top of page

Project Nana, Inc. · Reframe Health Culture, LLC

Month 13

A stage-based navigation system for menopause and post-menopause—where prevention, power, and possibility begin.

3 happy older women.png

What is Month 13?

Month 13 is a proprietary program owned by Reframe Health Culture, LLC and implemented by Project Nana, Inc. to support women and clinicians through post-menopause with clear stages, evidence-based tools, and culturally grounded care. Menopause is not the end of the story—it’s a moment in time. Month 13 begins after 12 consecutive months without a menstrual period, the point clinicians call the Final Menstrual Period (FMP).

 

From Month 13 forward, a woman is post-menopausal—a stage that can last for decades and profoundly shapes her:

  •  Bone health

  •  Brain health

  •  Heart health

  •  Pelvic health

Month 13 Clinician Training 3x3.png

Who Is Month 13 For?

Seasoned Women (“Nanas”)

  • You’ve gone 12 months without a cycle—or you think you’re close.

  • You’re noticing changes in sleep, mood, weight, joints, bladder, or sex.

  • You want to understand what’s happening to your body and how to protect your health for the long haul.

Clinicians & Health Systems

  • You’re looking for a structured, stage-based framework to discuss menopause and post-menopause.

  • You want to integrate bone, brain, heart, and pelvic health into one visit.

  • You need culturally responsive tools to better serve Black women and other women of color, who often experience earlier and more severe symptoms.

Month 13 provides shared language, education, and tools for both women and providers.

The Month 13 Pillars of
Lifelong Health

Bone Health

Early rapid bone loss can increase fracture risk. Month 13 teaches women and clinicians how to use DEXA scans, strength training, vitamin D, and fall-prevention strategies to protect skeletal health.

 Heart Health

Heart disease becomes the leading cause of death after menopause. Month 13 emphasizes blood pressure, cholesterol, glucose, and movement as core prevention targets.

Brain
Health

Estrogen changes can affect memory, focus, sleep, and mood. Month 13 provides tools for sleep hygiene, cognitive wellness, stress management, and when to seek evaluation.

​

 Pelvic Health

Genitourinary Syndrome of Menopause (GSM), bladder changes, and sexual discomfort are common but not inevitable. Month 13 normalizes conversations about vaginal estrogen, pelvic floor therapy, lubrication, and red-flag symptoms like post-menopausal bleeding.

What Month 13 Offers

For Women & Community:

  • Nana Chats: Welcome to Month 13 – virtual and in-person conversations that explain the stages, symptoms, and prevention steps.

  • Month 13 Passport – a guided booklet for tracking symptoms, labs, and questions for clinicians.

  • Workshops & Summits – interactive sessions at the Seasoned Women’s Health Summit and partner events.

  • Digital Resources – downloadable checklists, trackers, and educational PDFs.

Clinicians & Health Systems

  • Month 13 Post-Menopause Women’s Health Assessment Protocol – a stage-based clinical framework covering bone, brain, heart, and pelvic health.

  • Training & Grand Rounds – education sessions for OB/GYN, primary care, oncology, and community health teams.

  • Co-Branded Cohorts & Pilot Programs – clinic- or insurer-based programs guiding women through the Crawl, Month 12, and Month 13.

  • Research & Evaluation Partnerships – integration with community-engaged research and cancer prevention initiatives.

Be Part of Our Month 13 Community

Upcoming Nana Chat: Welcome to Month 13

Friday March 20, 2026 | 7:00- 8:30 PM

Virtual Meeting on Zoom

Nana Chat 2025 Flyer (2).png

Take Your Next Step Into Month 13

I'm a Nana/Seasoned Woman

  • Learn what stage you’re in

  • Download your Month 13 Passport

I'm a Clinician or Health System

I'm a Funder or
Partner

  • Request Month 13 Clinical Brief

  • Invite Project Nana for grand rounds or training

  • Explore Month 13 pilots and partnerships

  • Support equity in post-menopausal care

Month 13 is owned by Reframe Health Culture, LLC and used by Project Nana, Inc. under exclusive license.

© 2025 Reframe Health Culture, LLC. Month 13. All Rights Reserved.

bottom of page