Comprehensive Adolescent Gynecology Care at Montgomery 



At Montgomery Gynecology, we support adolescents and young women through the physical and emotional changes of puberty with accurate, evidence-based care.


Under the leadership of Dr. Hema Jonnalagadda, we provide age-appropriate gynecologic services focused on education, prevention, and early care—so patients build a confident, informed relationship with their bodies.

A core principle we emphasize with every family: not all pelvic exams are Pap smears. Care is individualized, and many visits do not require an internal exam.

Our Approach


Respectful, confidential, and educational care

  • Clear, age-appropriate explanations about menstrual cycles, hormones, and reproductive health
  • Honest guidance on contraception, safety, and common myths
  • A calm, private environment where teens can ask questions freely
  • Partnership with parents/guardians while honoring adolescent confidentiality within legal guidelines


First Gynecology Visit: What to Expect

The first visit is primarily a conversation and basic health check.

Typical visit includes:

  • Medical history, menstrual history, and symptoms
  • Questions about lifestyle, school/sports, sleep, nutrition
  • Education on periods, hygiene, cramps, and cycle tracking
  • Discussion of vaccines, sexual health (as appropriate), and prevention
  • External exam only if clinically needed

Pap smears and internal pelvic exams are not routine for teens and are performed only when medically indicated or when the patient is age-appropriate per current guidelines.


When to Schedule a Visit



 Consider an adolescent gynecology visit for:

  • Painful, heavy, irregular, or absent periods
  • Severe cramps, migraines with periods, or missed school due to symptoms
  • Vaginal discharge, itching, odor, or infections
  • Concerns about puberty timing (early or delayed development)
  • Acne or symptoms related to hormones
  • Questions about contraception or sexual health
  • Sports participation with menstrual concerns
  • Any questions the teen or parent wants addressed by a specialist



Services We Provide

  • Menstrual health evaluation and management
  • Non-invasive assessment of pelvic pain
  • Counseling on contraception options and menstrual regulation
  • Evaluation of puberty and hormonal concerns
  • Screening and treatment for common infections
  • Education on healthy relationships, consent, and safety
  • Guidance on nutrition, iron deficiency, and bone health as related to cycles

Education Topics We Cover

  • How the menstrual cycle works and what’s normal
  • Managing cramps and heavy bleeding safely
  • Myths and facts about hormonal contraception
  • Period products and hygiene options
  • Cycle tracking and recognizing warning signs
  • Privacy, consent, and when to seek help


Privacy & Family Involvement


We encourage parent/guardian involvement while also providing time for the teen to speak privately with the clinician. This helps young patients ask sensitive questions and learn to advocate for their health. We follow applicable state guidelines for adolescent confidentiality.

Preparing for the Visit

  • Bring a list of questions or concerns
  • Note the date of the last menstrual period and typical cycle pattern
  • List any medications or supplements
  • Share any relevant family history (if known)


Our Goal

To give every adolescent a positive, informed first experience with gynecologic care—building confidence, promoting preventive health, and ensuring they know how to get help when they need it.

To schedule an appointment or ask about same-day availability, please call our office.