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Welcome to The Leak💦 - Peanut's newsletter-shaped bestie, where we share women's news stories and expert advice that is too crucial to keep a secret. 

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🏥 I Want Gas and Air, Not Gaslighting

Women have been habitually gaslit by medical professionals forever, so it’s not entirely 🚨breaking news.🚨 But, the horror story that is The Retrievals podcast is shining a damning light on how women's suffering is systematically dismissed (and we're paying attention 👀). It’s no surprise that this carries through to menopause, with only 7% of new gynae doctors feeling prepared to treat it, while women of color fare even worse. This isn’t an isolated gyne issue either, turns out women visiting the ER with severe stomach pain wait 33% longer than men with the same symptoms. But it's not all doom, gloom, and gaslighting. We may be on the cusp of a breakthrough in endometriosis research. 🎉 Which is a promising step forward for a condition where 3 in 4 sufferers wouldn't see a doctor for their symptoms (and 1 in 5 worry they wouldn't be taken seriously if they did—thanks medical gaslighting). 

💸 We Work Hard for the Money

While we do, in fact, work hard for the money, we also earn less for doing it. Lucky us. 🫠 With International Equal Pay Day approaching (September 18th), it’s time to close in on the gender pay gap. And what better motivator than the fact that for every dollar a single man earns, working moms earn 75 cents while single mothers earn 54. This is particularly devastating in a cost of living crisis, leading to 58% of women in this survey returning to work earlier than they wanted to—some from as little as 8 weeks postpartum. There's some progress for women in work, though, with the Pregnant Workers Fairness Act going from legislation to implementation in the US. 👏 Pregnant workers can now seek job restructuring, change their schedules, and work from home without fear of retaliation, with even more changes being proposed. It's a 40-year leap forward, but the conversation is far from over...📢

🤦‍♀️ Turns Out Blood Is, in Fact, Thicker Than Water

Period products have been around since the 1800s, but it’s only this year that their absorbency has been tested using blood instead of a saline solution — which is essentially salt water, and nowhere near the consistency of menstrual blood. In the game-changing study, a team of scientists from the Oregon Health & Science University used “expired human packed red blood cells” to “determine the capacity” of various period products. Could this be an industry standard from now on? It’s about damn time. 👏 

Welcome to Ask The Expert, where we pose your most-asked questions (and low-key worries) to a professional in the know.

This month, we're asking OBGYN doctor and women's health enthusiast Dr. Fatema Dawoodbhoy Is This Normal?

(spoiler alert: 'normal’ is always subjective—you know your body best.)

Q: Is it normal to have vaginal bleeding between periods?

Vaginal bleeding between periods might happen once or twice without a cause for concern, but generally, if it’s a regular occurrence, it should be checked. Sure, some birth control methods might cause vaginal bleeding between periods. As abnormal as it feels, it’s a common side effect to experience and should resolve over time as the body gets used to the hormones. But other causes could include issues with your cervix, like polyps or ectropion. And then there’s conditions like Polycystic Ovarian Syndrome (PCOS) and Endometriosis which are known to cause abnormal bleeding between periods. While these are chronic conditions, there are treatment options available to help you manage them. Best to know for sure.

Q: Extra discharge that’s runny; is this normal? When is it not?

Vaginal discharge is our body’s miraculous way of keeping the vagina in perfect equilibrium. Our vagina is self-sustaining and self-cleaning—and discharge is a perfect example of this. Made up of cells and bacteria, it aids the cleaning and lubrication of the vagina to fight off bad bacteria and infections. And depending on where you’re at in your cycle, its consistency will look and feel different. It’s absolutely normal for discharge to appear extra runny, clear, and stretchy near the time of ovulation (around days 10-16 of your cycle). Just as after ovulation, discharge tends to reduce and become dry/thick. Most of the time, there’s nothing wrong, still you should always pay attention to your discharge. If it changes color or starts to smell foul, it might be your vagina's way of telling you something's not quite right.

Q: Since I’ve started on birth control pills, I swear I have more headaches and mood swings. Is it a side effect or all in my head?

No, it’s not all in your head! Hormonal birth control methods come with many side effects—headaches and mood swings included. Progesterone-containing contraceptives are often behind worsening moods (thanks to the rise in the progesterone levels in the body). And we can usually thank the combined oral contraception pill (COCP) for headaches and migraines. Still, just because they’re part of the standard side effect profile doesn’t mean they should be readily accepted as the norm. What we really need is more research into personalized contraceptives where we can provide alternatives that do not reduce quality of life.

We asked the women on Peanut (and our lovely expert!) to weigh in on a very hot topic, drumroll please 🥁 

Dr Fatema says: Just because you’re menstruating doesn’t mean pleasure is off-limits. Period sex offers a lot of benefits: relief to period cramps, the potential to shorten your period, natural lubrication, and sometimes more pleasure due to an increased libido. Like any other activity involving your period, you can pretty much do anything you want to as long as you’re happy with it. Honor your comfort level, and just know that if you’re feeling it, you’ve got the medical green light.

The ways we're distracting ourselves from daily life this month...

🍿 A Sobering Look at the Opioid Crisis

At six episodes, you'd think Painkiller (on Netflix) would be an easy weekend binge, but it's pretty heavy material. Still, it's a sobering look (sorry) at the opioid addiction crisis in the US that demands accountability. The storytelling alone makes for a riveting TV. And then there's Uzo Aduba... Amazing. - Keshia🥜

📚 Bad Medicine and Lazy Science 

Doing Harm by Maya Dusenbery is a genius book about how women are left dismissed, misdiagnosed, and sick. If you’re at all interested in gender data bias (it’s not as niche as it sounds) then you should 100% give it a read. - Phoebe🥜

🎧 So This Is Why ‘Gaslighting’ Is the Word of the Year?

I blitzed through The Retrievals podcast in 2 days. It's raw, real, and harrowing, sharing women’s egg retrieval experiences at a certain clinic in the US — medical gaslighting rearing its ugly head once more. Heads’ up: if you're on your fertility journey too, might want to skip this one. - Tassia🥜

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This edition of The Leak was brought to you by Hannah Hastings, Henry Gibbons, Keshia Sophia Roelofs, Lucia Schiaffino Martinez, Phoebe Corcoran, and Tassia Agatowski, with special thanks to our good friend coffee🫶

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