Melinda French Gates: It Took Three Doctors to Diagnose My Perimenopause
July 22, 2026
AI Summary
5 min readMelinda French Gates needed three doctors to get a correct diagnosis for perimenopause. She had access to some of the best healthcare in the country. It still took three tries. That experience — and the fact that only one-third of OB-GYNs in the United States are trained in menopause — is part of what drove her to commit $215 million in new funding to women's health, with a significant portion aimed at menopause research. In this conversation with Norah O'Donnell, French Gates explains why women's health is chronically underfunded, what the consequences are, and how women can advocate for themselves when the system fails them.
The structural gap in women's health research
French Gates points to a stark statistic: only 10% of taxpayer money at the National Institutes of Health goes toward women's research. The result is that women spend an average of nine years in poor health compared to men — and those years are not at the end of life. "A lot of those years are in your most productive years," she says. When women cannot get answers for their health problems, they step back from careers at their peak. One in ten women leaves the workforce during perimenopause or menopause because of severe symptoms.
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What you'll learn
- 1 (00:00) **Opening Teaser** - Melinda French Gates argues women's health is the issue of our time because it's chronically under-researched and underfunded.
- 2 (02:15) **Why Women's Health is "The Issue of Our Time"** - Melinda explains the economic and personal consequences of the funding gap in women's health research.
- 3 (03:58) **Melinda's Personal Perimenopause Story** - She shares her own struggle to get a diagnosis and the shocking lack of training among doctors.
- 4 (05:15) **Calling for a Menopause Revolution** - Melinda explains her $215 million investment and why menopause is a critical, neglected area.
- 5 (06:32) **The Root of the Bias in Funding** - Melinda traces the lack of research to historical power imbalances and false assumptions about women's bodies.
- 6 (07:43) **Maternal Health and the "Fourth Trimester"** - Melinda discusses the need to wrap mental health services into maternal care from the very start.
- 7 (10:31) **A Call to Congress and National Crisis** - Melinda urges a $20 billion investment over the next decade to close the women's health gap.
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Show Notes
Melinda French Gates is focusing her money and attention on improving women’s healthcare in America. In Healthful’s first episode, French Gates tells Norah O’Donnell why it took three doctors to catch her perimenopause and shares the three simple things that keep her healthier than ever.
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