From Hysteria to Medical Gaslighting and the Path Forward with Dr. Elizabeth Comen

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unPAUSED with Dr. Mary Claire Haver 1h 11m 3 speakers 8 chapters transcribed
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What is the main topic discussed in this episode?

Dr. Mary Claire Haver 0:00
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How does medical gaslighting affect women's healthcare today?

Dr. Mary Claire Haver 0:49
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Dr. Elizabeth Comen 1:14
These doctor-patient relationships reflect our culture and our society. And women notoriously apologize. And we have absorbed tremendous shame about our bodies. It isn't just people with, you know, poor access to healthcare. This is some of the most powerful, incredible, royalty, literally, people that we've seen.

What historical figures contributed to the medical misogyny in healthcare?

Dr. Elizabeth Comen 1:32
And it is this common thread, no matter where you're from, no matter what you do, no matter how much money you have, no matter what your resources are, I guarantee you almost all women in a doctor's office will apologize for something of about their body. And I think that it's terrible.
Dr. Mary Claire Haver 1:55
The views and opinions expressed on Unpaused are those of the talent and guests alone and are provided for informational and entertainment purposes only. No part of this podcast or any related materials are intended to be a substitute for professional medical advice, diagnosis, or treatment. So let me set the stage for you. I am head down, deep into research for my own book, The New Perimenopause, and I come across a clip on social media where I saw our next guest, Dr. Elizabeth Komen, being interviewed about her book, It's All in Her Head. And what I heard her say in this clip left me literally speechless. Hearing another physician speak with such clarity about her own story and her patient's stories and about the systemic marginalization of the female experience in medicine was absolutely earth shattering.
Dr. Mary Claire Haver 2:43
I immediately ordered the book.

Why are women often misdiagnosed with anxiety instead of receiving proper care?

Dr. Mary Claire Haver 2:45
When I started reading Dr. Komen's book, I was stunned. She didn't just tell the stories of her patient. She lays bare the history that has shaped medicine itself. The biases, the blind spots, the outright misogyny that still haunt exam rooms today. And what struck me the most is that she wasn't just talking about the past. She showed us how the very structure of modern medicine, the way it was built brick by brick, still perpetuates those same patterns. I'll be honest. It took me over a decade of practice to realize just how deeply this is embedded in the system. For so long, I thought the gaps were individual, a doctor who didn't listen here, a misdiagnosis there. But the longer I practiced, especially in the space of menopause and women's health, the more I saw that this wasn't about a few bad apples or a rare oversight.

What systemic gaps exist in women's health research and funding?

Dr. Mary Claire Haver 3:37
This was structural. It was baked into how we were trained, how research is conducted, how curricula are written, how the guidelines are weaponized, and how women are too often dismissed, minimized, or told their symptoms are all in their head. That's what makes her message so powerful. Dr. Komen names what so many women have felt but couldn't quite articulate— She connects the dots between history, medical culture, and the lived experiences of patients today. And in doing so, she validates what millions of women know in their bones, that the system is failing them and has been for generations.

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