The Planned Parenthood office on Main Street closed last month after operating in the space for six years.

The office, at 208 Main St., opened in 2010, and was routinely the subject of protests held by religious groups outside the office.

Abortions weren’t performed at the office, but workers did make referrals.

In a press release, Planned Parenthood League of Massachusetts President and CEO Jennifer Childs-Roshak said the state’s chapter decided to close the Somerville and Milford centers due to a “strategic decision” rather than a budgetary one.

The organization’s “extensive review of the health care landscape” showed that the needs of patients in the Milford and Somerville areas have changed, “while other communities show persisting needs for greater family planning services,” Childs-Roshak said.

The changes were "driven by our mission to provide accessible, high-quality, compassionate health care and education programs,” she said.

A sign on the door Friday said the office has “permanently closed."

Patients of the Milford office were informed of the closing well in advance and were directed to visit one of the five other centers in the state, according to spokeswoman Johanna Kaiser.

As a result, business at the other facilities increased. Hours will be doubled in the Fitchburg office and more appointment times were created in Boston and Worcester.

Planned Parenthood also has offices in Fitchburg, Marlborough and Springfield.

“Our patients are our number one priority and the very reason why we’ve made this decision to create a more efficient, sustainable model for the long term,” Childs-Roshak said. “Not only will this strategic shift in resources ensure that we can meet the diverse needs of women, men and young people with high-quality compassionate health care and education programs, it also provides an opportunity for us to explore potential new services and improve patient access.”

The decision to close the offices wasn’t based on national debate about women’s rights and using tax dollars to fund services – including abortions – but President-elect Donald Trump and the Republican-led Congress now threaten to strip the organization of federal funding via Medicaid reimbursements for non-abortion health services.

House Speaker Paul Ryan, R-Wisconsin, said Planned Parenthood legislation would find its way into an appeal of the Affordable Care Act, President Barack Obama’s signature health care policy.

A GOP-run House panel urged Congress Wednesday to stop funding the organization with federal money after a 471-page report was released just more than two weeks before Trump becomes president.

Kaiser said about 30 percent of the organization’s 30,000 yearly patients in Massachusetts use Medicaid.

“We’re going to make sure we do everything we can so we’re able to continue to serve every patient in Massachusetts,” Kaiser said.

On Thursday, Mass. Attorney General Maura Healey said she plans on joining Democrats in Congress “to preserve the essential health services Planned Parenthood provides to millions.”

“Women should be making decisions about their birth control, cancer screenings, and basic reproductive health care -- not Paul Ryan, Donald Trump or the Republican Party,” Healey said. “Many of the women and men who would lose this care if Republican leaders have their way cannot afford or access other options."

Zachary Comeau can be reached at 508-634-7556 and zcomeau@wickedlocal.com. Follow him on Twitter @ZComeau_MDN.