At this yearโs Milken Global Conference in Los Angeles, I sat down with Emmy-award-winning journalist, author, and womenโs health advocate Tamsen Fadalโa tireless force reshaping how society understands menopause and midlife health. Through her books, public speaking, and a documentary now seen in 400 cities across 42 countries, Fadal spotlights the medical and cultural blind spots that leave women underserved.
โWhen we were talking about investing in womenโs health, the future of womenโs healthโฆ I think we’re seeing the need in so many different ways,โ she told me. โItโs exciting anytime I see it being brought to the global scaleโฆ I know that we’re gonna get somewhere, and it’s a matter of time, and it’s about innovation, and it’s about research, and of course, it’s about dollars.โ
Those dollars matter: despite women comprising over 50% of the population, only a small percentage of medical research funding specifically supports womenโs health. And while cardiovascular disease kills more women than men each year, only a fraction of heart disease research is focused on women. Globally, less than 2% of medical research funding targets reproductive healthโan issue that spans from pregnancy to menopause.
Fadal zeroes in on the perimenopause and menopause phase: โI focus mostly on perimenopause and menopause, and that just is kind of like very, very small sums in the grand scheme of things,โ she explained. That smallness ripples through clinical training too. Surveys show that under a third of OB-GYN residency programs offer any menopause curriculum, and fewer than 1 in 5 residents feel comfortable managing menopause.
โIt was surprising to me, too. Women’s health in general, but particularly in midlife, was not something that was studiedโฆ A lot of this wasn’t taught in medical school, in particular about perimenopause and menopause, so it’s really been a game of catch up,โ Fadal says of this educational void.
For women navigating symptoms like hot flashes or brain fog, this gap can be frustratingโand dangerous. Fadal urges patience and persistence in medical consultations: โIf they walk into a doctor and a doctor says, โOh, this is just all in your head,โ or โthis is normal,โ to really push forward.โ Evidence links untreated menopausal symptoms to heightened risks for heart disease, osteoporosis, and cognitive decline.
So how do we bridge that gap? Fadal points to storytellingโs power. โThe only thing that has really moved the needle, in a lot of ways, is storytelling.โ Her documentaryโs reach confirms the impact, and itโs part of a broader cultural moment. Femtechโapps and devices focused on periods, fertility, and menopauseโhas rapidly become a multi-billion-dollar industry. Meanwhile, federal support for womenโs health research is finally starting to grow.
Still, women spend significantly more time in poor health compared with men, and this gap is most acute during midlife. The workplace cost of menopause in the U.S. alone was recently pegged at $1.8 billion in lost productivity.
All of which underscores Fadalโs core mission: elevate the conversationโand let dollars, data, and storytelling follow. At Milken, her message was clear: womenโs health isnโt a sidebarโitโs central to societal well-being. And thanks to her work, itโs finally getting the spotlight itโs long deserved.
Watch my full conversation with Fadal below.