This FDA Decision Could Transform Menopause Care

On Monday, Nov. 10, the U.S. Department of Health and Human Services announced that the Food and Drug Administration would eliminate the “boxed labeling” requirement for estrogen products.

The “black box warning,” as it’s commonly called, is part of the fallout from a press conference that occurred more than 20 years ago, announcing the findings of the Women’s Health Initiative (WHI). It’s also been the subject of a half-century-long push and pull with the federal government.

Make no mistake, this has been a longstanding demand—it’s neither new nor MAHA-driven. Doctors and scientists have made the case for its removal since the start to no avail, arguing the data from the WHI—the largest, most expensive, and only randomized placebo-controlled study of post-menopausal women—never supported putting it there in the first place.

The FDA’s reversal of the labeling requirement is a major win for evidence-based medicine. Now it’s up to us to responsibly inform women of their choices.

Why Won’t the U.S. Stop Child Marriage?

Child marriage is a persistent, evolving, global problem, and the United States is far from immune: Between 2000 and 2018, nearly 300,000 children were married in America—most of them girls wed to adult men.

Lack of a strong legal framework to prevent child marriage in the U.S. contributes to its prevalence. Banning child marriage is still in the best interest of America’s children and teens.

Repro Groups Sue Michigan Over Law Denying Pregnant Women Control of Their Bodies in End-of-Life Decisions

Bodily autonomy shouldn’t vanish with a positive pregnancy test—yet in Michigan, it can.

On Oct. 23, a coalition of Michigan women, physicians and patient advocates filed a lawsuit, Koskenojo v. Whitner, challenging the constitutionality of Michigan’s pregnancy-exclusion law that forces life support on pregnant women by denying incapacitated pregnant patients the right to refuse life-sustaining treatment. The case relies on a voter-approved 2022 constitutional amendment that explicitly protects “the right to make and effectuate decisions about all matters relating to pregnancy.”

One plaintiff—Nikki Sapiro Vinckier of Birmingham, Mich.—explained her objections to Michigan’s pregnancy exclusion law. “As a woman and a mother, it’s infuriating to know that my body can still be regulated more than it’s respected. As a trained OB-GYN physician assistant, I know this law protects no one—it only punishes those who can get pregnant. The pregnancy exclusion clause isn’t about safety or care. It’s about control. There is no place for a law that discriminates against pregnant people in a state that claims to trust women.”

FDA Rewrites the Story on Estrogen: A Win for Women

Estrogen, the hormone long cast as a public health threat, has been unfairly maligned.

The FDA has finally announced it will remove the incorrect “boxed warning” from vaginal estrogen products and issue corrected labeling for other estrogen therapies—a much needed course correction for one of modern medicine’s most damaging missteps.

How We Can Turn Away From Medicalized Birth Culture and Reset the U.S. Birth Care System

The U.S. has been doing birth backwards for decades, providing highly medicalized, costly care despite poor outcomes, and ignoring data that estimates at least 60 percent of U.S. pregnancies are low-risk and could be safely supported by midwives in a community setting.

Alice Walker writes, “The most common way people give up their power is by thinking they don’t have any.” It is this self-defeating pattern in the face of authoritarianism that the current U.S. federal government is counting on. And sadly, a pattern to which some of our most powerful institutions have succumbed. Fear and chaos are tried and true tools of oppression. Vision and courage, however, are exponentially stronger.

America’s birth care system can be reset, but not by fearfully resisting its collapse or playing in its rubble.

(This essay is part of a collection presented by Ms. and the Groundswell Fund highlighting the work of Groundswell partners advancing inclusive democracy.)

Five Things to Know About Missed Period Pills

If your period is late and you don’t want to be pregnant, do you really have to wait for a positive pregnancy test before you can act? The answer is often no. Increasing availability of “period pills” means you don’t have to wait or sit in uncertainty.

As missed period pills change how people stay in control of their bodies—and how early abortion care may be accessed—we see more questions and, unfortunately, more attacks from those who don’t support a full range of pregnancy options.

Here’s what’s important to know.

This Manufactured Shutdown Threatens Healthcare and Reproductive Freedom

This is not governing—it’s sabotage, carried out at the expense of Americans’ health and freedoms.

In July, House Republicans created a healthcare crisis when they rammed through a budget that gutted Medicaid, defunded Planned Parenthood and put a target on the Affordable Care Act. Now, instead of fixing the mess they made, they’re steering us toward a government shutdown that will only compound the damage.

Americans across the political spectrum value these programs. Medicaid, Planned Parenthood and the ACA are lifelines in red states and blue states alike. People may disagree on politics, but they overwhelmingly agree that their families deserve access to affordable healthcare. That’s why the position to protect care and keep the government open is both the responsible path forward and the popular one.

Meanwhile, at the FDA: Menopause Progress, Abortion Gaslighting

The FDA caused a stir last week when it approved a new, generic version of mifepristone—the abortion medication that has safely, effectively and privately ended pregnancies for 25 years. Many mainstream outlets made it sound like a dramatic policy reversal, but really it was a procedural box check. Meanwhile, the Trump administration is already laying the groundwork to undermine access, announcing a so-called “safety review” based on flawed data and false claims. As reproductive rights advocates like Mini Timmaraju have pointed out, this is gaslighting—pretending to be moderate while plotting restrictions. That’s why protecting mifepristone still matters now.

At least there was some progress this week in menopause care: The FDA signaled plans to remove the “black box” warning on certain hormone treatments that has long stoked fear and confusion. Experts say the label was based on outdated science and has caused real harm, leaving countless women to suffer unnecessarily. For once, the agency seems poised to get this one right.

Trump and RFK’s Pseudoscience Is Another Tool to Control Women

We have reached the point in American politics at which a sitting U.S. president sees fit to decree pregnant women must “tough it out.”

We all would be wise to strenuously push back on junk science—not just for our safety here and now, but in service of a future that doesn’t create new inroads for punishment of pregnancy.

This Hispanic Heritage Month, We Honor Immigrant Families by Fighting for Healthcare Justice

My family immigrated from Mexico to California when I was 3 years old. My brother wasn’t walking and was showing signs of physical delays. Unable to find answers back home, my parents sacrificed everything—our home, their small business, a familiar life—in search of a diagnosis, treatment and hope. This Latine Heritage Month, I’m reminded of the strength of the women in my family in the face of migration and uncertainty, and the extraordinary community in the U.S. that welcomed us. 

Immigrants have long been unable to healthcare because of coverage gaps or restrictions. Immigrant and migrant women have had especially difficult times getting access to abortions.

Healthcare access, including the full spectrum of reproductive care, can make or break lives. Nobody should be denied healthcare, no one should have to choose between paying for healthcare and rent, and no one should fear deportation for going to the doctor.

All of us should have access to care. Period.

(This essay is part of a collection presented by Ms. and the Groundswell Fund highlighting the work of Groundswell partners advancing inclusive democracy.)