rage against the…

Here are the most interesting things we found this week in women’s health:

🏥WHO’S WATCHING WHETHER THE ER TURNED YOU AWAY? SOON, MAYBE A PRIVATE FIRM.

Buried in Medicare’s proposed 2027 outpatient payment rule, CMS wants to hand off part of EMTALA enforcement to private accrediting organizations — the same ones paid by the hospitals themselves. One of those duties is maintaining ER logs, which document women sent home mid-miscarriage or ectopic pregnancy. Under this structure, those records could also be exempt from public disclosure rules. Comments are open through August 31.

🔥 THE MENOPAUSE SYMPTOM MEDICINE HAS NO NAME FOR

Hot flashes, brain fog, sleep loss — those are in the guidelines. Rage isn’t. In a TIME essay, OB-GYN Dr. Sarah Berg argues that perimenopausal rage gets folded into depression and anxiety clusters, studied just enough to confirm it’s real and no further. A federally funded UNC trial has started looking at perimenopausal irritability specifically, but rage as a distinct clinical entity has no diagnostic name, no treatment protocol, and no guideline. That gap has professional consequences — different ones depending on who you are.

 🔬 THE PILL CAN WORK AS WELL AS AN IUD — WITH THE RIGHT SUPPORT

A University of Utah study of 4,000 women found that when patients got same-day access, reliable refills, and care built around their own priorities, failure rates were similarly low across nearly every contraceptive method: about one pregnancy per 100 women a year, whether using an IUD or the pill.
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TOP CLICKED STORIES THIS WEEK

Ovary identity shift after menopause may contribute to inflammation // New Scientist

How a conversation about affordability led to menopause legislation // 19th News 

The Menopause Conversation Still Has One Major Blind Spot // Time

At-Home Transvaginal Pelvic Ultrasonography and Image Quality in Premenopausal Women // JAMA Network Open 

Medicare Program: …Deeming for Emergency Medical Treatment and Labor Act (EMTALA)// Federal Register

Texas Hospital Discharged Woman With Doomed Pregnancy, Breaking Law // NBC News


Meghan McCarthy

Maternie was founded in 2017 by Meghan McCarthy. Meghan has spent her career digging through information and breaking it down for readers. After spending seven years reporting on Capitol Hill, Meghan co-founded at Morning Consult, where she built and led the company's content operation. She also helped build and lead Courier Newsroom, a progressive media organization. Her work has been featured in the New York Times, the Washington Post, The Atlantic, NPR, and other national news outlets.

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