Reproductive Choices
Clear, confidential, judgment-free counseling on birth control, early pregnancy concerns and pregnancy options. Dr. Hema Jonnalagadda helps you choose what fits your health, your plans and your values.
Compare birth control options
Effectiveness is based on typical use. We help you weigh protection, side effects, cost and how long you want it to last.
| Method | How long it lasts | Typical effectiveness | Worth knowing |
|---|---|---|---|
| Hormonal IUD | Up to 3–8 years by brand | Over 99% | Often makes periods lighter; placed in the office |
| Copper IUD | Up to 10–12 years | Over 99% | Hormone-free; periods may be heavier at first |
| Implant (Nexplanon) | Up to 3 years | Over 99% | Small rod in the upper arm; quick office placement |
| Pill, patch or ring | Daily, weekly or monthly | About 93% | Can regulate cycles and ease cramps and acne |
| Progestin-only pill | Daily | About 93% | Option if estrogen is not safe for you, including breastfeeding |
| Permanent sterilization | Permanent | Over 99% | For women certain they want no future pregnancies |
Early pregnancy loss care
Compassionate, prompt evaluation
Bleeding or cramping in early pregnancy is frightening. We evaluate quickly with ultrasound and blood tests, explain what is happening, and support you through every option for management of miscarriage, including watchful waiting, medication or a procedure.
- Diagnosis of early pregnancy loss
- Medical and procedural management
- Ectopic pregnancy evaluation and treatment
- Follow-up and emotional support
Go to the emergency room for heavy bleeding soaking a pad an hour, severe one-sided pain, fainting or shoulder pain in early pregnancy.
Pregnancy termination services
Private, medically safe care
We provide confidential counseling and medical termination of pregnancy up to 70 days (10 weeks) of gestation, as well as care for medically indicated pregnancy termination when appropriate. You will receive clear information on what to expect, follow-up care and contraception afterward if you want it.
How a contraception visit works
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Talk
We review your health history, blood pressure, migraines, medications and future pregnancy plans.
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Choose
We compare the methods that are safe for you and answer every question, without pressure.
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Start
Prescriptions are sent the same day. IUDs and implants are placed in the office, often at the same or next visit.
Frequently asked questions
Does IUD insertion hurt?
Most women feel strong cramping for a few minutes. We discuss pain-relief options with you before the procedure so you know what to expect.
Will birth control affect my future fertility?
No. Fertility returns quickly after stopping the pill, patch, ring, IUD or implant. The shot can delay return of fertility for several months.
Is my visit confidential?
Yes. Your reproductive health information is protected and shared only with your consent, as required by law.
Let's find the right fit for you
Confidential appointments with Dr. Hema Jonnalagadda, MD in Plymouth Meeting.
