the twisted history of PMDD

the top things to know in women’s health and wellness today:

  • The scientific community has been aware of premenstrual dysmorphic disorder (PMDD) for nearly a century, so why don’t more health care professionals and patients know about it? The history is complicated
     
  • North Carolina’s Medicaid program has found that if you help pay for things like safer housing and healthier food, you can save money on medical expenses.
     
  • Ms. Magazine has an essay from a 39-year-old mom who had symptoms that were dismissed for years as related to postpartum or perimenopause, until she was finally diagnosed with stage 3 rectal cancer.

JUMP TO…

Everything
Fertility
Menstruation
Abortion Access
Oncology

TOP STORIES TODAY: the most important reads we’ve found, and why they matter.

EVERYTHING

Help Paying for Basics Like Food, Housing, Cuts Health Costs in North Carolina

What: North Carolina’s Medicaid program says a pilot program that helps pays for things like safer housing, healthier food, and support for dealing with stress has been saving the state $85 per person in a preliminary analysis. In other words, spending on the “social determinants” of health may be able to reduce medical costs.

Why it matters: Medicaid covers nearly half of all births in the United States. If this pilot is shown to save money in one state, perhaps it can quickly expand to others.

Source: NC Department of Health and Human Services

FERTILITY

Feds (Finally) Start Offering Fertility Benefits

What: The federal government is the country’s largest employer, and starting this year they are offering insurance that covers fertility services. The new coverage can include “up to $25,000 annually for in vitro fertilization (IVF) procedures and up to three artificial insemination cycles each year.”

Why it matters: This could push more private employers to offer fertility benefits. According to a 2023 survey, 45% of large employers offered fertility benefits, about double the number that did in the early 2000s.

Source: Kaiser Health News via The 19th

MENSTRUATION

Why So Few People Know About PMDD

What: We’ve known about premenstrual dysphoric disorder (PMDD) for nearly a century, but a 2022 survey of PMDD patients found that 40% of mental health providers had never heard of the condition. Shalene Gupta, a reporter who wrote a book on PMDD and her experience with the condition, explains that’s a byproduct of a 1970s world that conflated PMDD with PMS. And that led feminist leaders at the time to oppose PMDD from being categorized as a mental health condition, lest it be used to argue all women are unfit to pursue the lives and careers they wanted, due to menstruation.

Why it matters: The women who didn’t get diagnosed in the intervening years have suffered.

Source: Time

ABORTION ACCESS

Is ‘Abortion Clinic’ Still an Insult? Or a Badge of Honor?

What: NPR’s public editor breaks down how newsrooms have approached abortion language over the past few decades. Publications used to shy from referring to “abortion clinics,” since it could be interpreted as a pejorative categorization for health professionals who do more than provide abortions. One reader complained about NPR’s recent coverage of VP Kamala Harris’ historic first visit to a clinic that provides abortion, saying a headline that referred to Planned Parenthood as an abortion clinic ignored the other services they offer.

Why it matters: As NPR’s chief Washington editor put it: “The Biden campaign has made abortion rights a centerpiece of its reelection strategy…And it’s no coincidence that after several events where she has met with patients who have received abortions, and doctors who have performed them, the vice president went to a facility that provides abortion services.”

Source: NPR

ONCOLOGY

Trusting Your Gut Instincts and Getting the Care You Need

What: A first-person essay from a Marisa Peters, who was diagnosed with stage 3 rectal cancer at 39 years old. Her symptoms (“bleeding out of my butt like I was having a period every day”) were dismissed as hemorrhoids post-childbirth, delaying her treatment for years. Since 1995, new cases of colorectal cancer has nearly doubled for Americans under 55.

Why it matters: As Peters puts it: “It is urgent: If you are experiencing even one of the symptoms—like bloody stool, stomach pain, urgency to go, and/or anemia causing fatigue—go straight to your doctor and ask to be screened. If the doctors push back or minimize your concerns, keep going. Many of you have been told by doctors that it is just post-childbirth changes, gut health, perimenopause or menopause—but colorectal screening saves lives.”

Source: Ms. Magazine

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.