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Female. Health. Prioritized. Evidence-based education for women—delivered with empathy, humor, and heart. Founded by Dr. Sarah Berg, OB-GYN

10/29/2026

Menopause is getting into workplace law the way a teenager gets into the house after curfew: through the side door, quietly, hoping nobody checks who’s home.

The side door is the pregnancy-accommodation door, and it is a disaster. It sticks, it slams, and it is mostly hinge-adjacent. Rhode Island, Illinois, Connecticut, and Philadelphia shoved it open anyway. Pennsylvania’s House tabled a bill the same day it cleared committee (the legislative version of “I’ll call you”), and two governors looked at women asking for a chair and said you’re already covered.

I wrote the whole unhinged saga, a suffragette reclamation project, and a to-do list for you and your state. Link in bio.

Send it to the friend who still thinks menopause is surely covered at work.

10/27/2026

Two Bergs. Two universes. One very confusing inbox. 🕷️

Sara Berg (no H) is a health writer at American Medical Association . I’m Sarah Berg (with the H), an OB-GYN and menopause specialist. We get each other’s emails, invites, and tags so often that we finally decided to cross universes on purpose.

This Friday, our worlds collide for real. Sara wrote a piece on perimenopause for the AMA, and I’m one of the experts quoted in it. Different titles, same mission: getting women real answers about the years before menopause.

Consider this your trailer. The full feature drops Friday.

Follow Sara Berg , American Medical Association and me so you don’t miss it, and please, for the love of the multiverse, tag accordingly. 🕸️

samename

10/26/2026

Every time I speak, someone asks me a question where my answer is, "That would be a great research question."

And in my head: Why hasn't that study already been done?

The women I talk with ask smart, specific questions about their own bodies. Too many of those questions still don't have clear answers. Not because they aren't important. Because the research hasn't been funded.

Research funding decides which questions get answered. It shapes what clinicians learn, what treatment options exist, and what you can bring to your next appointment.

So here is the ask. Make it bigger.

Drop the question you still don't have an answer to in the comments.

10/25/2026

Spotted this sign last week and it made my whole Halloween.

Women in midlife collect a lot of labels. Hormonal. Difficult. Too much. Past her prime.

I'll go first on the one I'm retiring: "hysterical." It comes from the Greek word for uterus. For centuries, a woman's reproductive organs were the explanation handed to her for anything inconvenient she felt or said.

Midlife is real biology. Hormones shift, sleep changes, and mood can change with them. None of that makes a woman less. It makes her a woman who knows more about her own body than she did at 30, and who is a lot less interested in asking permission.

So keep the hat.

Which label are you done with? Drop it below. 🧹

Happy Halloween week, witches.

10/24/2026

Most health conferences put one kind of expert on stage. WellAF put all of them in the same room.

Farmers. Therapists. Beauty experts. Scientists. And an OB-GYN talking about vaginas on a beauty panel. (Hi.)

I spent 60 minutes on the Hormone Owner’s Manual: why hormones feel so confusing, and why the marketing around them is so good at filling that gap. Cortisol is a smoke alarm, not a villain.

I sat down for a live podcast with Jess of Dr. Jess Steier | Unbiased Science , Yami Mufdi and Samantha | Therapist (LCSW) 🤍

Then I got to be the student. Three days of learning about farming and beauty from women who know their fields the way I know mine.

That’s why this conference worked. Health isn’t one discipline. The questions I hear most start in the grocery store, at the bathroom mirror and in the therapist’s office. When the people answering those questions actually talk to each other, everyone walks away with better information.

Thank you WellAF for building the room.

10/23/2026

You don't have to be sweating for your sleep to be interrupted by the hormone signals to your brain during the menopause transition.

If you're waking up in the middle of the night for no reason you can name, this one's for you.

Dr. Sarah Berg, board-certified OB-GYN and Menopause Society Certified Practitioner, explains that as estrogen fluctuates in perimenopause, your body's thermostat gets more sensitive. Think of a smoke detector that goes off at the first puff of smoke. Your brain senses heat coming and wakes you up, sometimes before you ever feel hot.

There's even a name for it: WASO, wake after sleep onset.

The alarm went off. You just didn't see the smoke.

Episode 4 of The Appointment, "Wide Awake at 3 a.m.," is live now. Link in bio.

10/22/2026

The radiologist came to find me in the dressing room while I was still in the robe after my mammogram.

She wanted me to know she had looked for the thin white lines of calcium in my breast arteries, something called breast arterial calcification, or BAC. She also wanted me to know her software doesn’t have a way to score it yet, so looking and writing it down was as far as she could go.

I asked her to look because of my family. Both grandfathers had multiple heart attacks, my dad had one this past year, and my own pregnancies came with preeclampsia and gestational hypertension, which raise my heart risk for life.

The week before, I’d spent the day at the first convening in New York, where BAC was the center of the conversation. Maryland just became the first state to require that mammogram results letters address it. What we still don’t know is whether telling women changes their outcomes, who follows up, and who pays radiologists to read it.

I wrote about all of it on Still Becoming, including what the research shows and where it gets messy. Link in bio.

Has BAC ever shown up on your mammogram report? Did anyone tell you what it meant?

10/21/2026

I made The Hormone Owner’s Guide for the women at WellAF. One room, one weekend.

It went over so well that keeping it there felt wrong. So now it’s yours, free. It’s built to be passed along, so send it to the friend who texts you cortisol cocktail reels at 11pm.

Inside:

🔍 The Caption Check and the Self Check. Three questions to run on any hormone claim before you share it, buy it, or believe it.

📊 Evidence ratings for what’s flooding your feed: cycle syncing, cortisol cocktails, thyroid claims, ashwagandha, glucose monitors.

🩺 What’s normal for your cycle, what’s worth an appointment, and the questions that get you real answers in the exam room.

For years I opened every appointment by asking patients what they were seeing on social media. Their answers explained so much of the confusion. Supplements, protocols, and promises, all competing for your attention and your wallet.

You’ve had this body your whole life. Here’s the owner’s manual.

🔗 Link in the bio and in the first comment.

10/20/2026

Selfority presented at an SHRM HR conference last week. It had an 80s arcade theme. My badge said LEVEL UP and I took that personally.

People ask why a menopause education platform shows up at an HR conference. Or in a magazine, on a podcast, at a statehouse, in a company break room.

Because menopause doesn't stay in the exam room. It shows up at work, at home, in the middle of a meeting, at 2 a.m. under the ceiling fan. So good information has to show up in all of those places too.

Every room is a chance to make this transition a little less lonely. The HR director who now knows what to look for. The coworker who gets why you keep the fan on your desk. The woman in row three who realizes she isn't imagining things.

We're going to keep showing up. Wherever you are, we want to be there too.

Also, shout out to one of my favorite clintoncenter associates for coming to my talk! I love joining forces with you!

Where should Selfority go next? Tell me below 👇

10/19/2026

Mammogram day. It's October, there's pink everywhere, and I'm here for all of it. Get your screening.

I also asked for one more thing today: please check for breast arterial calcification.

BAC is calcium in the small arteries of the breast, and it shows up on the same images used for cancer screening. It isn't cancer, and it doesn't raise breast cancer risk. What it does track with is heart disease, the leading cause of death in women.

The evidence is growing. A 2026 meta-analysis of 45 studies and nearly 69,000 women found BAC on about 17% of mammograms and linked it to higher cardiovascular risk and mortality. A study of more than 123,000 women in the European Heart Journal this year found risk climbed with the amount of calcification, even after accounting for standard heart risk scores.

BAC is a different process from the plaque that builds up in coronary arteries. Reporting varies from place to place, and there's no standardized follow-up pathway yet. A positive finding is a prompt for a fuller heart health conversation with your clinician about blood pressure, cholesterol, blood sugar, and family history. It's not a diagnosis.

The picture is already taken. Many reports just don't include it. So ask.

Thank you instituteadvancingwomenshealth for the reminder sticker and cartiarkansas for taking the ask seriously.

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