Tonight: how a White House press conference kept a trusted medication from thousands of pregnant women, what your mammogram might already know about your heart, (yet) more data showing abortion ban states are losing future doctors, and more.

— Meghan McCarthy

THE PRESIDENT IS A BAD PRESCRIBER // Last September President Trump told pregnant women at a White House briefing to avoid Tylenol, claiming without evidence that it causes autism. A new Lancet study tracked what happened next: ER acetaminophen orders for pregnant patients fell 10%, while orders for non-pregnant women didn’t change. Untreated fever in pregnancy increases the risk of miscarriage, neural tube defects, and preterm birth; the researcher who led the study called it “thousands of women not getting pain control or fever reduction when they need it.”

YOUR MAMMOGRAM IS DOING MORE THAN YOU THINK // A study of over 120,000 women found AI analysis can identify “arterial calcification” in routine mammogram images, helping them accurately predict heart attack, stroke, and heart failure risk (even in women under 50.) Nearly 70% of American women have had a mammogram, but fewer than 40% know their own cholesterol levels. Researchers are pushing for FDA review to make this a standard dual-purpose screen.

PERIMENOPAUSE TREATED LIKE AN AFTERTHOUGHT // Nature has a deep dive on how the vast majority of research on hormone therapy was conducted on postmenopausal women — not perimenopausal ones, whose hormones are still fluctuating. The resulting knowledge gap has been filled by an unregulated market of supplements, testosterone protocols, and other treatments with no long-term safety data.

BLOOD PRESSURE, NOT AGE // Life-threatening conditions caused by pregnancy, such as eclampsia, acute kidney failure, and sepsis, increased in the US between 2016 and 2022. The driver isn’t older mothers, but high blood pressure, either during pregnancy or before, and obesity. High blood pressure alone accounted for nearly a third of the total increase. The researchers’ conclusion: if you want to prevent these crises, the time to act is before a woman gets pregnant, not when she’s already on the delivery table.

STATES THAT BAN ABORTION ARE (YET AGAIN) LOSING FUTURE DOCTORS // After Dobbs, applications to residency programs in abortion ban states dropped sharply, particularly for specialties like OBGYN, family medicine, internal medicine, and emergency medicine. The study looked at 24 million applications across more than 4,000 programs and found states with the strictest bans are making themselves harder to staff.