Dealing with pain from endometriosis? Try putting a heating pad on your lower abdomen or taking a warm bath to relax the muscles!
"The online booking experience was really simple. The front desk staff was so nice and welcoming. Rickie is really lovely and took the time to talk with me about my concerns." -Verified Patient. See more.
ALPENGLOWGYNECOLOGY.COM
Testimonials & Reviews - Littleton, CO: Rickie Guida, WHNP-BC
Celebrate YOU with truSculpt® 3D! This system works to rid the body of extra fat without surgery! Sounds good? Get all the details by visiting us online: https://www.alpenglowgynecology.com/?utm_source=social&utm_medium=social&utm_campaign=smades
As the years pass by, many women experience changes "down there" that may cause discomfort and dryness, but you'll be smiling from ear to ear after your MonaLisa Touch® treatment from Alpenglow Gynecology!
According to the CDC, pregnant women may be at an increased risk for severe illness from COVID-19. If you're pregnant, breastfeeding, or caring for a newborn, learn more about protecting yourself and your baby during this time. https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/pregnancy-breastfeeding.html
Menopause symptoms can begin very suddenly and noticeably, or they can be mild at the start. Speak to our specialists about any changes that you notice in your body, and be sure to speak up if any menopause symptoms are actively bothering you.
Many early warning signs of cervical cancer remain unnoticed. Regular Pap smear testing is the most frequently used and effective tool to identify cervical cancer.
Stubborn areas of fat that don't respond to traditional weight loss methods, even at a normal weight, can be a source of frustration! That's why Alpenglow Gynecology offers patients body sculpting with truSculpt® 3D. Get started online!
ALPENGLOWGYNECOLOGY.COM
Trusculpt 3D Specialist
Polycystic Ovary Syndrome (PCOS) should be taken very seriously. Women affected by PCOS are at higher risk for infertility, sleep apnea, endometrial cancer, depression, and more. Let Alpenglow Gynecology manage your PCOS to help you avoid these unwelcome changes!
Confidence is key, and when you're just not feeling yourself, it can really affect you. With MonaLisa Touch®, you'll be able to feel like your radiant self again! Don't suffer silently anymore; get immediate relief with no downtime.
Menopause can be a confusing time for many women. It marks the end of a woman's fertility and menstrual cycle and is often accompanied by a number of uncomfortable symptoms. Alpenglow Gynecology can help women navigate this transition. Click below. https://www.alpenglowgynecology.com/services/menopause?utm_source=social&utm_medium=social&utm_campaign=smades
MonaLisa Touch® allows for better functionality "down there," which helps fight symptoms related to dryness. This treatment can eliminate troublesome itching, irritation, and pain, especially during intercourse.
Here's a daily reminder to wash your hands often to slow the spread of COVID-19. Keep these key times in mind for when it's especially important to wash your hands. Remember to follow other protective actions provided on the CDC website.
https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html
We understand how frustrating it can be to work hard at fitness and not see those waste slimming results! Read our recent blog to learn how non-invasive truSculpt® 3D treatment can help patients get a trim waistline! https://www.alpenglowgynecology.com/blog/whittle-your-waistline-with-trusculpt-3d?utm_source=social&utm_medium=social&utm_campaign=smades
New research suggests that taking birth control every day (as prescribed) can reduce your chances of getting the more aggressive versions of ovarian cancer. Read the following article to learn more about the study: https://www.abc15.com/lifestyle/health/uofbresearch-birth-control-lower-odds-ovarian-cancer-death
"Rickie is the best. I've been her patient for over 10 years. I highly recommend her!" Take a look at more patient testimonials like these on our website. https://www.alpenglowgynecology.com/testimonials?utm_source=social&utm_medium=social&utm_campaign=smades
Endometriosis can cause painful periods and irregular bleeding, and it may even interfere with fertility. Alpenglow Gynecology provides care and treatment for endometriosis. Visit us online to learn more. https://www.alpenglowgynecology.com/services/endometriosis?utm_source=social&utm_medium=social&utm_campaign=smades
In some cases, contracting HPV can lead to cervical cancer. Getting a Pap test every three years is highly encouraged for early detection of precancerous and cancerous development in the cervix.
Enjoy this spooooky season with your loved ones, and remember to stay safe! Happy Halloween from your friends at Alpenglow Gynecology! 🦇🎃
If you are struggling with polycystic ovary syndrome, your ovaries may fail to function regularly. To learn more about polycystic ovary syndrome and to see how we can help, visit our website. https://www.alpenglowgynecology.com/?utm_source=social&utm_medium=social&utm_campaign=smades
One in every 10 women of childbearing age is affected by polycystic ovary syndrome, which can affect fertility, appearance, and overall health. Alpenglow Gynecology can help women manage the uncomfortable symptoms of this condition. Click below. https://www.alpenglowgynecology.com/services/pcos?utm_source=social&utm_medium=social&utm_campaign=smades
Don't settle for the uncomfortable symptoms associated with menopause, such as dryness or incontinence. MonaLisa Touch® gives you the options you desire. Discover how this treatment can help by consulting with one of our specialists.
In most cases, HPV is harmless and shows no symptoms. However, some strains of the virus can lead to cervical cancer. It is crucial to regularly screen for STDs.
A pelvic ultrasound is a beneficial tool in gynecology because it assesses the functioning of various areas of the pelvis, including the uterus, cervix, fallopian tubes, and ovaries.
It's no surprise that COVID-19 will impact this year's holiday season. Things will be different for all of us, but that doesn't mean we should stop celebrating. The CDC offers some tips and considerations to help protect ourselves, family, and friends during annual holiday celebrations.
https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/holidays.html
Symptoms of dryness, irritation, and painful intimacy can be associated with menopause but don't have to be endured! Alpenglow Gynecology offers effective ways for women to enhance their feminine health. Take a look at our treatments online. https://www.alpenglowgynecology.com/services/monalisa-touch?utm_source=social&utm_medium=social&utm_campaign=smades
From our family and friends to all the new faces we get to meet, there's always something to be thankful for! Enjoy this Thanksgiving Day from the team at Alpenglow Gynecology!🦃🍂
"Very friendly staff all around. Dr. Rickie Guida was very nice and personable during my visit." We love reading patient reviews! See what others are saying online. https://www.alpenglowgynecology.com/testimonials?utm_source=social&utm_medium=social&utm_campaign=smades
Adolescent girls need to learn to take care of their reproductive health at an early age. The team at Alpenglow Gynecology takes a special interest in helping teens understand their gynecologic health. Learn more online. https://www.alpenglowgynecology.com/services/teen-gynecology?utm_source=social&utm_medium=social&utm_campaign=smades
Vaginal atrophy affects over 40% of menopausal and post-menopausal women. MonaLisa Touch® can help! Don't miss out on intimate moments due to the uncomfortable side effects of childbirth or menopause! Let Alpenglow Gynecology help!
Menopause typically occurs when a woman stops getting her period cycle in her late 40's to mid 50's. While everyone's symptoms are different, more serious ones can include hot flashes, urinary incontinence, and osteoporosis. If you're experiencing any severe symptoms, contact us today!
We've all heard about how to protect ourselves from STDs, but what about infections such as bacterial vaginosis? Bacterial vaginosis can be incredibly uncomfortable and leave you feeling self-conscious. If you are noticing some unpleasant changes, visit our office for a consult.
Pesky pockets of fat that won't go away with traditional weight-loss methods are frustrating! Shrink fat and achieve a sculpted physique with truSculpt® 3D treatment at Alpenglow Gynecology. Take a closer look online! https://www.alpenglowgynecology.com/services/trusculpt-3d?utm_source=social&utm_medium=social&utm_campaign=smades
Ladies, your reproductive health deserves special attention! Gynecology appointments are an essential part of preventative health. Rely on the team at Alpenglow Gynecology for all your female reproductive healthcare needs.
Slip into something a little more comfortable and enjoy EVERY moment with your significant other with a MonaLisa Touch® treatment. Close the door on those unpleasant menopausal symptoms and take back your intimacy today!
Ladies, if you're 21, it's highly recommended that you begin receiving regular pap smears even if you aren't sexually active! Pap smears test for so much more than just STD's, and that's why they're such a critical part of women's wellness. Learn more about these exams here: https://www.alpenglowgynecology.com/?utm_source=social&utm_medium=social&utm_campaign=smades
The entire team at Alpenglow Gynecology is committed to educating, diagnosing, and treating women with endometriosis. Learn more about endometriosis, including top symptoms to look out for, in our blog below.
https://www.alpenglowgynecology.com/blog/do-you-have-these-5-symptoms-of-endometriosis?utm_source=social&utm_medium=social&utm_campaign=smades
Knowing when to clean and disinfect your home is critical for preventing COVID-19. Be sure to disinfect your home daily and especially when anyone in the house is sick. For more information, visit the CDC website: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/disinfecting-your-home.html
As you age, the body goes through many hormonal changes that can be difficult to handle alone. For expert women's care, you can count on Alpenglow Gynecology!
Alpenglow Gynecology wishes you and your loved ones a safe and happy holiday season!
Don't endure painful intercourse or dryness "down there" because of declining estrogen levels! Fight back against menopause symptoms with MonaLisa Touch® at Alpenglow Gynecology. To learn more, visit us online! https://www.alpenglowgynecology.com/services/monalisa-touch?utm_source=social&utm_medium=social&utm_campaign=smades
Happy New Year from your friends at Alpenglow Gynecology! We hope that this new year is filled with happiness and good health!✨
It's time to truSculpt® 3D! For those who are looking to slim down their figure without all the hassle, truSculpt® 3D may be the answer! It's all in your hands! Reach to us today for all the details: https://www.alpenglowgynecology.com/?utm_source=social&utm_medium=social&utm_campaign=smades
The good news is that women have many choices for birth control! The bad news is that with so many options, it's easy to get overwhelmed and have a tough time knowing which method to choose. Read our blog for key questions to consider. https://www.alpenglowgynecology.com/blog/which-type-of-birth-control-is-right-for-me?utm_source=social&utm_medium=social&utm_campaign=smades
Secrets, secrets are no fun, especially when you're hiding it from your partner. For those experiencing symptoms of menopause such as urinary incontinence or feelings of pain during intimacy, start the conversation about MonaLisa Touch® today!
The team of experts at Alpenglow Gynecology believes health care is a partnership between patient and practitioner. We enjoy providing individual care for women on gynecologic health, from youth to wisdom and beyond. Learn more online! https://www.alpenglowgynecology.com/about?utm_source=social&utm_medium=social&utm_campaign=smades
According to Verywell Health, "the symptoms of polycystic ovary syndrome (PCOS) are a big part of what makes this chronic disease so confusing. Not only do they differ from woman to woman, but many symptoms--such as fatigue, weight gain, and irregular or painful periods--mimic those of many other diseases. Some women with the condition may show no symptoms at all." If you suspect you have PCOS, Alpenglow Gynecology is here to help with expert diagnoses and treatment!
So you've decided you're ready to start birth control. Now what? Well, when it comes to birth control and contraceptives, there's never one right answer. Call Alpenglow Gynecology at 303-219-9143 to schedule a consultation with one of our team members. We will discuss your many options with you.
Check out our new blog outlining when it's the right time for a teen to get her first Pap smear. https://www.alpenglowgynecology.com/blog/when-should-my-teen-daughter-get-her-first-pap-smear?utm_source=social&utm_medium=social&utm_campaign=smades
While social distancing to reduce the spread of COVID-19 is critical, it may increase the risk of domestic and family violence and abuse as more time is spent at home. For those experiencing abuse, visit the CDC website for support and resources. https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/stress-coping/abuse.html
According to a study published in PubMed Central, endometriosis, when tissue similar to the lining of the uterus grows outside the uterus, may affect more than 11% of American women between the ages of 15 and 44. Contact us to discuss the many different treatment options available.
Alpenglow Gynecology can help patients navigate the many birth control choices to find one that meets their needs. Call the office or book an appointment online to set up a birth control consultation today. https://www.alpenglowgynecology.com/services/birth-control?utm_source=social&utm_medium=social&utm_campaign=smades
While social distancing to reduce the spread of COVID-19 is critical, it may increase the risk of domestic and family violence and abuse as more time is spent at home. For those experiencing abuse, visit the CDC website for support and resources. https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/stress-coping/abuse.html
At Alpenglow Gynecology, the expert team offers MonaLisa Touch®, a nonsurgical, non-hormonal treatment that is an effective way to enhance your gynecologic health. Click here to learn more about this treatment! https://www.alpenglowgynecology.com/services/monalisa-touch?utm_source=social&utm_medium=social&utm_campaign=smades
Patient testimonial: "I can't make enough positive comments about Rickie Guida and her staff...She is direct, compassionate, and has a fantastic sense of humor. The staff is also amazingly friendly." See what others are saying online! https://www.alpenglowgynecology.com/testimonials?utm_source=social&utm_medium=social&utm_campaign=smades
According to Verywell Health, "bacterial vaginosis symptoms are rarely serious, [but] they can undermine the integrity of vaginal tissues and increase your vulnerability to sexually transmitted diseases (STDs) such as gonorrhea, chlamydia, trichomoniasis, and HIV." Take care of your reproductive health with the help of Alpenglow Gynecology. If you've noticed symptoms of BV, don't hesitate to reach out to our office.
Frankly, there are a lot of women-specific things that require special attention. Ultrasounds are great tools to get a comprehensive view of what's going on inside. Don't be afraid. We are here to help.
According to a study published in PubMed Central, endometriosis, when tissue similar to the lining of the uterus grows outside the uterus, may affect more than 11% of American women between the ages of 15 and 44. Contact us to discuss the many different treatment options available.
At Alpenglow Gynecology, the expert team offers MonaLisa Touch®, a nonsurgical, non-hormonal treatment that is an effective way to enhance your gynecologic health. Click here to learn more about this treatment! https://www.alpenglowgynecology.com/services/monalisa-touch?utm_source=social&utm_medium=social&utm_campaign=smades
Patient testimonial: "I can't make enough positive comments about Rickie Guida and her staff...She is direct, compassionate, and has a fantastic sense of humor. The staff is also amazingly friendly." See what others are saying online! https://www.alpenglowgynecology.com/testimonials?utm_source=social&utm_medium=social&utm_campaign=smades
According to Verywell Health, "bacterial vaginosis symptoms are rarely serious, [but] they can undermine the integrity of vaginal tissues and increase your vulnerability to sexually transmitted diseases (STDs) such as gonorrhea, chlamydia, trichomoniasis, and HIV." Take care of your reproductive health with the help of Alpenglow Gynecology. If you've noticed symptoms of BV, don't hesitate to reach out to our office.
Frankly, there are a lot of women-specific things that require special attention. Ultrasounds are great tools to get a comprehensive view of what's going on inside. Don't be afraid. We are here to help.
According to a study published in PubMed Central, endometriosis, when tissue similar to the lining of the uterus grows outside the uterus, may affect more than 11% of American women between the ages of 15 and 44. Contact us to discuss the many different treatment options available.
Well-woman exams are an important part of taking care of your overall health. At Alpenglow Gynecology, the team provides these exams to help patient's manage and understand the health of their reproductive organs. Book online today! https://www.alpenglowgynecology.com/services/well-woman-exam?utm_source=social&utm_medium=social&utm_campaign=smades
Although the year 2020 is behind us, the COVID-19 pandemic is still here as cases, hospitalizations, and deaths continue to rise nationwide. We must remain vigilant and continue to take steps to slow the spread. Here's what you need to know according to the CDC:
https://www.cdc.gov/coronavirus/2019-ncov/your-health/need-to-know.html
At Alpenglow Gynecology, the expert team offers MonaLisa Touch®, a nonsurgical, non-hormonal treatment that is an effective way to enhance your gynecologic health. Click here to learn more about this treatment! https://www.alpenglowgynecology.com/services/monalisa-touch?utm_source=social&utm_medium=social&utm_campaign=smades
Patient testimonial: "I can't make enough positive comments about Rickie Guida and her staff...She is direct, compassionate, and has a fantastic sense of humor. The staff is also amazingly friendly." See what others are saying online! https://www.alpenglowgynecology.com/testimonials?utm_source=social&utm_medium=social&utm_campaign=smades
According to Verywell Health, "bacterial vaginosis symptoms are rarely serious, [but] they can undermine the integrity of vaginal tissues and increase your vulnerability to sexually transmitted diseases (STDs) such as gonorrhea, chlamydia, trichomoniasis, and HIV." Take care of your reproductive health with the help of Alpenglow Gynecology. If you've noticed symptoms of BV, don't hesitate to reach out to our office.
If you're finding yourself frequently sneaking off to the bathroom to take off extra layers, or noticing some funky stuff happening "down there," you may be experiencing signs of menopause. Take the time to check-in with us if you have any questions or concerns.
Well-woman exams are an important part of taking care of your overall health. At Alpenglow Gynecology, the team provides these exams to help patient's manage and understand the health of their reproductive organs. Book online today! https://www.alpenglowgynecology.com/services/well-woman-exam?utm_source=social&utm_medium=social&utm_campaign=smades
Although the year 2020 is behind us, the COVID-19 pandemic is still here as cases, hospitalizations, and deaths continue to rise nationwide. We must remain vigilant and continue to take steps to slow the spread. Here's what you need to know according to the CDC:
https://www.cdc.gov/coronavirus/2019-ncov/your-health/need-to-know.html
At Alpenglow Gynecology, the expert team offers MonaLisa Touch®, a nonsurgical, non-hormonal treatment that is an effective way to enhance your gynecologic health. Click here to learn more about this treatment! https://www.alpenglowgynecology.com/services/monalisa-touch?utm_source=social&utm_medium=social&utm_campaign=smades
Patient testimonial: "I can't make enough positive comments about Rickie Guida and her staff...She is direct, compassionate, and has a fantastic sense of humor. The staff is also amazingly friendly." See what others are saying online! https://www.alpenglowgynecology.com/testimonials?utm_source=social&utm_medium=social&utm_campaign=smades
If you're finding yourself frequently sneaking off to the bathroom to take off extra layers, or noticing some funky stuff happening "down there," you may be experiencing signs of menopause. Take the time to check-in with us if you have any questions or concerns.
Well-woman exams are an important part of taking care of your overall health. At Alpenglow Gynecology, the team provides these exams to help patient's manage and understand the health of their reproductive organs. Book online today! https://www.alpenglowgynecology.com/services/well-woman-exam?utm_source=social&utm_medium=social&utm_campaign=smades
Although the year 2020 is behind us, the COVID-19 pandemic is still here as cases, hospitalizations, and deaths continue to rise nationwide. We must remain vigilant and continue to take steps to slow the spread. Here's what you need to know according to the CDC:
https://www.cdc.gov/coronavirus/2019-ncov/your-health/need-to-know.html
At Alpenglow Gynecology, the expert team offers MonaLisa Touch®, a nonsurgical, non-hormonal treatment that is an effective way to enhance your gynecologic health. Click here to learn more about this treatment! https://www.alpenglowgynecology.com/services/monalisa-touch?utm_source=social&utm_medium=social&utm_campaign=smades
Patient testimonial: "I can't make enough positive comments about Rickie Guida and her staff...She is direct, compassionate, and has a fantastic sense of humor. The staff is also amazingly friendly." See what others are saying online! https://www.alpenglowgynecology.com/testimonials?utm_source=social&utm_medium=social&utm_campaign=smades
Symptoms of dryness, irritation, and painful intimacy can be associated with menopause but they don't have to be endured! The team at Alpenglow Gynecology offers MonaLisa Touch® for women to enhance their feminine health. Learn more here: https://www.alpenglowgynecology.com/services/monalisa-touch?utm_source=social&utm_medium=social&utm_campaign=smades
March is Endometriosis Awareness Month! This disease affects an estimated 176 million women across the world. You can raise awareness by joining the conversation, attending an event, and showing your support for family and friends who are affected by this condition.
Symptoms of dryness, irritation, and painful intimacy can be associated with menopause but they don't have to be endured! The team at Alpenglow Gynecology offers MonaLisa Touch® for women to enhance their feminine health. Learn more here: https://www.alpenglowgynecology.com/services/monalisa-touch?utm_source=social&utm_medium=social&utm_campaign=smades
Our team is proud to say that we use the MonaLisa Touch® laser technique to treat any vaginal pain, irritation, and dryness you may be experiencing. Check us out online to learn more: https://www.alpenglowgynecology.com/?utm_source=social&utm_medium=social&utm_campaign=smades
Stubborn areas of fat that don't respond to traditional weight loss methods, even at a normal weight, can be a source of frustration! That's why Alpenglow Gynecology offers patients body sculpting with truSculpt® 3D. Get started online! https://www.alpenglowgynecology.com/services/trusculpt-3d?utm_source=social&utm_medium=social&utm_campaign=smades
The safety of COVID-19 vaccines is a top priority in the United States. Despite some people's concerns about its rapid development, it's safe and beneficial to get vaccinated. Visit the CDC website to learn more: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/index.html
With so many pediatric appointments, keeping track of when one's child needs different health care visits is tricky, especially as children get older. Read our new blog post to learn when it's time for the first Pap smear and what to expect: https://www.alpenglowgynecology.com/blog/when-should-my-teen-daughter-get-her-first-pap-smear?utm_source=social&utm_medium=social&utm_campaign=smades
We're celebrating moms everywhere! Millions of women experience changes in their gynecologic health that interfere with their personal lives as a consequence. Do something for yourself this year, try laser therapy for gynecologic health & call 303-219-9143.
Not quite ready to have a baby? Thankfully there are many different birth control options available for women! Contact us today to schedule an appointment and discuss which method would be best for you: 303-219-9143.
March is Endometriosis Awareness Month! This disease affects an estimated 176 million women across the world. You can raise awareness by joining the conversation, attending an event, and showing your support for family and friends who are affected by this condition.
If endometriosis goes untreated, unfortunately, it can lead to infertility. If you're experiencing unexplained pain and discomfort and suspect endometriosis may be the cause, the providers at Alpenglow Gynecology are here to provide expert treatment.
Preparing one's daughter for her first period can seem scary, but don't worry. Check out our new blog post for our top tips on helping daughters feel less anxious about this important event. https://www.alpenglowgynecology.com/blog/how-to-prep-your-daughter-for-her-first-period?utm_source=social&utm_medium=social&utm_campaign=smades
The safety of COVID-19 vaccines is a top priority in the United States. Despite some people's concerns about its rapid development, it's safe and beneficial to get vaccinated. Visit the CDC website to learn more: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/index.html
With so many pediatric appointments, keeping track of when one's child needs different health care visits is tricky, especially as children get older. Read our new blog post to learn when it's time for the first Pap smear and what to expect: https://www.alpenglowgynecology.com/blog/when-should-my-teen-daughter-get-her-first-pap-smear?utm_source=social&utm_medium=social&utm_campaign=smades
We're celebrating moms everywhere! Millions of women experience changes in their gynecologic health that interfere with their personal lives as a consequence. Do something for yourself this year, try laser therapy for gynecologic health & call 303-219-9143.
Puberty is a stressful, confusing time for many adolescent girls — especially with all the information (and misinformation) available. Learn about the facts one's teen should know about puberty in our new blog post: https://www.alpenglowgynecology.com/blog/what-every-teen-should-know-about-puberty?utm_source=social&utm_medium=social&utm_campaign=smades
Get real results with truSculpt® 3D! If surgery or other invasive procedures are something you'd rather not pursue, Alpenglow Gynecology offers effective, non-invasive body sculpting treatment with truSculpt® 3D. Learn more on our website: https://www.alpenglowgynecology.com/?utm_source=social&utm_medium=social&utm_campaign=smades
Iron plays a vital role in the production of Hemoglobin, a substance that allows your blood cells to carry oxygen. Pregnant women should aim to consume about 27 milligrams of iron a day, which is double of what non-pregnant women should intake. Healthy iron within the body will play a vital role in ensuring your baby receives a generous amount of oxygen!
If endometriosis goes untreated, unfortunately, it can lead to infertility. If you're experiencing unexplained pain and discomfort and suspect endometriosis may be the cause, the providers at Alpenglow Gynecology are here to provide expert treatment.
Preparing one's daughter for her first period can seem scary, but don't worry. Check out our new blog post for our top tips on helping daughters feel less anxious about this important event. https://www.alpenglowgynecology.com/blog/how-to-prep-your-daughter-for-her-first-period?utm_source=social&utm_medium=social&utm_campaign=smades
