Skip to content

You're 13-20

Your body is undergoing major changes. Which makes this a great time to establish care. We’ll chat through routine care and exams, contraception options and everything else.

ACOG’s recommended age. Medical organizations like the American College of Obstetricians and Gynecologists (ACOG) recommend establishing care with a gynecology provider around age 13 to 15—and we are happy to see teens during this time or even before. The purpose of the first visit is to establish a trusting relationship and provide education.

Pediatrician vs. gynecologist. Many young people are comfortable with their pediatrician and prefer to receive all of their care from them until they are as old as 19 or 20. This is totally OK, too. The important thing is that you find a provider who is knowledgeable about reproductive health and who you feel comfortable going to with health concerns that are more personal, like puberty, menstruation and sex.

Both gynecologists and pediatricians can help you with birth control, the HPV vaccine, and screening and prevention of other sexually transmitted infections.

Beyond periods and sex. We are here to talk about your body’s changes, too. Puberty can be confusing. We are a great resource for questions about breast development, body hair, weight changes, acne, emotional changes and body image. No question about your development is too silly or small.

We also welcome confidential discussions about sexual orientation and gender identity. It’s important that your provider understands who you are so we can give you the most accurate and supportive care possible, whether we are talking about your overall health, mental wellbeing or reproductive care. Our office is a safe and affirming space.

When to see a gynecologist sooner. If you have a problem that requires a gynecology specialist, such as heavy, irregular, or painful periods; cysts; or unusual discharge, your pediatrician will refer you to one.

Many young people are anxious about visiting the gynecologist, and we get that. Don’t worry. Our goal is to put you at ease so your first visit here is mostly just a chance for us to get to know each other.

Starting the conversation. It usually begins with a conversation with you fully dressed. Your provider will ask you basic questions about yourself and your life—including the name and pronouns you use, and questions to ensure we understand your health needs related to your sexuality and relationships. They will also ask about any preferences for how we refer to your body parts—and give you time to share your concerns and ask any questions you may have. Together, we’ll develop a plan for how best to manage your health.

Your physical health check. The visit typically includes a general health check (like height, weight, and blood pressure), but you may be able to stay fully dressed for the whole visit.

Taking care of your mind. We know that health isn’t just physical. Your provider is also interested in your emotional well-being, stress levels, friendships and how you feel about school. If you are struggling with anxiety, depression or difficulty coping, we can help connect you with resources.

It’s your health, your choice. The most important thing you gain from this visit is knowledge. We want you to leave feeling confident about your body and knowing how to access reliable, accurate information—not just what you see on social media or hear from friends.

Will I need a pelvic exam? You probably won’t have an internal pelvic exam unless there’s a good reason for it. A Pap test (for cervical cancer screening) is not recommended until age 21, regardless of sexual activity. (Reasons for a physical exam could include unusual discharge when you’ve been sexually active or a lump on the outside of your vagina.)

How to prepare for your visit. To make the most of your time, consider writing down any questions you have before you arrive—even the embarrassing ones! It’s also helpful to know the date of your last period and have a list of any medications, supplements, or vitamins you currently take.

You can talk with your provider about anything. Really. Nothing is off limits.

Your right to privacy (how Oregon law works). In Oregon, you have the right to confidential care for your health:

  • Reproductive care (all ages): If your visit is for reproductive health services, such as birth control, STI testing, pregnancy care, or abortion, your conversations and treatment are confidential at any age. We will not tell your parents or school anything unless you give us permission to.
  • Most other medical care (Age 15+): For other general medical care, such as an annual check-up or treatment for an infection, you have the right to full confidentiality once you turn 15 years old.

(Read more about Oregon law regarding minor healthcare confidentiality and consent.)

The mandatory reporting exception. There is one exception: if we think there is a serious threat to your health from interpersonal violence or neglect, then we are obligated to report that, but we’ll talk with you about this beforehand.

Parents and support people. Many teens come to their visit with a parent. It’s up to you to decide how involved your parent will be in your visit. You can choose to have them in the room for all, part, or none of your visit. Most of our providers will ask the parent or other support person to step out of the room for at least some of the visit so you can talk privately. We encourage open communication among all parties, though—and we’re happy to share or help you share the results of the visit with your parent if you’d like us to.

Routine check-up frequency, Talk to your provider about how often they want to see you during your teen years. Behaviors, emotions, and bodies can change a lot during this time, and they may recommend every one to two years.

When to call sooner. Remember to call us sooner if you have urgent concerns, like a missed period, severe pain or questions about a new relationship.

What matters right now

Here are some topics you—or your provider—may bring up.

Cervical cancer screening

You don’t need a Pap smear—the test that screens for cervical cancer—until age 21, regardless of your sexual activity.

STI prevention and screening

If you are sexually active, annual screening for sexually transmitted infections (STIs) is recommended. Your provider will talk with you openly about safety: protecting yourself from STIs, communicating with partners, and avoiding sex under the influence of drugs or alcohol. They may recommend a different STI screening frequency depending on your activity.

HPV vaccine

Gardasil 9 protects against the nine different types of HPV (Human Papillomavirus) that are responsible for the majority of cancers affecting the cervix, vulva, vagina, penis, anus, mouth and throat. If started before age 15, Gardasil 9 is given in two doses six to 12 months apart. If started at age 15 or later, it is given in three doses over six months.

Pregnancy prevention

If you are or may become sexually active with sperm-producing partners, your provider wants to talk to you about contraception. We will help you explore all methods of birth control (including IUDs and implants) to find the best choice for you.

Seasonal flu and COVID vaccines

A yearly flu vaccine is recommended for teens by the end of October, if possible. Most teens get this at school or the pediatrician’s office, but we are happy to provide it during your visit if you need it. We also recommend staying up to date with current COVID vaccination guidelines.

Additional Resources

Accepted Insurance

WHA takes Medicaid, Medicare and most commercial insurance plans. Check the list of insurance companies WHA is contracted with here.

ACOG Disorders of the Vulva

From the American College of Obstetricians and Gynecologists, answers to frequently asked questions about vulvar health and care options.

ACOG Patient Resources

From the American College of Obstetricians and Gynecologists, find links to frequently asked questions on a wide range of women's health, pregnancy and childbirth and gynecology questions.

Advocates for Youth

Online resources for parents.

Anemia in Pregnancy

Michael P. Smrtka, MD. Perinatal Progress, Volume 9, Number 1. April, 2016.

Antenatal Surveillance Guidelines

July 2021

Approach for Determining Gestational Age

August 2013

Baby Center

A comprehensive online resource for pregnancy and parenting, offering expert articles, week-by-week guides, community forums and tools.

Bedsider

A website about birth control and STDs.

Billing and Collection Practices

What you need to know--before you need to know it.

Billing and Payments During Pregnancy

Expecting parents often have questions about how much care may cost, how much they may be responsible for and when payments will be due. Here's a handy summary of how it all works!

Breastfeeding Articles

It's International Breastfeeding Week and we've collected all of our past blog articles here.

CDC.gov

The website of the Centers for Disease Control and Prevention – this is a great resource for vaccination and disease screening and prevention recommendations.

CDC.gov – Pregnancy

Particularly useful for steps you can take to reduce your risk of problems.

Cell-free Fetal DNA in Maternal Blood

Thomas Lee, MD and Wendy Busch, MS, CGC. Perinatal Progress, Volume 5, Number 1. September 2012.

Checking Your Insurance Benefits for Genetic Testing

Information to help you check your insurance coverage and benefits for genetic screening.

Comfort Measures and Over-the-Counter Medications During Pregnancy

From allergies and backaches to constipation, gas and heartburn (fun!), here are safe strategies for coping with or treating what ails you during pregnancy--straight from our providers!

Contemporary Management of Sonographic Aneuploidy Markers

2018-09-20; Thomas Lee, MD, MBA, 16:17

COVID-19, Pregnancy, and Breastfeeding (ACOG)

The latest information from the American College of Obstetricians and Gynecologists on COVID-19.

Delivery of Twins

2018-09-20; Lisa Farkhouh, MD, 14:12

Diabetes Mellitus

Barbra M. Fisher, MD, PhD
Perinatal Progress Volume 11, Number 1
April 2018

Diabetes Mellitus Quick Reference Guide

April 2018

Endometriosis Foundation of America

A nonprofit focused on endometriosis awareness, education, advocacy and research that also offers opportunities to get involved with events and community support related to this chronic reproductive health condition.

Enfermedad por coronavirus (COVID-19), embarazo y lactancia (ACOG)

La información más reciente del Colegio Americano de Obstetras y Ginecólogos sobre COVID-19.

Especially for Teens

A resource from the American College of Obstetricians and Gynecologists.

Fundamentals of Obstetric Ultrasound

Thomas Lee, MD, MBA
Perinatal Progress Volume 11, Number 2
August 2018

Genetic Carrier Screening

2018-03-21; Karen Hansen, MS, CGC; 15:11

Genetic Testing

2018-01-24; Karen Hansen, MS, CGC, 16:24

Genetic Testing Specifications

August 2014

Gestational Diabetes – Insulin Made Simple

2018-01-24; Michael Smrtka, MD, 14:49

Getting Disability, FMLA and Other Forms Completed

Oh those pesky forms...from how long they take to how much it costs, here's everything you need to know.

GoodRx

A website to compare the cost of prescription medications.

Healthy Weight Gain in Pregnancy

Wondering how much weight you should be gaining during pregnancy? We've got you covered.

Hemoglobinopathies

2018-03-15; Barbra Fisher, MD, PhD and Jeri Milanovich, MS, CGC, 8:15

Hypertensive Disorders in Pregnancy: An Update

Mark W. Tomlinson, MD, MBA and Lisa J. Farkouh, MD
Perinatal Progress Volume 8, Number 1
April 2015

Hystersisters

On online resource and forum for women having bleeding issues, fibroids, pelvic pain, etc.

Incidence of Significant Chromosomal Abnormalities

Hook EB, Cross PK, Schreinemochers DM

Information on Genetic Screening in Pregnancy

An overview of different genetic and chromosomal conditions for which screening is available, who they are most likely to affect and how often they occur.

Insurance and Billing Information

Does it sometimes feel like you need a degree in insurance to even understand your statement? Think of this as a crash course to help you understand how we bill for services and what questions to ask your insurance provider.

International Urogynecological Association | YourPelvicFloor.org

YourPelvicFloor.org is the patient-centered website of International Urogynecological Association where you can find patient information leaflets, videos, FAQs and more.

La Leche League

Information and support related to breastfeeding—including local support groups.

Language Access & Non-Discrimination Policies

Learn more about WHA’s free translation services and our commitment to non-discrimination.

Late Preterm Steroids: An Update

2018-03-15; Meredith Williams, MD, 13:22

Magnesium Sulfate Uses and Abuses

2018-03-15; Sophia Lannon, MD, MPH, 12:08

Management of Intrauterine Growth Restriction/Fetal Growth Restriction

July 2021

Management of Migraine Headaches in Pregnancy

2018-09-20; Ashlie Tronnes, MD, 16:34

Managing Women at Risk for Preterm Birth

Barbra M. Fisher, MD, PhD and Meredith Williams, MD
Perinatal Progress Volume 6, Number 1
August 2013

Marijuana Use in Pregnancy

2019-05-29; Thomas Lee, MD, MBA; 17:28

Medical Record Amendment Request

If you think the information in your medical or billing record is incorrect, you can request a change, or amendment, to your record using this form.

Medical Records Release Form

If you would like to transfer your records to provider outside of WHA, download and complete this form. If you have a MyHealth account, you can also request your records there.

Menopause Preparedness Toolkit

A downloadable educational guide from the Society for Women’s Health Research designed to support individuals through the menopause transition with information on symptoms, midlife health, care planning, wellness and preparing for conversations with health care providers and loved ones.

MiddlesexMD Blog

A good resource for articles on sex after 40. Also includes various products, but this is not a specific endorsement of those.

National Association for Continence

Fecal and urinary incontinence information for patients, caregivers and healthcare professionals.

National Friendship Day Giveaway

Enter to win a manicure for two on our Facebook page in honor of #NationalFriendshipDay.

National Vulvodynia Association

An educational resource from Oregon Health & Science University about vulvar conditions, with guidance for patients experiencing vulvar discomfort or concerns.

New Patient Checklist

Remember when mom made sure you had everything you needed? Think of this as mom’s checklist—only shorter.

No Surprise Billing

Learn more about your rights and protections against surprise medical bills.

Notice of Privacy Practices

Read WHA's Notice of Privacy Practices

NWP Antenatal Late Preterm Steroids Protocol

April 2017

NWP Referral Form

Updated 2017

NWP Ultrasound and Financial Disclosure

Updated 2017

NWP Ultrasound Patient Instructions

Updated 2017

Obesity in Pregnancy

2019-09-19; Ashlie Tronnes, MD; 16:55

Office of Women's Health – Pregnancy

Good basic content on pregnancy and women's health.

Oligohydramnios Measurement and Management

Michael P. Smrtka, MD
Perinatal Progress Volume 7, Number 1
June 2014

Opioid Use Disorder in Pregnancy

Meredith K. Williams, MD
Perinatal Progress Volume 12, Number 2
October 2019

Our Bodies, Ourselves

A book (and now an organization) that's been around for decades, revised often.

Our Moment of Truth

Learn more about midwifery care and women's health during pregnancy and beyond on this site from the American College of Nurse-Midwives.

Patient Rights and Responsibilities

Every good relationship has clear expectations—and we want this to be a very good relationship! Learn more about what you can expect from us and vice versa.

Patient Survey Program

If you have a visit in one of our offices, you could be asked to provide feedback through an online survey. Learn more about what we do with the information here.

PCOS Awareness Association

A nonprofit dedicated to increasing understanding of Polycystic Ovarian Syndrome (PCOS) and supporting those affected with educational materials, information on symptoms and treatment options, and links to community support and specialist directories.

Placenta Accreta Spectrum Diagnosis, Myths and Management

2019-03-21; Mark Tomlinson, MD, MBA; 15:29

Placenta Previa Diagnosis and Management

2019-05-29; Barbra Fisher, MD, PhD; 16:41

Planned Parenthood

Great information about all aspects of reproductive health.

Pre-pregnancy Care (ACOG)

From the American College of Obstetricians and Gynecologists, this FAQ includes ideas for optimizing your health before pregnancy, including preventive care, lifestyle guidance and preparation for conception.

Preconception Considerations for Patients Considering IVF

2019-09-19; Meredith Williams, MD; 22:20

Prenatal Education for New Pregnancies

By WHA providers, for WHA patients: here's the educational information we recommend to all our pregnant patients.

Prenatal Education Video

WHA's prenatal educational information, explained in 25 minutes!

Prenatal Patient Information

Here's all the information we covered with you at the beginning of your pregnancy and other helpful resources, including information from the CDC and American College of Obstetricians and Gynecologists on pregnancy and COVID-19.

Preparing for Your Office Visit

Masks are no longer required—but still greatly appreciated.

Preparing for Your Video Visit

Your clinician wants to be able to see and speak with you during your upcoming appointment, so please take a moment to make sure you're prepared.

Privacy & Security

Learn more about how we’re protecting you—and your health information.

Protocol for Managing Asymptomatic Patients at Risk for Preterm Birth

February 2024

Protocol for Managing Oligohydramnios and Borderline AFI

August 2014

Queer / LGBTQIA+ Menopause

A community-centered resource and support space focused on menopause experiences in LGBTQ+ communities, providing education, stories and connections related to aging and midlife health.

Recommendations for Genetic Screening in Pregnancy

Ashlie A. Tronnes, MD and Karen E. Hansen, MS, CGC
Perinatal Progress Volume 12, Number 1
May 2019

Recurrent Pregnancy Loss

Sophia M.R. Lannon, MD, MPH
Perinatal Progress Volume 10, Number 1
May 2017

Recurrent Pregnancy Loss Protocol for Targeted and Sequential Evaluation

March 2017

Routine Cervical Length Surveillance

2017-09-21; Thomas Lee, MD, MBA, 15:27

Scarleteen

A blog about lots of topics for teens.

Screening for Fetal Chromosomal Abnormalities

Wendy Busch, MS, CGC and Jeri Milanovich, MS, CGC
Perinatal Progress Volume 3, Number 3
October 2010

Sex, Etc.

A website for teens, by teens.

SMFM – Evaluation and Management of Polyhydramnios

Consult Series #46 - October, 2018

SMFM: Five Things Physicians and Patients Should Question

Choosing Wisely, An Initiative of the ABIM Foundation

SMFM: The Role of Ultrasound in Women Who Undergo Cell-free DNA Screening

Consult Series #42 - March, 2017

The Menopause Society

Find trusted information on menopause and midlife women’s health, including symptoms, treatment options and evidence-based guidance for patients and clinicians from a professional medical society.

Thromboembolism and Inherited Thrombophilia

Mark W. Tomlinson, MD, MBA
Perinatal Progress Volume 3, Number 2
June 2010

Thyroid Disease in Pregnancy

2017-09-21; Lisa Farkouh, MD, 12:35

Thyroid Disease in Pregnancy: An Update

Lisa J. Farkouh, MD
Perinatal Progress Volume 9, Number 2
August 2016

Twin-to-Twin Transfusion Syndrome: An Update

Juan Martinez-Poyer, MD
Perinatal Progress Volume 4, Number 2
September, 2011

Twins, the First Trimester

2017-09-21; Ashlie Tronnes, MD, 15:24

Ultrasound – Think Value!

2018-01-24; Mark Tomlinson, MD, MBA, 15:10

Up to Date

A searchable database of current medical information for both patients and providers.

Urgent Visits and After-hours Help

Life happens and we’re here when it does. Learn more about what to do when you think you need to be seen urgently or need help after hours.

Vaccines in Pregnancy

Santosh Pandipati, MD, FACOG
Perinatal Progress Volume 3, Number 1
February, 2010

Venous Thromboembolism in Pregnancy

2019-03-21; Michael P. Smrtka; 15:08

Vitamin D in Pregnancy: Should We Be Testing?

2018-05-29; Sophia M.R. Lannon, MD, MPH; 17:20

Voices for PFD

A great resource from the American Urogynecologic Society for women experiencing pelvic floor disorders, including bladder and bowel control issues and pelvic organ prolapse.

Voiding Diary

If you’re seeing one of our urogynecologists to talk about urinary incontinence, we may ask you to keep track of things for a while before your visit. Download a copy of the voiding diary here.

WebMD Baby

Good information on all things pregnancy.

Wellbeing Assessment and Other Online Forms

Help us get to know you before your visit or get reacquainted if it’s been a while. If you need to complete a wellbeing assessment, a urogynecology intake form—or any other online forms, you’ll have a notification in your MyHealth account.

What to Expect During a Physical Exam

This resource from the Oregon Medical Board provides more information on what to expect from various types of physical exams at the doctor's office, including how to advocate for your rights and what to know about medical chaperones.

Women's Healthcare Associates – Bridgeview

Women's Healthcare Associates – Gateway

Women's Healthcare Associates – Hillsboro

Women's Healthcare Associates – Newberg

1003 Providence Drive, Suite 340, Newberg, OR, 97132, (503) 538-2698

Women's Healthcare Associates – Oregon City

1508 Division Street, Suite 205, Oregon City, OR, 97045
Phone: (503) 657-1071 | Fax: (503) 657-3321

Women's Healthcare Associates – Peterkort North

9701 SW Barnes Road, Suite 200, Portland, OR, 97225. (503) 734-3700

Women's Healthcare Associates – Tabor

5050 NE Hoyt Street, Suite 230, Portland, 97213
Phone: (503) 249-5454 | Hours: M-F 8:30AM-5:00PM

Your Electronic Health Record

WHA is part of the Legacy Epic computer system for scheduling, medical records and billing. Learn more about what that means for you.

Your Test Results

Learn more about when--and how--you'll hear about your test results and how we'll work with you to adjust your treatment plan, if necessary.

Search providers, services, locations…

Schedule an Appointment

If you’re pregnant and want to begin care at WHA–or need to schedule an appointment during your pregnancy, call us! Find a provider and location here.

Please have your insurance information handy before you begin scheduling.

This will allow our teams to check whether your plan may require a referral for the care you need or to prepare benefits information to share with you at your visit. If you do not enter insurance information when scheduling, you may be asked to pay a $200-$500 deposit before receiving service.

What type of appointment do you need?