lasts about 5-10 minutes. A suction abortion at Meadow can be done with minimal or moderate sedation depending on your preferences.
Yes, the abortion procedure is very safe and involves a 5-10 minute procedure in which we empty the contents of the uterus. Research has demonstrated that in the United States this procedure is around 14 times safer than carrying a pregnancy to term.
No. Having a procedural abortion does not change your chances of having a safe and healthy pregnancy in the future.
Meadow provides abortion procedures through the 14th week of gestation (14 weeks, 6 days). We recommend that patients wait until the 5th week of pregnancy to schedule an abortion procedure – at that time it is more likely that we will be able to see an intrauterine pregnancy on an ultrasound. If we cannot yet see your pregnancy on the ultrasound, we may ask you to come back at a later date.
Meadow offers abortion procedures on most Mondays and Thursdays, and on every other Saturday. Abortion procedures are mostly scheduled in the morning. At this time we do not accept walk-in appointments; please call or schedule an appointment online.
When you scheduled your appointment, you should have received an email inviting you to register for our patient portal. In the portal are several forms we'd like you to fill out including a medical history form. Completing these forms ahead of time will help ensure that you are seen quickly when you arrive at your appointment. Please call or text us at (703) 783-3300 if you need assistance accessing the portal.
Please bring a photo ID to your in-office appointment. There will be downtime throughout the appointment so feel free to bring a book, iPad, etc. to keep you occupied.
Because our appointments utilize only moderate sedation, there is no need to fast before your appointment with us. You can eat and drink as you would on a normal day.
Once check-in is complete and forms are done, an abdominal ultrasound will be completed and your clinician will review your health information and plan for pain management. You will be given pre-medications to prepare for the procedure, and there will be some down time until it is your turn. The procedure takes less than 15 minutes, and we confirm it is complete before moving to recovery, where you will be monitored for about 20 minutes to ensure everything is safe, and you then may head out.
Please anticipate being at the clinic for 3-4 hours if your pregnancy is 10 weeks or fewer. There will be downtime throughout the appointment so feel free to bring a book, iPad, etc. to keep you occupied.
If between 11-15 weeks, you may be here closer to 5+ hours, or your visit may take longer if there are health circumstances requiring additional care or forms to be done at arrival.
The experience of an abortion varies between individuals. The procedure may cause pain or cramping, but many people find the level of pain manageable with our sedation and pain management techniques. Each person’s experience is different, but typically people experience pain during the procedure that goes away or becomes very mild quickly once the procedure is finished. There are several options for reducing the pain during the procedure that we offer, including a nerve block, oral pills, medicine in an intravenous line, and inhaled medicine. We do not put people to sleep at our clinic, but our goal is to keep you as comfortable as possible while being awake enough to talk.
You can find out more about our sedation options here: sedation options here: http://meadowrepro.org/sedation . There is no extra charge for any sedation options during an abortion procedure.
Meadow uses a combination of Versed (midazolam) and fentanyl for IV sedation. The amount used of both medications is small and safe to use in an outpatient setting. If you are using IV sedation for your procedure we will be monitoring your progress and recovery carefully to make sure you remain responsive. Patients using IV sedation should refrain from driving or making big decisions following their procedure as these sedation options may affect one’s attention or ability to concentrate.
Most patients have no complications and feel relief once an abortion is completed. It’s common for patients to experience strong cramping – sometimes like a strong period — for a few days, and often on and off for up to about two weeks, although this may vary from person to person. We recommend that patients use menstrual pads rather than tampons or menstrual cups for the first few days after an abortion procedure to monitor bleeding.
Sometimes, light bleeding / spotting can last for several days or up to two weeks. If you are soaking through four maxi pads in two hours or feeling dizzy/ lightheaded, please call the clinic at 703-783-3300.
Most patients will have their period return in 3-5 weeks; some patients have their first period around 8 weeks later. Contraception, if being used, can be started the day of an abortion. Sexual activity can resume when the patient feels ready. All other normal activities can usually be resumed within 24 hours of an abortion procedure.
If you are using oral or IV sedation for your procedure, we strongly suggest that you refrain from driving or making big decisions following your procedure as these sedation options may affect your attention or ability to concentrate.
Yes, we can offer this service. We can extract the products of conception and send them to a lab for analysis. Please be aware that the this may either incur a separate charge by the lab or, if you are using insurance, may require preauthorization.
We offer many forms of birth control, which can be generally grouped into short-acting methods (actions you have to take daily or periodically), and long-acting methods (actions that are done once and last years):
Short-acting hormonal methods
Pill: Daily oral contraceptive with estrogen and/or progestin.
Patch: Weekly skin patch that delivers hormones through the skin.
Vaginal ring (e.g., NuvaRing/Annovera): Monthly/yearly flexible ring placed in the vagina that releases hormones.
Injection (e.g., Depo-Provera): Hormonal shot given every 3 months.
Short-acting non-hormonal methods:
Condoms (internal/external): Barrier method that also provides STI protection.
Diaphragm/cervical cap: Barrier inserted into the vagina before sex, used with spermicide.
Long-acting methods
Hormonal IUD (e.g., Mirena, Kyleena, Skyla, Liletta): T-shaped device inserted into the uterus, releases progestin, effective for 3–8 years.
Copper IUD (e.g., Paragard): Non-hormonal, creates a sperm-toxic environment, effective for up to 10–12 years.
Implant (e.g., Nexplanon): A small rod placed under the skin of the arm, releases progestin, effective for up to 3–5 years.
Yes. The copper IUD (Paragard), condoms, and diaphragm or cervical cap are all non-hormonal options.
Yes! Patients who are receiving care both for the insertion or removal of an IUD may opt for one of our moderate sedation options – which include a local nerve block, oral pills, medicine in an intravenous line, and inhaled medicine. We do not put people to sleep at our clinic, but our goal is to keep you as comfortable as possible while being awake enough to talk. We recommend scheduling a virtual or in-office appointment prior to insertion to discuss choosing the best LARC for you and go over sedation options.
** If you are using insurance to pay for your IUD service, please be advised that some insurance will not cover sedation for this procedure. If this is the case, we will ask for you to pay out-of-pocket for sedation. The cost for sedation will not exceed $80.
You can find out more about our sedation options here: http://meadowrepro.org/sedation
If you are interested in a form of Long Acting Reversible Contraception (LARC), such as an IUD or Nexplanon – please be advised that we may not have the specific device you’re requesting in stock, and we may need to order it beforehand. We recommend scheduling a virtual or in-office appointment prior to insertion to discuss choosing the best LARC for you and to go over sedation options.
If you are using insurance, we may ask for you to email or text us the front and back of your insurance card so we can determine your benefits and eligibility. Once the device is ordered we will contact you to schedule your appointment.
If you will not be using insurance for your contraception, please let us know. We may be able to provide a payment plan or financial support option on a case-by-case basis.
When you schedule your appointment, you should receive an email inviting you to register for our patient portal. In the portal are several forms we'd like you to fill out including a medical history form. Completing these forms ahead of time will help ensure that you are seen quickly when you arrive at your appointment. Please call or text us at 703-783-3300 if you need assistance accessing the portal.
Please bring a photo ID to your in-office appointment.
Because our appointments utilize only moderate sedation, there is no need to fast before your appointment with us. You can eat and drink as you would on a normal day. Please be aware that insurance might not cover sedation for IUD insertion, and you may be asked to pay out-of-pocket for sedation. The cost for sedation will not exceed $80.
If you will be using oral (pill) or intravenous sedation, please be prepared to have someone accompany you and/or drive you home. These sedation options affect your attention or ability to concentrate.
We provide care for both prevention and specific gynecological concerns, including Pap smears, STI and vaginal infection testing, contraceptive counseling, irregular or painful periods, menopause symptoms, preconception counseling, and pelvic pain.
Our clinic’s goal is to help you feel safe, seen, and supported in your body. Gender-affirming care looks different for everyone, and may include hormone therapy with estrogen and anti-androgens for feminizing changes, and testosterone for masculinizing changes. We also provide routine checkups, STI screening, and cancer screenings that are tailored to your body and respectful of your needs. We are happy to help you access affirming providers in other areas, such as OB/GYN, urology, surgery, mental health care, and speech therapy.
In addition to abortion services, contraception, gynecological care and gender-affirming care, our providers welcome appointments for the following:
Please be aware that some of these services are limited to specific provider availability. Please call us at (703) 783-3300 to schedule an appointment or request an appointment online.
We do not handle testing or assessment for Attention Deficit/Hyperactivity Disorder (ADHD). You would need to make an appointment with a psychiatrist or psychologist who offers these services. Dr. Rubino can only manage medications once a formal assessment has been made by a professional.
Appointment costs will depend on the type and duration of the appointment, as well as if health insurance is being used to pay for it. You can find a list of self-pay prices for many appointments here.
Meadow does not offer financial assistance for abortion services directly, but we have relationships with many of the support funds that do provide assistance. If you need financial support, we will walk you through the process to contact a fund. The fund will then work with you to determine their funding level and will remit the funds directly to us at the time of your appointment.
Meadow offers some funding support and resources for patients seeking long-acting reversible contraception, such as IUDs and Nexplanon. Funding may be provided on a case-by-case basis.
If there are financial issues with covering the cost of a visit, please call us at (703) 783-3300 before your appointment so we can explore options with you, including financial assistance resources and payment plan options.
At our office, Meadow accepts cash, most major credit/debit cards (including tap-to-pay options from mobile devices), Venmo and Zelle. You can also pay for services online with a credit/debit card using our patient portal.
Insurance can get tricky – the best thing you can do is provide us your insurance information when you book your appointment. One of our staff members will get in touch with your insurance carrier and let you know what the benefits are of your insurance and how much you will owe at the visit.
As of December 2025, we are in network with the following providers:
Aetna
Aetna Better Health
Anthem BCBS
Anthem Healthkeepers Plus
Carefirst BCBS
Cigna
United Healthcare
Please be advised that Virginia Medicaid plans by law do not cover abortion services except in cases of rape, incest or danger to the life of the pregnant person.
Yes. You can receive legal abortion care – whether by medication or the abortion procedure – if you are in Virginia. Meadow has provided abortion services to many patients from different states where abortion access has been significantly limited.
If you are a patient from a state where abortion has been limited, we encourage you to opt for an abortion procedure rather than abortion medication. The reason for this is that with an abortion procedure, the process is completed within Virginia, while medication abortion may continue for several days after you have taken your second medication. If you would still like to utilize medication abortion, you may want to contact the Repro Legal Helpline (844-868-2812, www.reprolegalhelpline.org) as a free resource to become aware of your rights as you return to your state.
No. Our clinicians are not licensed to provide abortion services to patients who are not physically in Virginia or Washington, DC at the time of their appointment, and we cannot have medication sent to addresses outside of Virginia or Washington, DC.
Meadow is a 20-25 minute ride away from two large airports in the Washington, DC region: Reagan National Airport (DCA) and Dulles International Airport (IAD). The clinic is also a five-minute walk from the McLean Metro (subway) station, and both airports are accessible through the Metro system.
There is a large selection of hotels with a wide price range in the local area. You can search under McLean or Tysons / Tysons Corner, VA.
Meadow does not offer financial assistance for abortion services directly, but we have relationships with many of the support funds that do provide assistance. If you need financial support, we will walk you through the process to contact a fund. The fund will then work with you to determine their funding level and will remit the funds directly to us at the time of your appointment.
In certain cases, the National Abortion Hotline (800-772-9100) may be able to assist by booking travel and lodging for your appointment. They will ask you about your personal financial situation to determine your eligibility.
Your state may allow for some early abortion services in the first few weeks. We recommend that you visit abortionfinder.org, a reputable website which contains accurate information about abortion in all 50 states and Washington, DC. If you enter your zip code and your estimated gestation (the first day of your last menstrual period), it will show you what options you may have sorted by distance to your location.
In the state of Virginia, anyone under the age of 18 needs written, notarized consent from a parent/guardian, custodian, or loco parentis in order to receive an abortion. Your parent/guardian will need to sign a form acknowledging consent for the decision to receive abortion care.
This can happen in one of two ways:
We ask that patients under 18 and/or their parent/guardian contact us by phone before the appointment so we can make sure that the proper paperwork is completed ahead of time in order to prevent delays in providing care.
We encourage you to talk to your parent if you can do so safely. If you would like, we can help you talk to them; please feel free to call us at (703) 783-3300 and speak with one of our patient advocates.
If you cannot discuss this with your parent, there may be other legal options which you can use in order to receive abortion care – through a judicial bypass (a process to appear in front of a judge to bypass parental consent) or by seeking care outside of Virginia. You can call us at (703) 783-3300 for more information about these options and resources.
Yes! In Virginia patients under 18 can schedule appointments for contraception or other healthcare without their parents’ permission. Please keep in mind that it may be possible for a parent to see if you are using insurance for a healthcare visit if you are on their insurance plan.
You can call or text (703) 783-3300. We are available from 9:00 am- 6:00 pm Monday through Friday for general questions. For after hour emergencies, please call and follow prompts for our after-hours voicemail. Someone will call you back shortly.
Yes. You will be sent a registration link through email. Once you have registered you can log into the patient portal through this link.
Patient health information is required to be private according to HIPAA laws. Patient information can only be shared with the patient, and it will not be shared to anyone else without the patient’s explicit consent. We will not share any electronic health records with other clinics or hospitals, so other doctors cannot see that you came to this clinic unless you provide explicit permission to share your records with them.
You can find our detailed privacy policy here.
Thanks! We are proud of our clinicians and staff and the compassionate, patient-centered care they provide to patients every day. We appreciate your appreciation.
If you have received outstanding care from Meadow and would like to share your experiences, please feel free to write a review on Google or ZocDoc.
If you would like to support us with a financial gift, that would be wonderful! You can find our Donate page here. You can also take a look at our Amazon wishlist and buy something for us.
At this time, we don’t have a need for onsite volunteers. But if any volunteer opportunities arise in the future, we can certainly let you know! You can scroll down to the “Have a question?” form on our contact page and let us know you’re interested.
Our clinic will be closed December 24th, December 25th, December 31st, and January 1st.
We will reopen and resume regular hours on January 2nd.
Thank you, and happy holidays!
