Mirena IUDImplanonNuvaringOrtho Evra Patch


Abnormal Pap Smears

Abnormalities in your pap smear are actually quite common. The good news is, very few abnormal pap smears end up as cancer. The majority can be safely evaluated and treated in the office, before they become severe. At Adolescent and Adult Women's Care we are able to diagnose and treat these problems, and in the large majority, return your cervix to complete normality.


Human Papilloma Virus (HPV)

Most women are now familiar with HPV due to the power of television. HPV is not new, but has actually been around for quite some time. It is a sexually transmitted virus, that unfortunately is currently present in up to 75% of the sexually active population (both men and women) . There are more than 50 types of HPV but only some of these types lead to any significant disease that we can identify. The most common problems caused by HPV are, abnormal pap smears (precancerous changes) and venereal warts. The good news is that a vaccine (Gardisil®) has now been developed that can prevent infection with HPV. If you are protected from HPV, then you are protected from cervical cancer! The vaccine is recommended for women ages 9 to 26 and is available here at Adolescent and Adult Women's Care.

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Pelvic Pain/ Abnormal Bleeding

A variety of medical and surgical treatments are available for problems of pelvic pain or abnormal bleeding, all of which are available at this office. The majority of the time the treatment can be carried out entirely in the office, or with a brief outpatient surgical procedure, such as endometrial ablation with the Novasure device. Regardless, all cases are individualized and evaluated thoroughly and thoughfully by Dr. Montes.

Novasure Endometrial Ablation


Urinary Incontinence simple yet thorough office evaluation of urinary incontinence with LUMAX

With aging and childbirth, bladder incontinence can be quite a trying problem for many women. It is a multimillion dollar business for the adult diaper industry. New treatments, both surgical and medical, mean you no longer should have to suffer with this issue. Isn't life too short to avoid doing all the things you want, because of concerns of urinary incontinence? Options are available that don't include using diapers and pads. Complete testing of bladder function is available in the privacy of the office, using the LUMAX® system to properly assess your particular problem. Once completed, Dr. Montes is trained and experienced in a number of different urologic surgical procedures including:
• The outpatient vaginal sling procedure (TVT - or transvaginal tape) for urine loss that occurs with coughing and sneezing
• The outpatient Interstim® procedure for urgency incontinence that is not responsive to medications
• The in office Renessa® procedure for milder incontinence issues where treatment is desired with no hospitalization or downtime at all

Transvaginal Tape Procedure


Interstitial Cystitis

Interstitial cystitis is a poorly understood and often times unrecognized problem of the bladder that can lead to prolonged problems. These problems may include pain with urination not due to infection, frequent urination, chronic pelvic pain, pain with sex or frequent urination at night. If you suffer from any of these problems and yet have not been diagnosed or treated successfully, your next stop should be Adolescent and Adult Women's Care. With evaluation and treatment, you CAN get your life back.


Birth Control Options

All major medical methods of birth control are available including newer methods such as the Ortho Evra patch, the Nuvaring, Mirena Intrauterine Device (IUD) and the Implanon contraceptive rod. (See photos at the top of this page)