In this episode of unPAUSED, Dr. Mary Claire Haver sits down with CNN anchor and chief investigative correspondent Pamela Brown to talk about Body Language, her new CNN series on the women's health moments medicine too often misses, from perimenopause and GLP-1s to thyroid disease, PMOS, and Alzheimer's prevention. Together they unpack what the series uncovered and the stories shaping menopause care and midlife women's health right now.
They dig into testosterone for women, including why there is still no FDA approved product in the United States, how it is prescribed today without one, and why both of them chose to try it for energy, mood, brain fog, low libido, and long term muscle mass and bone density. Dr. Haver explains the estrogen patch shortage: why patches are harder and less profitable to make than pills, why demand for HRT climbed after the black box warning on hormone therapy was removed, and which alternatives, from other forms of transdermal estrogen like gels and sprays to oral estradiol, can keep women on their treatment without a gap. She also makes the case for vaginal estrogen as one of the most powerful tools in women's health, treating genitourinary syndrome of menopause and helping prevent the recurrent urinary tract infections that put older women at risk.
The conversation turns to GLP-1 weight loss medications in midlife, including why fertility can rise on these medications, which makes contraception an important conversation for women still in perimenopause, and why protein and strength training are essential for protecting muscle. They also talk about why exercise matters more for preventing Alzheimer's disease, frailty, and osteoporosis than for appearance, the promise and the limits of telehealth for menopause care, and why so many women with menopause symptoms still feel dismissed by doctors working within short appointments and insurance models that undervalue time spent listening.
Pamela shares how her own experience with postpartum OCD, in the same year she lost her mother, opened her eyes to the powerful link between hormones and mental health and inspired the series. The episode closes with a candid conversation about postpartum mental health, including the difference between intrusive thoughts and postpartum psychosis, and why women need far more support than they receive.
Warning: This episode includes discussion of postpartum psychosis and the deaths of children.
Guest links:
-
Pamela Brown (Instagram)
-
Pamela Brown (CNN)
-
Pamela Brown (LinkedIn)
-
Pamela Brown (X)
-
Pamela Brown (TikTok)
- Body Language (CNN)
Recommended Books:
-
“The New Perimenopause,” by Dr. Mary Claire Haver
- “The New Menopause" by Dr. Mary Claire Haver
Articles:
-
Women and Alzheimer's (Alzheimer's Association)
-
GLP-1 receptor agonist treatment in women with polycystic ovary syndrome—a systematic review and meta-analysis (European Journal of Endocrinology)
-
Effects of GLP1RAs on pregnancy rate and menstrual cyclicity in women with polycystic ovary syndrome: a meta-analysis and systematic review (BMC Endocrine Disorders)
-
Improvement in multiple organ systems following testosterone replacement therapy in women previously on standard hormone replacement therapy (The Journal of Sexual Medicine)
-
Bioavailable testosterone and androgen receptor activation, but not total testosterone, are associated with muscle mass and strength in females (The Journal of Physiology)
-
Efficacy of vaginal estrogen for recurrent urinary tract infection prevention in hypoestrogenic women (American Journal of Obstetrics & Gynecology)
- Estrogen for the prevention of recurrent urinary tract infections in postmenopausal women: a meta-analysis of randomized controlled trials (International Urogynecology Journal)
Other Resources:
-
Women and Alzheimer's (Alzheimer’s Association)
-
Dr. Gabrielle Lyon
-
Dr. Rachel Rubin
-
Dr. Kelly Casperson
-
Dr. Lisa Mosconi
-
Dr. Rocio Salas-Whalen (New York Endocrinology)
-
FDA Public Meeting: Testosterone Use in Menopausal Women (FDA)
-
International Society for the Study of Women's Sexual Health (ISSWSH)
-
Divigel Prices, Coupons & Savings Tips (GoodRx)
- Evamist Prices, Coupons & Savings Tips (GoodRx)