You're 56-65

Just when you’re settling into the new way of things and thinking you’re out of the woods body-change-wise, you realize your body has other plans. Let us help you understand what’s happening on the other side of menopause and how to stay healthy and feel well.

Schedule an Appointment

How you doin?

Nearly all people in this age range will be on the other side of the menopause transition. Conventional wisdom holds that symptoms, if you have them, tend to be the worst in the year leading up to menopause and the year following it. Although you may be outside of this range, you can still get help for symptoms if they’re troubling you. This could include hormone replacement therapy or alternative remedies, depending on what and how bothersome your symptoms are.

Let's be breast friends

Your breast cancer risk increases with age and our attention to your breast exam does, too. Mammography has been shown to detect around 90% of breast cancers and a breast exam by a health provider has been shown to be a good addition to that.

Wait, is that…?

Ah, yes. If you haven’t experienced urine leakage before, it’s not uncommon to experience it during and after menopause as estrogen continues to decline and cause changes in the tissue and muscle of the vagina, urethra and pelvic floor. The good news: urinary incontinence tends to respond very well to treatment and there are a wide range of options. Even though it can feel awkward to bring up, trust us—it’s worth it! Your clinician may have some initial suggestions to address what you’re experiencing or may recommend seeing one of our urogynecologists – a.k.a., pelvic floor health superheroes.

Other health issues

We want you to continue living a full and healthy life as you age. Your provider will probably want to talk about the things that could be most likely to affect that as you age, such as smoking, obesity, your family history and other risk factors for heart disease and stroke.

Time for some primary care

If they haven’t already, it’s likely that health issues will come up that have nothing to do with your reproductive health, and we want you to have a go-to primary health provider to help you—and us—address those things. If you need a recommendation, just ask!

Hormones, still?

How you doin?

Let's be breast friends

Wait, is that…?

Other health issues

Time for some primary care

What matters right now

Here are some topics your provider may bring up

Menopause hormone therapy (MHT)

Menopause Hormone Therapy, aka hormone replacement therapy, can help manage perimenopausal symptoms like hot flashes and night sweats. Your provider will consider factors such as your age, cardiovascular health, cancer risks and family medical history when determining if MHT/HRT is right for you, and how long you should continue treatment.

Did you know?

Studies have shown that if hormone therapy is started before the age of 60 or within 10 years of menopause, the benefits for a woman’s quality of life can outweigh the potential health risks.

What matters right now

Here are some topics your provider may bring up

Menopause

Menopause is the absence of spontaneous periods for 12 months and typically occurs around age 52. Early-onset menopause can happen between ages 40 and 45. Symptoms of the transition, called perimenopause, often begin 7 to 10 years earlier. Menopause hormone therapy (MHT) can help relieve symptoms, along with lifestyle changes like regular exercise and weight management.

Health and disease screening

Screening looks for signs of disease or assesses risk factors before symptoms appear. For instance, mammograms help detect breast cancer; Pap tests screen for cervical cancer; colonoscopies check for colorectal cancer; DEXA scans assess bone density for osteoporosis; and measuring blood pressure, cholesterol and blood glucose helps identify risks for heart disease and diabetes. Regular screenings can catch potential issues early, making treatment more effective.

Emotional wellbeing

Emotional health is your ability to cope with life’s ups and downs, manage stress and maintain positive relationships. It’s closely connected to mental and physical health. Paying attention to your feelings, getting support when needed and making time for movement and things that bring you joy all support emotional well-being.

Bladder control and function

Bladder control is the ability to store and release urine properly, which can be affected by pregnancy, childbirth, aging or medical conditions. Issues with bladder function include incontinence (loss of bladder control), urinary retention (difficulty emptying the bladder), urinary frequency (needing to urinate often) and urgency (sudden, strong urges to urinate), all of which may require medical evaluation and treatment.

Sexual health

Sexual health is about more than just preventing infections; it’s about feeling informed, safe and supported in your choices. It includes things like STI testing, birth control, healthy relationships and addressing concerns like pain with sex or low libido. Regular checkups can help you stay in control of your sexual wellness.

Menopause hormone therapy (MHT)

Did you know?

Studies have shown that if hormone therapy is started before the age of 60 or within 10 years of menopause, the benefits for a woman’s quality of life can outweigh the potential health risks.

Breast cancer screening

Beginning at age 50, all guidelines agree: mammograms should be done annually.

Cervical cancer screening

You know the drill: a Pap and HPV test every three to five years as recommended by your provider until age 65 if your results are normal. If you have a track record of normal results from both the Pap and HPV test, your provider will likely recommend a frequency of every five years.

Early osteoporosis screening

Screening for osteoporosis is recommended for people of average risk beginning at age 65, but talk to your provider about starting earlier if you have had broken bones as an adult; you have a biological parent who has had a hip fracture; or if you smoke, drink excessively or are underweight. Also discuss screening frequency, which can vary from person to person.

Colon cancer screening

Talk to your primary care provider about his or her recommendations for how often to be screened for colon cancer, which will depend on your risk factors, the type of screening tests you’ve had in the past and your past results.

General health screenings

We may be able to help with some of these when we see you. Otherwise, see your primary care provider for screening related to:

High blood pressure. Get your blood pressure tested every year. Optimal blood pressure in healthy women is less than 120/80.

Diabetes. Screening for diabetes is recommended if you are overweight or obese, have high blood pressure, high cholesterol or have had diabetes during pregnancy.

Thyroid disease. Periodic screening is recommended beginning at age 45.

Cholesterol/lipids. Screening tests for high cholesterol are recommended periodically for all people, but may be done more frequently if you are overweight, obese or have other risk factors.

Vaccines

Yep, still. We can help with seasonal flu and Tdap if you’re in for a visit; otherwise, see your primary care provider for:

Seasonal flu vaccine is especially important for people with chronic health conditions, pregnant people and older adults.

Tdap vaccine (if you’ve never had one) or a Td (tetanus, diphtheria) booster shot every 10 years.

Shingles vaccine. Healthy adults aged 50 years and older should get a zoster vaccine to prevent shingles and the complications from the disease.

COVID vaccine. Stay up to date with current guidelines here >

A simple guide to screenings and prevention

Breast cancer screening

Beginning at age 50, all guidelines agree: mammograms should be done annually.

Cervical cancer screening

Early osteoporosis screening

Colon cancer screening

General health screenings

We may be able to help with some of these when we see you. Otherwise, see your primary care provider for screening related to:

High blood pressure. Get your blood pressure tested every year. Optimal blood pressure in healthy women is less than 120/80.

Diabetes. Screening for diabetes is recommended if you are overweight or obese, have high blood pressure, high cholesterol or have had diabetes during pregnancy.

Thyroid disease. Periodic screening is recommended beginning at age 45.

Cholesterol/lipids. Screening tests for high cholesterol are recommended periodically for all people, but may be done more frequently if you are overweight, obese or have other risk factors.

Vaccines

Yep, still. We can help with seasonal flu and Tdap if you’re in for a visit; otherwise, see your primary care provider for:

Seasonal flu vaccine is especially important for people with chronic health conditions, pregnant people and older adults.

Tdap vaccine (if you’ve never had one) or a Td (tetanus, diphtheria) booster shot every 10 years.

Shingles vaccine. Healthy adults aged 50 years and older should get a zoster vaccine to prevent shingles and the complications from the disease.

COVID vaccine. Stay up to date with current guidelines here >

Ways We Care

Gynecology

For all your reproductive parts, from checkups to childbirth, or whatever else.

Learn More →

Urogynecology

Treatment for the entire pelvic floor and bladder so you can live life freely.

Learn More →

Mammography

Breast check-ups with the help of modern technology and top-shelf experts.

Learn More →

Behavioral & Mental Health

People on and by your side during and after pregnancy, prioritizing your needs.

Learn More →

Let’s talk about it

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WHA Staff Updated Mar 5, 2026

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WHA Staff Updated Mar 5, 2026

Fifteen WHA Clinicians Recognized on Portland Monthly’s 2026 Top Medical Providers List

WHA Staff Updated Mar 5, 2026

Acetaminophen Use in Pregnancy – What Patients Need to Know

WHA Staff Updated Mar 5, 2026

Expanded Space at PPMC Brings Dedicated Midwifery Access to WHA's Tabor Clinic

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.

You're 56-65

How you doin?

Let's be breast friends

Wait, is that…?

Other health issues

Time for some primary care

Hormones, still?

How you doin?

Let's be breast friends

Wait, is that…?

Other health issues

Time for some primary care

What matters right now

Here are some topics your provider may bring up

Menopause hormone therapy (MHT)

Did you know?

What matters right now

Here are some topics your provider may bring up

Menopause

Health and disease screening

Emotional wellbeing

Bladder control and function

Sexual health

Menopause hormone therapy (MHT)

Did you know?

Breast cancer screening

Cervical cancer screening

Early osteoporosis screening

Colon cancer screening

General health screenings

Vaccines

A simple guide to screenings and prevention

Breast cancer screening

Cervical cancer screening

Early osteoporosis screening

Colon cancer screening

General health screenings

Vaccines

Breast cancer screening

Cervical cancer screening

Early osteoporosis screening

Colon cancer screening

General health screenings

Vaccines

Ways We Care

Gynecology

Urogynecology

Mammography

Behavioral & Mental Health

Let’s talk about it

What you need to know about "bioidentical" hormone therapy for menopause

How long can I stay on menopause hormone therapy?

It's a Good Time to Get Your Flu Vaccine

What you need to know about "bioidentical" hormone therapy for menopause

How long can I stay on menopause hormone therapy?

It's a Good Time to Get Your Flu Vaccine

Fifteen WHA Clinicians Recognized on Portland Monthly’s 2026 Top Medical Providers List

Acetaminophen Use in Pregnancy – What Patients Need to Know

Expanded Space at PPMC Brings Dedicated Midwifery Access to WHA's Tabor Clinic

Fifteen WHA Clinicians Recognized on Portland Monthly’s 2026 Top Medical Providers List

Acetaminophen Use in Pregnancy – What Patients Need to Know

Expanded Space at PPMC Brings Dedicated Midwifery Access to WHA's Tabor Clinic

Additional Resources

Accepted Insurance

ACOG Disorders of the Vulva

ACOG Patient Resources

Advocates for Youth

Anemia in Pregnancy

Antenatal Surveillance Guidelines

Approach for Determining Gestational Age

Baby Center

Bedsider

Billing and Collection Practices

Billing and Payments During Pregnancy

Breastfeeding Articles

CDC.gov

CDC.gov – Pregnancy

Cell-free Fetal DNA in Maternal Blood

Checking Your Insurance Benefits for Genetic Testing

Comfort Measures and Over-the-Counter Medications During Pregnancy