
01
Hot flashes, night sweats, insomnia – OB-GYNS set new rules for menopause treatment
The gist: New ACOG guidance supports a broader range of treatments, including hormone therapy for many newly menopausal women and newer nonhormonal medicines for symptoms such as hot flashes and insomnia.
Big pictureThe guidance reflects newer research that challenged concerns drawn from an older study whose participants were mostly age 60 or older. It also emphasizes that treatment should consider a person's symptoms, health risks, and preferences rather than follow one ranking of options.
Explain like I'm 5Menopause can cause uncomfortable changes, and there is not one best fix for everyone. Doctors now have a bigger toolbox, including hormones, other medicines, and lifestyle treatments, so patients can choose what fits them.
Why it matters nowACOG released its first menopause-treatment update since 2014 on Thursday, as demand for hormone therapy is rising and some estrogen patches have been difficult for pharmacies to stock.
Three things to know01Uterus status changes treatment
People with a uterus generally need progestogen alongside estrogen to limit growth of the uterine lining, while those without a uterus can use estrogen alone.
02New medicines target temperature control
Fezolinetant and elinzanetant work by blocking brain chemical messengers involved in regulating body temperature and sleep, and were approved in 2023 and 2025 respectively.
03Hormones are not for everyone
ACOG lists conditions such as certain cancers, blood clots, stroke, heart attack, liver disease, unexplained genital bleeding, or pregnancy as reasons to avoid hormone therapy.
Trusted source
NPR Health ↗

02
Next Governor To Face Thorny Choices After California’s Rapid Medicaid Expansion
The gist: California’s next governor will face hard choices as Medi-Cal covers 1 in 3 Californians while federal cuts threaten a program whose annual spending has reached $222 billion.
Big pictureCalifornia expanded Medi-Cal to cover nearly all low-income residents and added benefits such as housing assistance and hospice care. That broad coverage has helped millions, but it has also made the program a much larger and harder-to-fund part of the state budget.
Explain like I'm 5Medi-Cal is like a big help fund that pays for health care for people with low incomes. More people now use it and health care costs more, but less money may be coming from the federal government.
Why it matters nowA new federal law is expected to cut Medicaid funding by more than $900 billion over 10 years, while California’s November governor’s race offers few detailed plans for responding. State lawmakers have delayed several Medi-Cal cuts until 2027, leaving the next governor with major decisions.
Three things to know01Federal rules may shrink funding
The law limits provider taxes and other methods states have used to draw more federal money, while new work requirements could cause millions of people nationwide to lose coverage.
02California already borrowed billions
When Medi-Cal ran short of money in March 2025, the state borrowed $3.4 billion from itself, and the loan later grew to $4.4 billion before lawmakers set a 10-year repayment plan.
03Coverage grew faster than financing
Since 2010, Medi-Cal enrollment has nearly doubled, while yearly spending increased from $50 billion to $222 billion and now accounts for more than 40% of state spending.
Trusted source
KFF Health News ↗

03
This Is the No. 1 Risk Factor for Dementia That You Can Actually Prevent, According to a Geriatrician
The gist: Untreated hearing loss is the No. 1 modifiable risk factor for dementia, and checking your hearing and treating problems may help protect brain health.
Big pictureHearing loss is common with age, but it can also begin much earlier and build up slowly. Because it can affect brain workload, brain flexibility and social connection, addressing it is one changeable part of lowering dementia risk.
Explain like I'm 5When hearing is hard, your brain works extra hard just to understand words. That can leave less energy for remembering things and may also make people avoid social time.
Why it matters nowIf speech sounds unclear in noisy places or you often ask people to repeat themselves, the next step is a hearing check; Rogers recommends screening at age 50 and regularly afterward.
Three things to know01Noise damage starts early
Loud-noise damage can begin in the teens and 20s, even when noticeable hearing trouble does not appear until decades later.
02Background noise reveals trouble
Difficulty understanding speech in a restaurant is often an early warning sign, along with muffled sounds, repeated requests and higher volume settings.
03Screening follows a schedule
Rogers recommends hearing screening at 50, every three to five years until 65, and every one to three years after 65.
Trusted source
NBC News Health ↗