A new documentary might teach you things about your own body that your doctor won’t.

By Vivian Manning-Schaffel

The migraines, joint pain, night sweats, and debilitating brain fog began in my mid-forties. With two young children to keep up with, there wasn’t enough coffee in the world to make me feel present. I had an inkling I might be perimenopausal, but no one—not even my OB/GYN at the time—sat me down and told me what I was experiencing was normal, let alone offered me treatment options.

I, for one, would’ve greatly appreciated if a new documentary, The M Factor: Shredding the Silence on Menopause, came out a decade ago when my hormonal shenanigans began. Produced by Tamsen Fadal and Denise Pines, it’s airing tonight, Wednesday October 17, on PBS, right in time for World Menopause Day on 10/18. It’s the first menopause film to earn medical accreditation, meaning doctors and nurses can earn credits just by watching it.

In 2025, more than 1 billion women worldwide will be in menopause, after a five-to-ten-year period of symptoms ranging from hot flashes and mood swings to vaginal dryness and heart palpitations. Yet, even though menopause is as natural as puberty or childbirth, it has long been criminally neglected, under-researched, misdiagnosed, and mistreated. Too many women aren’t properly informed before the signs kick in, are gaslit or dismissed by their doctors when said symptoms show up, and end up feeling like they’re going insane. 

The documentary fills in some of these gaps, explaining what to expect when you’re done with the possibility of expecting from a medical, emotional, cultural, and historical perspective. In the absence of widespread guidance, some of the doctors featured have become revered social media heroes. For example, Dr. Lisa Mosconi, a neuroscientist and author of The Menopause Brain, discusses her important study demonstrating how estrogen connects to brain health and cognitive function because we have estrogen receptors in our brains—one of many key findings in support of Hormone Replacement Therapy (HRT) as the gold standard of menopause treatment. 

It took a while to get to that gold standard: The documentary takes us through the devastating impact of a flawed as-hell 2002 Women’s Health Initiative study falsely claiming HRT increased the risk of blood clots and breast cancer—a good section of the homogenous group of subjects were well into their seventies and could’ve been diagnosed with those conditions, anyway. Mary Jane Minkin, MD, a clinical professor of obstetrics, gynecology, and reproductive sciences at Yale School of Medicine who appears in the documentary, told me when this study came out, doctors stopped prescribing HRT, and menopause education in the U.S. all but ceased. More than 20 years later, she added, a study led by a colleague of hers proved less than a third of the OB/GYN residents surveyed were taught a menopause curriculum. 

Fortunately, a far more inclusive, age-appropriate, longitudinal study about women in midlife called the Study of Women’s Health Across the Nation eventually disproved the WHI study, restoring the credibility of HRT. For me, it took several years of complaining, writing an article about the efficacy of HRT, and a series of tests to convince my OB/GYN to give me a prescription. Now that my sleep has largely been restored, my joints feel better, and my brain fog has immediately cleared, I mourn the years I struggled through symptoms for absolutely no reason. 

The documentary takes care to note that menopause isn’t a one-size-fits-all experience. The severity and length of symptoms can vary greatly depending on who you are; they can last an average of 4.8 years for Japanese-American women and an average of 10.1 years for Black women. It also delves into the dark history of inequities of gynecology, including how Black enslaved women’s bodies were experimented upon by American gynecologists and the fact that Black women still suffer adverse outcomes and maternal mortality at disproportionately high rates. 

Things seem to be slowly changing for the better: President Biden signed an executive order that allocates 12 billion dollars to women’s midlife research—something Minkin hopes will further inspire young medical students to follow in her footsteps: “I try to trick my medical students into going into menopause research because I guarantee you there’s a Nobel prize for the person who can figure this out,” she says in the documentary. 

The filmmakers hope all women will learn more about menopause—even if they’re not there yet. Whether or not we eventually seek treatment for symptoms is up to us, but Sharon Malone, MD, another certified menopause practitioner, says in the doc that we may be doing our bodies a disservice by white-knuckling it. “The option should be, ‘I’m going to go, I’m going to get this addressed’ not ‘I’ll just suffer through and it’ll be over in a decade,’” she says. “You’re doing far more harm than good by just not addressing what the issues are.”