
The Daily Show: Ears Edition Trump Drops in on SCOTUS & Bulldozes Judge’s Ballroom Construction Ruling | Dr. Mary Claire Haver
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Apr 2, 2026 Dr. Mary Claire Haver, board-certified OB-GYN and founder of The Pause Life, author of The New Perimenopause. She explains perimenopause as a brain-led transition, describes early mental and neurological symptoms often misdiagnosed, and discusses gaps in medical training and research. She highlights hormone therapy history, FDA changes, and practical steps to advocate for better care.
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Perimenopause Starts In The Brain
- Perimenopause begins in the brain as declining ovarian response causes erratic hormonal signaling long before periods stop.
- Mary Claire Haver compares a once-regular cycle to an EKG that turns into "spaghetti" as the brain's signals go haywire during the transition.
Perimenopause Causes Early Neurological Symptoms
- Perimenopause raises mental health risks and life disruption because early symptoms are neurological: sleep loss, cognitive decline, anxiety or rage.
- Haver links a 40% increase in mental health disorders and job or relationship strain to the transition.
Medical Practice Lags Perimenopause Research
- Clinical practice lags research by about 17 years, leaving many women untreated for perimenopause.
- Haver says the internet and social sharing are accelerating awareness but clinicians often lack updated training.




