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Apple's Health App Now Supports Both Menopause and Perimenopause
Announced at WWDC 2026, Apple's Health app supports cycle tracking for menopause and perimenopause.
How Perimenopause Became America's New Health Scare
If you’re a woman who speaks English, it sometimes feels like you can’t spend time on the internet without being bombarded with all the ways in which your body or your mind could be just a little broken. A few years ago, Instagram was full of women talking about attention deficit disorder, and lo and behold: From 2020 to 2022, the percentage of women (between the ages of 23 and 49) newly diagnosed with it nearly doubled. Not long ago, premenstrual syndrome was all the rage, with the algorithm pushing videos that explained why it’s okay to fly off the handle once a month. These days, the word perimenopause is everywhere. Perhaps you’ve seen the headlines. “Perimenopause is having a millennial moment. Here are 7 ways to cope,” says The Washington Post. Or perhaps you’ve seen Apple TV’s glossy drama Your Friends & Neighbors, which is back for its second season; the female protagonist Mel is explicitly perimenopausal, and in the first season, she keyed a car for no apparent reason. She’s played by Amanda Peet, who talks about being perimenopausal in real life (“God knows I’ve wanted to key a lot of cars in the last three years,” she’s said.) In fact, it sometimes feels like every celebrity interview with a forty- or fiftysomething woman requires her to open up about what’s going on with her hormones. Drew Barrymore joked on CBS Mornings that when she found out how long perimenopause can last, she thought she’d “never make it 10 years like this.” Katherine Heigl told Business Insider that “whoever designed it so that women would be going through perimenopause while raising teenagers should be sent a strongly worded letter.” At the same time, influencers who talk about perimenopause seem to have cropped up out of nowhere with something to sell you, causing people online to wonder where this all came from. It’s trickled down from Instagram to tchotchke shops, which sell fridge magnets that say “Perimenopause Is Hot.” You can buy a T-shirt that proclaims “Perimenopause Made Me Do It!” My mom, who is 48, started uncontrollably shaking her leg at night a few years ago. “It’s perimenopause,” she told me when I complained about how annoying it was. But what exactly is perimenopause—and why are we all talking about it all of a sudden?
How to Regulate Your Hormones With Gut Health, Movement, More
Millions of women struggle with the frustrating and often dismissed symptoms of perimenopause and menopause, so Dr. Amy Shah joins TODAY to help women reclaim their health with evidence-based advice from her new book “Hormone Havoc: A Science-Backed Protocol for Perimenopause & Menopause.” Tips include taking control of gut health, strength training and more.
I’m an IVF Doctor. Business Is Booming Because Ob-Gyns Aren’t Doing Their Jobs.
Just last Monday, a woman sat across from me in my office and asked a question I have come to dread. Why had no one told her? She is 33, a therapist, married three years, and she has been to her gynecologist every year since high school. She was also on the brink of perimenopause. She had assumed that when she was ready, her body would be too. No one in two decades of annual visits had ever explained that the most consequential decisions about her capacity to bear children were being made by her ovaries on a calendar she could not see, while her doctor took her blood pressure and refilled her birth control. She is the patient I see several times a month. She is the most preventable tragedy in American medicine. I am board certified in both obstetrics and gynecology, and reproductive endocrinology. There’s a fertility crisis happening right now in America—and a furious debate about who is to blame. The alleged culprits include housing, smartphones, and capitalism. One group is getting off lightly: ob-gyns. Read [ How Perimenopause Became America’s New Health Scare ](https://www.thefp.com/p/how-perimenopause-became-americas) In July, the Centers for Disease Control and Prevention (CDC) reported that the U.S. fertility rate had fallen to fewer than 1.6 children per woman—the lowest figure in our history—despite a 2025 survey of American Gen-Z women that found that nearly three-quarters intended to become mothers. American women are not opting out of building a family. They are running out of time.
Bone Health Without the Hype
I am at the Australasian Menopause Society meeting and we had a fantastic lecture on Bone Health on Day 2, called, “Everything you need to know about bones - except the boring bits!” Spoiler alert, there were no boring bits. The lecture was given by Dr. Amanda Beech, who is a senior staff specialist in Obstetric Medicine and Endocrinology at the Royal Hospital for Women, where she is director of the Bone Density Unit. I want to summarize my top 10 take-aways for you. Share Osteoporosis is a disease of low bone mass, disruption of bone microarchitecture, and fragility of the skeleton. It is a silent disease…until someone develops a fracture. The diagnosis of osteoporosis is based on either fragility/minimal trauma fractures or a T-score of less than -2.5 on a DXA (Dual-Energy X-ray Absorptiometry) or bone scan. It is important to recognize that about 50% of minimal trauma fractures occur when women have low bone mass (often referred to as osteopenia), but not osteoporosis. This tells us that bone strength is more complicated than a number on a DXA report. I am going to add a little here that wasn’t in the talk (one can only include so much in 25 minutes), as many women might read the above paragraph and think, “Shouldn’t we be treating everyone with low bone mass if this is when 50% of the fractures occur?” Many fractures happen for women with low bone mass because there are so many women with low bone mass –it is a statement about the population on a whole, not about the fracture risk of low bone mass. For you as an individual, bone density is only one component of fracture risk and many women with lower bone mass will not have a significantly elevated fracture risk. This is why individualized risk assessment matters. Subscribe We build bone in our teens and twenties, and by the time we are about thirty we have reached peak bone mass. This is why, when we discuss risk factors for osteoporosis, it is important to consider factors that might have affected us in our teens and twenties when we were actively building bone, such as nutritional restriction/energy imbalance. It is important to ask women about a history of eating disorders, and for those with such a history, getting a bone scan in perimenopause or at age 50 is likely warranted. (This image below isn’t from the talk, but is similar to one that was). Bone mass is relatively stable until about two years before the final menstrual period, and perimenopause marks a time of rapid bone loss for women. Using urinary markers of bone loss we know that the time of significantly accelerated bone loss starts about 1 year before the final period and ends about 2 years after the final period. The Study of Women’s Health Across the Nation (SWAN) shows that over the menopause transition women lose an average of 10.6% of the bone at their lumbar spine and 9.1% at the femoral neck While this wasn’t covered in the lecture, I want to add that the rapid bone loss during perimenopause is clearly related to more than estradiol, because during this time estradiol levels can be erratic and not uniformly low. Bone loss during perimenopause is likely a multi-hormone event. For example, rising FSH (follicle stimulating hormone) tracks with bone loss better than estradiol, and there is evidence that FSH may act directly on bone. While decreased estrogen matters, there is clearly more going on. FSH and bone is an active area of research. Subscribe Screening for osteoporosis was recommended fairly broadly before age 65, and was taken from the “Practitioner’s Toolkit for Managing Menopause,” from Monash University. Here is a screenshot from the toolkit that was used as a slide: I am going to add a little bit more about body weight here for clarification. Low body mass (typically 152.1 lb): 0 points (risk neutral) 60–69 kg (132.3–152.1 lb): 3 points (adds some risk)
Is hormone therapy the cheat code to perimenopause?
Perimenopause can be overwhelming. Mood swings, insomnia and hot flashes can make you feel like a completely different person. Hormone therapy is one way a lot of women are treating the symptoms. Life Kit’s Marielle Segarra talks with Dr. Mara Gordon of NPR’s Real Talk with a Doc column about the risks and benefits.Follow us on Instagram: @nprlifekitSign up for our newsletter here.Have an episode idea or feedback you want to share? Email us at lifekit@npr.orgSupport the show and listen to it sponsor-free by signing up for Life Kit+ at plus.npr.org/lifekit
New Clinical Guideline Helps Keep Women 'Optimized for the Fight'
The Department of Veterans Affairs and War Department have jointly released a clinical practice guideline to help clinicians provide improved care for women experiencing perimenopause and menopause.
What is perimenopause? The overlooked stage prior to menopause
Understanding what perimenopause is can make a meaningful difference in helping individuals and families navigate it.
Why doctors are applauding this TV show's health plot line for women
Amanda Peet has praised "Your Friends & Neighbors" creator for including this storyline, especially since she’s also in perimenopause.
Hot flashes and hormone therapy: the science of perimenopause
After decades of controversy over prescribing hormone therapy for perimenopause, many providers are reconsidering their approach.
Why it took so long to talk about perimenopause
For too long, women’s health was treated as an afterthought. We still haven’t caught up.
What to know about perimenopause and menopause
Discussing the transition, symptoms and treatments available for people going through menopause or perimenopause.
Apple's Health app can now tell you if you're in perimenopause
Cycle tracker will now notify women when their cycle patterns are suggestive of perimenopause.
Melinda French Gates Struggled to Get Perimenopause Care
The philanthropist said that even in her “unbelievably privileged situation,” it took three different doctors to diagnose her.
Planned Parenthood launches menopause care services in Dayton, Cincinnati locations
Planned Parenthood Southwest Ohio Region is launching a new service at its Dayton and Cincinnati locations for patients looking for relief from menopause and perimenopause symptoms.
Doc strikes out on her own with hormone therapy practice Lumineux Health near Willow Lawn
An OB/GYN and former partner at Virginia Physicians for Women, Amanda Vaughan said she started Lumineux after seeing a need from women experiencing perimenopause and menopause.
Health expert explains link between women's hormones, stress - and what to do about it
In honor of National Stress Awareness Month, health experts are drawing attention to the internal physiological shifts that contribute to rising stress levels in women, specifically menopause and perimenopause.
How menopause can impact mental health
Dr. Lulu Zhao, a mood disorder specialist at Cleveland Clinic, says during perimenopause, a woman’s hormone patterns can become erratic, which can impact their mental health.
Melinda French Gates says it took 3 doctors to diagnose the condition she was suffering from
Melinda French Gates says it took three doctors to diagnose her perimenopause, revealing a startling gap in OB-GYN menopause training nationwide.
Fiber vs. Protein for Perimenopause: Which One Is Better?
Should you protein-maxx or fiber-maxx once you reach this life stage?
Baltimore health expert explains how perimenopause impacts women
Perimenopause took me by surprise. That's exactly the problem.
Despite being proactive about my health, perimenopause was never discussed with me. So, when it happened, I couldn't identify it.
PCOS postpones perimenopause and allows pregnancies at older ages
Only 3 per cent of those with polycystic ovary syndrome reach perimenopause by the age of 46, which may allow them to conceive when older
She’s a physician with access to great care. No one recognized her perimenopause.
Black women often start perimenopause early, and have more severe symptoms. It can be more than uncomfortable. Dangerous, even.
Are You In Perimenopause? Signs, Symptoms, and What to Ask Your Doctor
Many women are still confused about perimenopause. An expert shares how to recognize and manage symptoms and when to talk with your doctor.
10 Surprising Perimenopause Symptoms That Are More Common Than Hot Flashes, According to New Research
Think perimenopause is just about hot flashes? Check out these very common other menopause symptoms.
From ‘Human Fracking’ to Women’s Health: 6 Takeaways from Research Day
Fordham University experts lead new studies on AI cybersecurity, constitutional law reform, and the impact of perimenopause on the brain.
Covering the Cost: The cost of perimenopause and mid-life women’s health on the economy
Annalisa Burgos talks with Kelly Yamamoto, co-founder of women’s mid-life healthcare provider Magnolia Collective Wellness, and Jennifer Ablan, editor in chief of Hawaii Business Magazine, about the investment gap between men’s and women’s health, especially during mid-life years.
Perimenopause May Be the Ideal Time for Cardiovascular Risk Prevention
A recent study suggests that perimenopause offers a “window of opportunity” for females to reassess cardiovascular risk and prompt lifestyle changes.