unPAUSED with Dr. Mary Claire Haver

Welcome to unPAUSED, the podcast where bold, unfiltered conversations take place about what it really takes for women to thrive in the second half of life. Every week, Dr. Mary Claire Haver, a board-certified Obstetrician-Gynecologist, Certified Menopause Practitioner, and #1 New York Times best-selling author, tackles the conversations women actually need to hear. Dr. Haver sits down with a variety of medical experts, CEOs, and risk-takers to discuss everything that matters, from hormones and identity to financial power, relationships, and the tools needed to build the life you want. unPAUSED is about reclaiming your healthspan—not just the number of years you live, but the number of years you live well. Tune in every Tuesday for new episodes of unPAUSED. Subscribe now so you don't miss it.

  1. 10h ago

    HRT, IUDs & Testosterone in Menopause with Dr. Fran Haydanek

    Dr. Mary Claire Haver sits down with Dr. Fran Haydanek — board-certified OB/GYN and the voice behind Paging Dr. Fran — to get practical about perimenopause. They break down what’s normal when your periods change, the bleeding patterns that mean you should get checked — including why PMOS carries a five-times-higher risk of endometrial cancer — the growing overlap of postpartum and perimenopause, and the “just a tired mom” trap that delays diagnosis. Then it’s treatment: birth control vs hormone therapy through the transition (and why Dr. Fran calls the IUD “a three-for-one”), what the guidelines actually recommend, workarounds for the estrogen patch shortage, GLP-1s and PMOS, and the real Women’s Health Initiative numbers behind two decades of fear. They close with the three things every woman in her late 30s and 40s should do for her health right now. Guest links: Dr. Fran Haydanek (Website): https://www.pagingdrfran.com/ Dr. Fran Haydanek (YouTube): https://www.youtube.com/@PagingDrFran Dr. Fran Haydanek (Instagram): https://www.instagram.com/pagingdrfran Dr. Fran Haydanek (TikTok): https://www.tiktok.com/@pagingdrfran Dr. Fran Haydanek (Threads): https://www.threads.com/@pagingdrfran Dr. Fran Haydanek (Facebook): https://www.facebook.com/pagingdrfran/ I Did My Own Research (Apple Podcasts): https://podcasts.apple.com/us/podcast/i-did-my-own-research/id1879906055 Books: The New Perimenopause: https://thepauselife.com/pages/the-new-perimenopause-book The New Menopause: https://www.amazon.com/dp/B0CKBZ4K1Z Never miss an episode—sign up for The ‘Pause Life Newsletter: https://thepauselife.com/pages/newsletter Medical Disclaimer: The information, including opinions and recommendations, on this platform is meant for informational and educational purposes only. Mary Claire Media, LLC, the unPAUSED podcast, and The ‘Pause Life are not medical organizations. Medical advice or medical diagnosis cannot be provided to you through the platform, any associated website, or customer portals. Using this platform does not establish a patient-physician relationship.

    HRT, IUDs & Testosterone in Menopause with Dr. Fran Haydanek
  2. 3d ago

    Menopause or Something Else? Brain Fog, Anxiety & Fatigue with Dr. Fran Haydanek

    What happens in the gap between your last baby and your first hot flash? Dr. Mary Claire Haver sits down with Dr. Fran Haydanek — board-certified OB/GYN and the science communicator behind Paging Dr. Fran — to connect the dots most women are never shown. They unpack “reproductive hormone sensitivity”: why women whose brains react to hormone fluctuations with PMS, PMDD, or postpartum depression face a dramatically higher risk of depression in perimenopause — in the largest study to date, almost 13-fold — and why that history sits unread in your own chart. They also get practical about diagnosis: why there’s no blood test for perimenopause, the conditions that mimic it — iron deficiency (and the new ferritin guidelines), thyroid disease, sleep apnea, diabetes — and what your pregnancy history predicts about your future health, from gestational diabetes to preeclampsia and heart disease. Because knowing your own history means you never have to be blindsided by symptoms that were completely predictable. Guest links:Dr. Fran Haydanek (Website): https://www.pagingdrfran.com/ Dr. Fran Haydanek (YouTube): https://www.youtube.com/@PagingDrFran Dr. Fran Haydanek (Instagram): https://www.instagram.com/pagingdrfran Dr. Fran Haydanek (TikTok): https://www.tiktok.com/@pagingdrfran Dr. Fran Haydanek (Threads): https://www.threads.com/@pagingdrfran Dr. Fran Haydanek (Facebook): https://www.facebook.com/pagingdrfran/ I Did My Own Research (Apple Podcasts): https://podcasts.apple.com/us/podcast/i-did-my-own-research/id1879906055 Books:The New Perimenopause: https://thepauselife.com/pages/the-new-perimenopause-bookThe New Menopause: https://www.amazon.com/dp/B0CKBZ4K1Z Never miss an episode—sign up for The ‘Pause Life Newsletter: https://thepauselife.com/pages/newsletter Medical Disclaimer: The information, including opinions and recommendations, on this platform is meant for informational and educational purposes only. Mary Claire Media, LLC, the unPAUSED podcast, and The ‘Pause Life are not medical organizations. Medical advice or medical diagnosis cannot be provided to you through the platform, any associated website, or customer portals. Using this platform does not establish a patient-physician relationship.

    Menopause or Something Else? Brain Fog, Anxiety & Fatigue with Dr. Fran Haydanek
  3. Nov 3

    Menopause Masterclass: Recurrent UTIs and the Genitourinary Syndrome of Menopause (GSM)

    Genitourinary syndrome of menopause (GSM) is the most undertreated condition of midlife — and one of the easiest to treat. In this solo episode, Dr. Mary Claire Haver breaks down the symptoms most women never connect to their hormones: vaginal dryness, painful sex, urinary urgency, getting up at night to pee, delayed orgasm, and recurrent UTIs — infections that, in older women, can lead to sepsis, falls, and hospitalization. Affecting 50–80% of postmenopausal women (and effectively all of us if we live long enough), GSM can also strike at any low-estrogen stage of life, from postpartum to breastfeeding. Dr. Haver shares her own story of missing the diagnosis in herself, then walks through exactly how to treat it: why vaginal estrogen — not lubricants — is now the frontline treatment, how the FDA’s November 2025 removal of the black box warning changes the conversation, how to apply it (“treat the whole neighborhood, not just the block”), and the options beyond estrogen, from vaginal DHEA to pelvic floor PT. It’s never too late to start — and you never have to just live with this. Books:The New Perimenopause: https://thepauselife.com/pages/the-new-perimenopause-bookThe New Menopause: https://www.amazon.com/dp/B0CKBZ4K1Z Never miss an episode—sign up for The ‘Pause Life Newsletter: https://thepauselife.com/pages/newsletter Medical Disclaimer: The information, including opinions and recommendations, on this platform is meant for informational and educational purposes only. Mary Claire Media, LLC, the unPAUSED podcast, and The ‘Pause Life are not medical organizations. Medical advice or medical diagnosis cannot be provided to you through the platform, any associated website, or customer portals. Using this platform does not establish a patient-physician relationship.

    Menopause Masterclass: Recurrent UTIs and the Genitourinary Syndrome of Menopause (GSM)
  4. Oct 30

    Dense Breasts, Family History and Your Mammogram: How to Know your Real Risk

    In part two, Dr. Mary Claire Haver and breast oncologist Dr. Eleonora Teplinsky shift to breast cancer risk, prevention, and early detection: dense breasts, family history myths (only 5–10% of breast cancers are hereditary), risk assessment from age 25, who needs genetic testing, and why previvors in surgical menopause can use hormone therapy without raising their breast cancer risk. Plus life after treatment — bone density, chemo brain, heart health, fear of recurrence, and body image after mastectomy. Guest links:Dr. Eleonora Teplinsky (Website) https://interludecancerstories.com/Dr. Eleonora Teplinsky (Instagram) https://www.instagram.com/drteplinsky/Dr. Eleonora Teplinsky (Substack) https://drteplinsky.substack.com/Dr. Eleonora Teplinsky (TikTok) https://www.tiktok.com/@drteplinskyDr. Eleonora Teplinsky (Facebook) https://www.facebook.com/drteplinsky/Dr. Eleonora Teplinsky (LinkedIn) https://www.linkedin.com/in/eleonora-teplinsky-md-fasco-220aa02Dr. Eleonora Teplinsky (YouTube) https://www.youtube.com/@drteplinskyDr. Eleonora Teplinsky (X) https://x.com/drteplinskyINTERLUDE: Cancer Stories with Dr. Teplinsky (Apple Podcasts) https://podcasts.apple.com/us/podcast/interlude-cancer-stories-with-dr-teplinsky/id1451816690Living Beyond Breast Cancer https://www.lbbc.org/ Books:“Beyond the Pink: Navigating Life, Health, and Breast Cancer,” by Dr. Eleonora Teplinsky https://www.hachettebookgroup.com/titles/dr-eleonora-teplinsky-m-d/beyond-the-pink/9781538777145/“The New Perimenopause,” by Dr. Mary Claire Haver https://thepauselife.com/pages/the-new-perimenopause-book“The New Menopause,” by Dr. Mary Claire Haver https://www.amazon.com/dp/B0CKBZ4K1Z Never miss an episode—sign up for The ‘Pause Life Newsletter: https://thepauselife.com/pages/newsletter Medical Disclaimer: The information, including opinions and recommendations, on this platform is meant for informational and educational purposes only. Mary Claire Media, LLC, the unPAUSED podcast, and The ‘Pause Life are not medical organizations. Medical advice or medical diagnosis cannot be provided to you through the platform, any associated website, or customer portals. Using this platform does not establish a patient-physician relationship.

    Dense Breasts, Family History and Your Mammogram: How to Know your Real Risk
  5. Oct 27

    Told You Can Never Take Estrogen? HRT After Breast Cancer

    In this episode of unPAUSED, Dr. Mary Claire Haver sits down with breast oncologist Dr. Eleonora Teplinsky, author of Beyond the Pink, to take on the dogma that women with breast cancer — or a family history of it — can never take estrogen. They cover why estrogen does not cause breast cancer, who is and isn’t a candidate for hormones, the script for a dismissive appointment, vaginal estrogen and DHEA for survivors, and the NCCN’s shift on testosterone from “contraindicated” to “use with caution.” Guest links:Dr. Eleonora Teplinsky (Website) https://interludecancerstories.com/Dr. Eleonora Teplinsky (Instagram) https://www.instagram.com/drteplinsky/Dr. Eleonora Teplinsky (Substack) https://drteplinsky.substack.com/Dr. Eleonora Teplinsky (TikTok) https://www.tiktok.com/@drteplinskyDr. Eleonora Teplinsky (Facebook) https://www.facebook.com/drteplinsky/Dr. Eleonora Teplinsky (LinkedIn) https://www.linkedin.com/in/eleonora-teplinsky-md-fasco-220aa02Dr. Eleonora Teplinsky (YouTube) https://www.youtube.com/@drteplinskyDr. Eleonora Teplinsky (X) https://x.com/drteplinskyINTERLUDE: Cancer Stories with Dr. Teplinsky (Apple Podcasts) https://podcasts.apple.com/us/podcast/interlude-cancer-stories-with-dr-teplinsky/id1451816690Living Beyond Breast Cancer https://www.lbbc.org/ Books:“Beyond the Pink,” by Dr. Eleonora Teplinsky https://www.hachettebookgroup.com/titles/dr-eleonora-teplinsky-m-d/beyond-the-pink/9781538777145“The New Perimenopause,” by Dr. Mary Claire Haver https://thepauselife.com/pages/the-new-perimenopause-book“The New Menopause,” by Dr. Mary Claire Haver https://www.amazon.com/dp/B0CKBZ4K1Z Never miss an episode—sign up for The ‘Pause Life Newsletter: https://thepauselife.com/pages/newsletter Medical Disclaimer: The information, including opinions and recommendations, on this platform is meant for informational and educational purposes only. Mary Claire Media, LLC, the unPAUSED podcast, and The ‘Pause Life are not medical organizations. Medical advice or medical diagnosis cannot be provided to you through the platform, any associated website, or customer portals. Using this platform does not establish a patient-physician relationship.

    Told You Can Never Take Estrogen? HRT After Breast Cancer
  6. Oct 23

    Painful Sex, Dryness and Menopause with the Vagina Whisperer

    In this episode of unPAUSED, Dr. Mary Claire Haver continues her conversation with board certified pelvic floor physical therapist Dr. Sara Reardon, known on social media as The Vagina Whisperer — and this time it’s the toolkit: what you can actually do, starting today, to protect and rebuild your pelvic floor. They begin with pessaries, the internal support devices so few women are offered, why getting one fitted properly is harder than it should be, and the over-the-counter silicone supports that let women run, lift, and travel leak-free while they strengthen. From there they get into the everyday habits that quietly weaken the pelvic floor: pushing when you pee, straining on the toilet, scrolling past the five-minute mark, and holding your breath while lifting — plus hemorrhoids, what healthy stool should look like, and why a simple toilet stool changes everything. They then take a deeper dive into genitourinary syndrome of menopause (GSM), why nearly three quarters of women with symptoms never mention them to a clinician, and why hormones alone aren’t enough — you lose urinary sphincter strength every year after age 35, so the muscle training has to happen too. Dr. Reardon covers keeping vaginal tissue healthy with or without a partner, what vaginismus is and why “just relax” fails, the woman who endured ten years of searing pain — and surgery to remove her labia — when the real culprit was a compressed pudendal nerve, the $5 billion vaginal rejuvenation industry, her five free daily pelvic floor habits, and the message she wants every woman to hear: it’s never too late, with patients in their 80s and 90s still getting better. Guest links:Dr. Sara Reardon (Instagram) https://www.instagram.com/the.vagina.whisperer/Dr. Sara Reardon / The Vagina Whisperer (Website) https://thevagwhisperer.com/NOLA Pelvic Health (Website) https://www.nolapelvichealth.com/The V-Hive App (The Vagina Whisperer) https://thevagwhisperer.com/membership/ Books:“Floored: A Woman’s Guide to Pelvic Floor Health at Every Age and Stage,” by Dr. Sara Reardon https://thevagwhisperer.com/floored/“The New Perimenopause,” by Dr. Mary Claire Haver https://thepauselife.com/pages/the-new-perimenopause-book“The New Menopause,” by Dr. Mary Claire Haver https://www.amazon.com/dp/B0CKBZ4K1Z Never miss an episode—sign up for The ‘Pause Life Newsletter: https://thepauselife.com/pages/newsletter Medical Disclaimer: The information, including opinions and recommendations, on this platform is meant for informational and educational purposes only. Mary Claire Media, LLC, the unPAUSED podcast, and The ‘Pause Life are not medical organizations. Medical advice or medical diagnosis cannot be provided to you through the platform, any associated website, or customer portals. Using this platform does not establish a patient-physician relationship.

    Painful Sex, Dryness and Menopause with the Vagina Whisperer
  7. Oct 20

    Bladder Leaks, UTIs & Pelvic Floor Health with the Vagina Whisperer

    In this episode of unPAUSED, Dr. Mary Claire Haver sits down with Dr. Sara Reardon, board-certified pelvic floor physical therapist, founder of The Vagina Whisperer, and author of Floored, to talk about the muscles 68% of postmenopausal women say no one ever taught them they had. Nearly 1 in 3 women lives with a pelvic floor disorder — urinary leakage, prolapse, pain with sex — and the US spends over $20 billion a year managing it rather than fixing it, while women are offered a device, surgery, or “just live with it.” Dr. Reardon explains why leaking isn’t just part of being a woman, why diapers aren’t your destiny, and why these symptoms are treatable at every age. Dr. Reardon walks through what happens at a pelvic floor PT appointment (you can self-refer in every US state, covered by insurance), why over 50% of women do Kegels incorrectly — and why Kegels alone were never the answer — the difference between a weak and a too-tight pelvic floor, and stress vs. urge incontinence. They dig into night-time bathroom trips and the fall-and-fracture risk nobody connects to them, why vaginal estrogen should be prescribed proactively — including the study showing it cut recurrent UTIs from 5.9 infections per patient-year to 0.5 — the truth about prolapse (half of women over 50 have some degree of it), what to ask before consenting to any prolapse repair, and the vaginal mesh scandal. Framed throughout by Mary Claire’s own mother’s story: three failed incontinence surgeries, decades of leaking, and the hip fracture after which she never walked again. Guest links:Dr. Sara Reardon / The Vagina Whisperer (Website) https://www.thevagwhisperer.com/Dr. Sara Reardon (Instagram) https://www.instagram.com/the.vagina.whisperer/ Books:“Floored: A Woman’s Guide to Pelvic Floor Health at Every Age and Stage,” by Dr. Sara Reardon https://www.thevagwhisperer.com/floored“The New Perimenopause,” by Dr. Mary Claire Haver https://thepauselife.com/pages/the-new-perimenopause-book“The New Menopause,” by Dr. Mary Claire Haver https://www.amazon.com/dp/B0CKBZ4K1Z Never miss an episode—sign up for The ‘Pause Life Newsletter: https://thepauselife.com/pages/newsletter Medical Disclaimer: The information, including opinions and recommendations, on this platform is meant for informational and educational purposes only. Mary Claire Media, LLC, the unPAUSED podcast, and The ‘Pause Life are not medical organizations. Medical advice or medical diagnosis cannot be provided to you through the platform, any associated website, or customer portals. Using this platform does not establish a patient-physician relationship.

    Bladder Leaks, UTIs & Pelvic Floor Health with the Vagina Whisperer
  8. Oct 16

    Menopause, Hormones and Women’s Sexual Health with Dr. Rachel Rubin; Listen Again

    In this episode of unPAUSED, pulled from the archive because it’s one worth hearing again, Dr. Mary Claire Haver sits down with Dr. Rachel Rubin, board-certified urologist, nationally recognized expert in sexual medicine, assistant clinical professor of urology at Georgetown University, and a lead advocate behind the 2025 American Urological Association guidelines on genitourinary syndrome of menopause. The conversation starts with the number that explains everything: three training programs in the last three years even acknowledge women’s sexual health — men have more than 27. The reason your doctor doesn’t know how to talk to you about libido, arousal, orgasm, or pain is that no one ever taught them. Dr. Rubin delivers the anatomy lesson medicine skipped — why the clitoris and penis are the same tissue, why the cervix is triply innervated despite being taught as nerve-free, and why “my orgasm changed after my hysterectomy” is biology, not psychology. They cover why sex should never hurt and pain always deserves a diagnosis, the vulvar vestibule tissue most doctors were never taught to examine, the hormone changes that start in your 30s — not at menopause — and the case Dr. Rubin has built her career on: vaginal estrogen and DHEA prevent more than half of UTIs and could save Medicare an estimated $6–22 billion a year. Plus the medications that quietly affect sexual function, the two FDA-approved drugs for low libido most women have never heard of, and the five hormone options every woman deserves to know are on her menu. Guest links:Dr. Rachel Rubin (Website) https://www.rachelrubinmd.com/Dr. Rachel Rubin (Instagram) https://www.instagram.com/drrachelrubin/Dr. Rachel Rubin (X) https://x.com/drrachelrubin Books:“The New Perimenopause,” by Dr. Mary Claire Haver https://thepauselife.com/pages/the-new-perimenopause-book“The New Menopause,” by Dr. Mary Claire Haver https://www.amazon.com/dp/B0CKBZ4K1Z Never miss an episode—sign up for The ‘Pause Life Newsletter: https://thepauselife.com/pages/newsletter Medical Disclaimer: The information, including opinions and recommendations, on this platform is meant for informational and educational purposes only. Mary Claire Media, LLC, the unPAUSED podcast, and The ‘Pause Life are not medical organizations. Medical advice or medical diagnosis cannot be provided to you through the platform, any associated website, or customer portals. Using this platform does not establish a patient-physician relationship

    Menopause, Hormones and Women’s Sexual Health with Dr. Rachel Rubin; Listen Again
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About

Welcome to unPAUSED, the podcast where bold, unfiltered conversations take place about what it really takes for women to thrive in the second half of life. Every week, Dr. Mary Claire Haver, a board-certified Obstetrician-Gynecologist, Certified Menopause Practitioner, and #1 New York Times best-selling author, tackles the conversations women actually need to hear. Dr. Haver sits down with a variety of medical experts, CEOs, and risk-takers to discuss everything that matters, from hormones and identity to financial power, relationships, and the tools needed to build the life you want. unPAUSED is about reclaiming your healthspan—not just the number of years you live, but the number of years you live well. Tune in every Tuesday for new episodes of unPAUSED. Subscribe now so you don't miss it.

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