Tonight: Gloria Steinem's origin story, Texas delays its maternal death count, and more.

— Meghan McCarthy

TEXAS WILL TELL YOU HOW MANY MOTHERS DIED. IN DECEMBER.

Texas’s report on maternal mortality in the state was due September 1, but state officials moved it to December 1, after the midterm elections. Why? The official line is that the committee was asked “to strengthen the report by further describing its work around preventability, better defining the sources of its recommendations, and making clearer connections between the underlying data, findings, and recommendations.” The Texas House Women's Health Caucus says they want the recommendations by October 1 so they can prepare before the state’s legislative session. Texas has had several women die due to lack of care while miscarrying under the state’s all-out abortion ban.

GESTATIONAL DIABETES MOVES THE CLOCK UP THIRTEEN YEARS

Women who had gestational diabetes were more likely to develop type 2 diabetes at a younger age, around 43 years old, than women who did not, who were around 56 years old. Among women who had gestational diabetes, 40% developed type 2 diabetes before age 40, compared with only 6% of women who had not had gestational diabetes. Researchers also noted that women with gestational diabetes “more frequently require insulin therapy at the time of diabetes diagnosis. This pattern suggests a more severe form of type 2 diabetes and an elevated risk of subsequent complications.”

YOUR CHART DOESN'T KNOW YOU'RE IN MENOPAUSE

An analysis found that menopause status is rarely captured as structured data in electronic health records and is instead inferred from things like age or a billing code. Researchers say that makes it harder to track symptoms over time, which in turn makes clinical decisions more difficult. They call for a standardized way to track menopause and its symptoms to make scalable menopause research possible.

A 1930s MAP IS STILL DECIDING WHO GETS A MAMMOGRAM

Breast cancer screening rates were more than four percentage points lower in neighborhoods that received the government’s worst redlining grade in the 1930s than in those rated the best. Researchers examined 1,152 census tracts in Kansas and Missouri and found that poverty explained nearly half of the association, while lower educational attainment explained another quarter. Overall, 84% of the areas studied fell short of the federal screening target of just over 80%.

GLORIA STEINEM TURNED A SECRET ABORTION INTO A LIFETIME OF ACTIVISM

Gloria Steinem died Wednesday at age 92. At 22, years before Roe, she traveled to London for an illegal abortion and promised the doctor who helped her that she would never reveal his name. Twelve years later, hearing women publicly share their abortion stories launched her historic path into activism for women’s rights. She went on to make reproductive freedom central to the modern women’s movement—and dedicated a memoir to the unnamed doctor who made her life as she knew it possible.

September 1, 2026

Tonight: Medicaid cuts coming for women (and men), preeclampsia in the blood, and more.

— Meghan McCarthy

WOMEN MORE LIKELY TO LOSE MEDICAID NEXT YEAR

Next year adults covered through Medicaid expansion will have to document 80 hours of work or other qualifying activities each month. Pregnant and postpartum enrollees are exempt — an important carveout in a program that pays for over 40% of U.S. births. But a new analysis found that nearly one in five working adults could still fall short because their hours hover near the threshold or change from week to week. Women were 22% more likely than men to be at risk of losing coverage.

THE ABORTION PILL CASE IS PAUSED, NOT GONE

A federal judge in Texas paused a case seeking to revoke the FDA's 2000 approval of the abortion pill until December 1 or until the FDA finishes its own review of the drug, whichever comes first. That review is expected to take about six months. The states are invoking the Comstock Act, an 1873 anti-vice law, to try to stop abortion pills from moving through the mail. The Trump administration has reportedly delayed the FDA review until after the midterm elections, because banning the abortion pill would be politically unpopular.

MAHA MET THE MENOPAUSE STARTUPS

Wired has a deep dive that finds the hormone-therapy revival has produced an unusual alliance of menopause specialists, venture-backed telehealth companies and MAHA officials increasingly pitching estrogen as a longevity intervention. The movement accelerated after the FDA removed boxed warnings last fall. At the announcement, ARPA-H Director Alicia Jackson — who founded menopause telehealth company Evernow — said hormone therapy could add “up to a decade of healthy years” to women’s lives. Traffic to four leading menopause startups rose 490% between 2023 and 2026. But experts warn that the evidence supports hormones for treating menopause symptoms, not prescribing them broadly to prevent aging or explain nearly every discomfort of midlife.

TWELVE WEEKS IN, ONE PROTEIN TALKS

Researchers screening nearly 3,000 proteins found that low levels of a placental protein called isthmin-2 around week 12 were strongly associated with later preeclampsia or fetal growth restriction. The finding came from a study nested within a cohort of over 4,500 first-time mothers, and the protein distinguished affected pregnancies better than five measurements currently used in first-trimester risk screening. Lab experiments offered a possible explanation: reducing the protein made placental cells less able to invade surrounding tissue.

IT'S NOT THE TRANSITION. IT'S THE CALENDAR.

A study of over 7,600 women covering nearly 14 years found a hormone that signals potential thyroid problems rose steadily with age, with no sharp increase at menopause. The rates of underactive and overactive thyroid climbed on the same aging curve. Clinical attention, the authors write, "should be focused on the age-related progression of thyroid abnormalities, independent of menopausal status."

Here’s what we found most interesting this week in women’s health:

🏥 Perinatal mental health conditions affect 1 in 5 women during or after pregnancy, yet screening remains far from universal — partly because mental health was never included in the 30-year-old bundled payment model obstetric providers get paid under. The Lindsay Clancy trial has brought new attention to the issue.

🚑 KFF found the median drive between rural maternity hospitals is 43 minutes, more than three times the 13-minute urban median. And Republicans’ looming Medicaid cuts could make those distances longer.

☕ An active-duty soldier and her husband paid $10,000 out of pocket for IVF because military health insurance generally doesn't cover it. So, the husband got a job at Starbucks, which does have fertility benefits.

TOP CLICKED STORIES THIS WEEK

Maternal mental health is making headlines. Experts say it's long overdue // CNN

Out-of-State Travel for Abortion Care Before and After the Dobbs v Jackson Decision // JAMA Network Open

Availability of Rural Hospitals Providing Inpatient Maternity Care in Medicaid // KFF

ACS report reveals Native Hawaiian women in U.S. have highest breast cancer incidence // American Cancer Society

Missouri military family needed IVF. Starbucks offered better coverage than the Army. // Missouri Independent

From Silence to Systems Change: Connecticut Moves Menopause Equity Forward // UConn

August 27, 2026

Tonight: cervical screening is falling as vaccination rises, Starbucks out-covers the Army on IVF, and more.

— Meghan McCarthy

ALMOST A THIRD OF WOMEN IN THEIR TWENTIES HAVE NEVER BEEN SCREENED

A JAMA Network Open analysis of around 106,000 women across nine editions of a national health survey found the share of women aged 21 to 29 who have never had a cervical cancer screening rose from just above 12% in 2005 to nearly 32% in 2023. Among women 30 to 65 it nearly tripled, to nearly 15%, or roughly 9 million people. The good news? At the same time, HPV vaccination climbed from 6% to 54%.

FORTY-THREE MINUTES TO THE DELIVERY ROOM

KFF counted 943 rural hospitals still providing inpatient maternity care to Medicaid enrollees, then measured how far apart they sit: a median 43-minute drive to the next one, against 13 minutes for urban hospitals. One in four rural hospitals is at least an hour from another maternity unit, and in 14 states an hour travel time is typical. The 2025 reconciliation law's cuts to hospital payments could thin the map further.

STARBUCKS COVERS IVF. THE ARMY DOESN'T.

An active-duty couple at Fort Leonard Wood paid more than $10,000 out of pocket for IVF because most military members’ health insurance doesn’t cover fertility drugs or procedures, the Missouri Independent reports. In this story the husband put college on hold for a job at Starbucks, because the company covers fertility treatments. Despite past support, all 14 Republicans on the Senate Armed Services Committee voted in July to strip IVF coverage from the defense bill.

SPAIN’S MENOPAUSE GUIDE WAS BASED ON STUDIES OF MEN

Spain’s food safety agency based parts of its menopause nutrition guidance—including recommendations on iron and vitamin C—on research conducted exclusively in men. After women scientists raised the alarm, the agency sent the report back to its scientific committee for review. Equality Minister Ana Redondo said it was time for the male body to stop being “the universal reference point for everything.”

NATIVE HAWAIIAN WOMEN HAVE THE COUNTRY’S HIGHEST BREAST CANCER RATE
American Cancer Society researchers separated cancer registry data that typically groups Asian American, Native Hawaiian and Pacific Islander populations together—and uncovered stark differences. Native Hawaiian women had the country’s highest breast cancer incidence: 27% higher than white women and 57% higher than the combined group. Across the 11 populations studied, overall cancer rates varied more than twofold, showing how aggregation can bury both the highest and lowest risks inside a single data point.

August 25, 2026

Tonight: maternal mental health never made it into the bundle, Alabama sent 1,208 women to North Carolina, and more.

— Meghan McCarthy

MATERNAL MENTAL HEALTH: NATIONAL STAGE, STILL LEFT OUT
Perinatal mental health conditions affect as many as 1 in 5 women during pregnancy or the year after birth, making them more common than gestational diabetes. Yet screening remains far from universal. One reason may be structural: Obstetric providers are generally paid a single bundled rate for care from pregnancy through six weeks postpartum. Joy Burkhard, CEO of the advocacy group Policy Center for Maternal Mental Health, argues that the 30-year-old payment model discourages providers from addressing mental health because it was never included in the original bundle. The Lindsay Clancy trial and the death of Hayden Panettiere, who spoke publicly about postpartum depression, have pushed maternal mental health into the national conversation.

ALABAMA SENT FIVE WOMEN TO NORTH CAROLINA. THEN IT SENT 1,208.
North Carolina providers performed an average of nearly 38 more abortions for out-of-state patients each day in the year after Dobbs than in the year before it, while the number provided to state residents barely changed. A JAMA Network Open analysis covered all 79,433 abortions provided in the state during those two years. The number of patients arriving from Georgia jumped from 127 to 6,513; from Alabama, 5 to 1,208; and from Tennessee, 218 to 1,644. Out-of-state patients also traveled farther — an average of 258 miles, up from 156 — and arrived at a median of eight weeks’ gestation instead of seven. The timing of abortions among North Carolina residents didn’t change.

CONNECTICUT PUTS MENOPAUSE IN EMPLOYMENT LAW
Two new Connecticut laws treat menopause as both a workplace issue and a health care issue. One explicitly adds menopause-related impairment to the state’s workplace accommodation protections, requires employers to notify workers of those rights and directs the Commission on Human Rights and Opportunities to develop model policies. The other directs the state to create a clinician toolkit covering menopause diagnosis and both hormonal and nonhormonal treatments. A UConn initiative helped shape the laws with residents’ accounts of navigating menopause at work and in the health care system.

WOMEN’S HEALTH VENTURE FUNDING FELL BY MORE THAN A THIRD
Venture funding for women’s health companies dropped from $3.2 billion in 2024 to roughly $2 billion in 2025, while the companies’ share of all health care venture deals slid from 7.4% to 5.7%, according to a Silicon Valley Bank report. Biopharma startups were hit hardest, with funding falling from $1.3 billion to $610 million. SVB’s Megan Scheffel describes it as a higher bar rather than a disappearance of capital: “Progress that used to be the province of Series A is now required to raise a Seed round.” Some founders are also broadening their pitches beyond conditions exclusive to women to include depression, obesity and heart disease — conditions that affect both sexes but may affect women differently.

DIABETES CAN SET WOMEN AND MEN ON DIFFERENT PATHS
After a type 2 diabetes diagnosis, women were more likely than men to be diagnosed with anxiety, depression or a somatoform disorder — 8.1% versus 5.3% — while men were more likely to develop cardiovascular disease or kidney failure, 8.4% versus 5.3%. A PLOS Medicine study tracked 28,720 UK adults for a median of nearly seven years and found that younger women had the greatest probability of developing a mental health condition. The researchers recommend making routine mental health screening part of diabetes care, particularly for younger women.

💰 TREATING MENOPAUSE COULD BE CHEAPER THAN NOT TREATING IT — A cost-effectiveness model found that putting 10,000 fifty-year-old women with hot flashes on five years of transdermal estrogen could save roughly $135 million and prevent 647 deaths, largely from cardiovascular disease. The model projected 87 additional breast cancer cases — but also 259 fewer cases of heart disease and 181 fewer hip fractures.

💊 FDA WANTS OPINIONS ON TESTOSTERONE FOR WOMEN — Off-label use of testosterone for menopausal women has climbed for a decade, so the FDA's Office of Women's Health is convening a public workshop on the topic with comments open through October 19. Beyond 24 months of use, the agency says safety data is limited — "particularly regarding cardiovascular and breast cancer risks."

👶🏽 DOULAS WORK, REVIEW FINDS — A review of 30 studies found doula support was associated with lower rates of preterm birth and C-sections, better birth experiences, and higher attendance at the 6-week postpartum check-up. The benefits held — and sometimes were strongest — among people facing racial, income, insurance, or incarceration-related disparities.

TOP CLICKED THIS WEEK

The Anti-Abortion Movement's Next Target: Surrogacy // Texas Tribune

Testosterone for Women Workshopping // Federal Register

Women Are Nearly 70% of the Health Workforce, and the Lowest Paid // Institution for Health Metrics and Evaluation

Wall Street Bets on Fertility Benefits // CNBC

I’m a Psychiatrist. I’m Hearing Something New From Young Women. // New York Times

Interpol Isn't Coming for Abortion Pills // The 19th

August 20, 2026

Tonight: the anti-abortion movement's new target and Wall Street's fertility bet.

— Meghan McCarthy

THE ANTI-ABORTION MOVEMENT'S NEXT TARGET: SURROGACY

Surrogacy has become part of the battle over reproductive rights and abortion. A surrogate in Texas who delivered a baby born with a severe heart defect is fighting the intended parents for custody, accusing them of wanting her to get an abortion. Anti-abortion groups including Live Action and Texas Right to Life are backing the surrogate, and state lawmakers are already floating limits on commercial surrogacy, starting with a ban on foreign nationals using Texas surrogates and restricting third-party egg and sperm donation.

WOMEN ARE NEARLY 70% OF THE HEALTH WORKFORCE, AND THE LOWEST PAID

Women now make up nearly seven in ten health workers worldwide and drove most of the sector's growth since 1990, yet they cluster in its lowest-paid, least-powerful jobs: 81% of nurses and 96% of midwives, but fewer than half of doctors. The first sex-disaggregated global count, published in The Lancet Public Health, spans 204 countries and lands as the world faces a projected shortage of 34 million health workers. Lead author Megan Knight said women “have transformed the global health workforce over the past three decades, but they continue to be concentrated in professions that generally offer lower pay and fewer opportunities for leadership.”

IN A PREGNANCY TRIAL, STRENGTH TRAINING BEAT GESTATIONAL DIABETES

A randomized controlled trial of just over 200 pregnant women who were overweight or obese found no women who stuck with a supervised strength-training program developed gestational diabetes, compared with 7.3% of the control group. No babies in the strength group were born oversized, versus 6.3% of controls, and the exercisers reported a better quality of life. The Spanish trial is small and hinges on sticking with the program, but the signal is worth more investigation.

WALL STREET BETS ON FERTILITY BENEFITS

Wells Fargo thinks Progyny, which helps employers offer IVF and egg-freezing benefits, is poised for growth. The bank recommended buying the company’s stock and predicted its price could rise about 45%, arguing that employers will continue expanding fertility coverage even in a tighter economy. Analysts said the company sits “at the intersection” of demographic pressures, corporate wellness priorities, and healthcare innovation. Nine of the 11 Wall Street analysts covering Progyny now recommend buying it.

THE GIRLS ARRIVE ALREADY DIAGNOSED

By the time many teenage girls and young women reach a psychiatrist, they have already found a name for what they are experiencing: ADHD, OCD, anxiety or depression. Psychiatrist Suzanne Garfinkle-Crowell writes that these labels, often researched on Instagram and TikTok, may function less as firm clinical claims than as borrowed language for pain. Her advice is to take them “seriously but not literally” and listen for what lies beneath the diagnosis. Roughly half of Gen Z reports having a mental-health condition, with girls both driving the trend and experiencing the worst mental-health outcomes.

August 18, 2026

Tonight: the hormone the FDA has never approved for women, a new plan to choke off abortion pills, and more.

— Meghan McCarthy

TESTOSTERONE FOR WOMEN WORKSHOPPING

The FDA's Office of Women's Health is convening a public workshop next month on testosterone use in menopausal women, with comments open through October 19. There is no FDA-approved testosterone product for women in the country, though the agency's notice acknowledges off-label use has climbed for a decade. It's approved for low sexual desire in the UK, Australia, New Zealand and South Africa. Beyond 24 months, the FDA says, safety data is limited, "particularly regarding cardiovascular and breast cancer risks."

INTERPOL ISN’T COMING FOR ABORTION PILLS

The 19th reports that an attorney working for an anti-abortion group is preparing a paper on how Attorney General Todd Blanche could use Interpol, an international law enforcement agency, to disrupt mifepristone distribution inside the United States. Called Operation Pangea, the lawyer said Blanche had already agreed to make restricting the abortion drug a priority. Experts say it’s unlikely this plan would work and instead is a sign of desperation from anti-abortion activists, since the Trump administration has not had any success banning the pill.

IT'S CHEAPER TO TREAT MENOPAUSE THAN NOT TO

If 10,000 fifty-year-old women with hot flashes went on five years of transdermal estrogen, it would save about $135 million and prevent 647 deaths, according to a model published in Obstetrics & Gynecology. The biggest benefit was preventing cardiovascular disease. While they projected it could cause 87 additional breast cancer cases, they also found 259 fewer cases of heart disease and 181 fewer hip fractures.

THE DOULA STUDIES POOL

Researchers looking at 12 randomized trials and 18 non-randomized studies found doula support is associated with lower rates of preterm birth and cesarean delivery, better birth experiences, and higher postpartum visit attendance. Four of the five studies conducted entirely among people at risk of disparities, such as race, income, insurance status or incarceration, reported at least some benefit.

TEN YEARS BEFORE THE DIAGNOSIS, THE PRESCRIPTIONS START

Women with endometriosis filled 29% more antidepressant prescriptions and 16% more anxiety prescriptions—a decade before they ever got diagnosed, according to a Danish study of nearly 137,000 women. The gap didn't close after diagnosis, widening to 40% and 46%, respectively. Researchers point to prolonged pain, uncertainty about the cause and fertility problems as plausible explanations, but the study doesn't establish what drives the strain, or whether diagnosing women sooner would ease it.

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

🏥 ONE IN THREE COUNTIES HAS NOWHERE TO GIVE BIRTH: A March of Dimes report found that nearly 6 million women and 350,000 infants in the United States live in counties without full access to maternity care, and it's getting worse. At least 96 hospital labor-and-delivery units closed across 35 states since 2024, and in nearly 60% of those counties, the shuttered unit was the only place to give birth.

🩻 KNOWING YOU HAVE DENSE BREASTS ISN'T ENOUGH: State laws requiring providers tell women they have dense breast tissue led to more people getting a follow-up ultrasound or MRI, but the rates were still low, even in states where insurers were required to cover the screenings. A JAMA Network Open analysis of 12.5 million women found that notification alone isn't closing the gap. Dense tissue both raises breast cancer risk and hides tumors on a standard mammogram, which is why the supplemental scan matters.

🌍️ WHEN THE AID STOPS, THE DYING STARTS: The human cost of gutting USAID is not abstract. The AP documented it in Nepal, where the shutdown of nutrition and reproductive-outreach programs has left pregnant women without services. One 20-year-old woman died at 28 weeks pregnant after U.S. cuts eliminated the nutrition and maternal-health outreach that had supported her during an earlier pregnancy.

TOP CLICKED STORIES THIS WEEK

Nowhere To Go: Maternity Care Deserts Across the U.S. // March Of Dimes

Dense Breast Legislation and Supplemental Breast Imaging Among Women Undergoing Mammography // JAMA Network Open

Where women live may influence ovarian cancer survival, especially among Black women // University of Pittsburgh

USAID Fallout: In Nepal, When the Aid Workers Stopped Coming, The
Women And Babies Started Dying // The Washington Post

Social disadvantage greatly amplifies risk of mortality in women with early menopause // The Menopause Society

Ocasio-Cortez Opened Up About Freezing Her Eggs. She Got Women Talking. // The New York Times

August 13, 2026

Tonight: the 82% miscarriage lie returns, AOC's egg-freezing, and more.

— Meghan McCarthy

THE 82% MISCARRIAGE LIE

After the release of Anthony Fauci's 2021 text messages, Republican Sens. Rand Paul and Ron Johnson revived the false claim that COVID-19 vaccines caused an 82% miscarriage rate among women vaccinated early in pregnancy. The figure is an intentionally misleading interpretation of data from a single 2021 study, which actually reported a 12.6% miscarriage rate. (To get the 82% number, they only looked at women who had gotten the vaccine earlier in their pregnancies. But the study only looked at “completed” pregnancies when it closed, and at that point, an early pregnancy appeared in the data table mainly if it had ended in miscarriage.) A meta-analysis of 21 studies covering more than 123,000 pregnancies ultimately found no increased risk. The claim spread widely on X before fact-checkers caught up.

FOUR IN TEN AREN'T SURE THE ABORTION PILL IS SAFE

Only 44% of adults say medication abortion is safe when taken as directed, while 15% call it unsafe and 41% say they simply aren't sure, according to KFF's latest health tracking poll. Just 26% know that pills account for most abortions in the U.S. today. The uncertainty comes as anti-abortion groups push a widely criticized paper claiming mifepristone contaminates wastewater, an argument with no evidence behind it.

IVF SHOTS ON CAPITOL HILL

Rep. Alexandria Ocasio-Cortez, 36, posted an Instagram video of herself injecting fertility medication before a TV hit, framing egg freezing as reproductive freedom and calling out the "political tax" that comes with talking about it. Egg-freezing cycles climbed from about 6,090 in 2014 to nearly 39,000 in 2024, per the Society for Assisted Reproductive Technology. Doctors used the moment to caution that the process can be grueling, and not shockingly, Republicans accused AOC of selling women a fantasy.

IN NEPAL, THE AID STOPPED AND THE DYING STARTED

The Trump administration's move to dismantle USAID gutted maternal and child health programs worldwide. The AP meticulously documented the human cost in Nepal, where the shutdown closed nutrition and reproductive-outreach programs that had kept mothers and infants alive. Health workers and families described pregnant women dying after services vanished, including one woman who died in December while 28 weeks pregnant. The State Department says it still supports maternal-health programs in the country.

FOR EARLY MENOPAUSE, MONEY IS PART OF THE PROGNOSIS

In a study of roughly 20,000 women who went through early natural menopause, social disadvantage predicted worse long-term outcomes, and unemployment was the single strongest predictor of both death and dementia over a median of nearly 11 years, researchers reported in the journal Menopause. The Menopause Society team tracked all-cause mortality and cognitive decline, finding that economic circumstance, not just biology, shaped how early menopause played out.