The Midlife Midwife

The Midlife Midwife Women's primary care: exams, counseling, testing, hormone therapy, massage therapy - all in one place! Across the lifespan...

The American College of Physicians has released updated guidance for asymptomatic, average risk women, emphasizing bienn...
04/26/2026

The American College of Physicians has released updated guidance for asymptomatic, average risk women, emphasizing biennial mammography for those aged 50 to 74. For women in the 40 to 49 age bracket, the ACP now recommends an individualized approach rooted in shared decision making to balance the modest mortality benefits against the potential harms of overdiagnosis and false positives.

‘Sensible’ recommendations support biennial screening from age 50 to 74, with individualized decision-making for women below or above these age thresholds.

04/23/2026

Borrowed post:

Madonna didn't embarrass herself at Coachella. She exposed you.

On Friday night at Coachella, Sabrina Carpenter had a surprise guest during her performance... Madonna walked out wearing the same lace bodysuit she wore in the dance tent in 2006 with the same boots and the same skin showing. She told the crowd it was a full circle moment, twenty years later, and then she and Sabrina did "Vogue" together, and then "Like a Prayer," and somewhere in the middle they debuted a new song from Madonna's upcoming album, Confessions II, out July 3.

Madonna is 67. Sabrina is 26. My 13 year old self's favorite with my latest favorite? It was, quite honestly, an electric and empowering moment.

I'm a Gen X kid who built her whole aesthetic imagination around this woman. I made up dance routines to "Like a Virgin" in my best friend's living room. I wore lace fingerless gloves to the mall. I watched Desperately Seeking Susan and thought, when I'm grown, I want to be cool like her . Madonna wasn't just a pop star to girls like me. She was a permission slip. She told us our bodies belonged to us. That we could be sexual and smart and ambitious and weird and loud and none of it had to be apologized for. We could write the rules ourselves.

So when I watched her walk hand in hand with Sabrina on Friday night, and then I watched the internet do what the internet does, I wasn't surprised, but I was furious.

"Somebody put grandma in a nursing home." "Why is 67-year-old Madonna acting like a 17-year-old?" "Cringe." "Dress your age."

Let me tell you what those comments actually are. They are not aesthetic opinions or fashion critiques. They are social enforcement.

Here's the rule women are supposed to follow.

-Be beautiful, but only during a specific window.
-Be desirable, but only for men, and only until you're inconvenient.
-Then vanish.

Madonna has never once, in forty years, agreed to any of that. That is why they're screaming.

It's worth saying what the plastic surgery conversation is really about, because women get reamed on both sides of it. Madonna has had work done. Demi Moore has had work done. Nicole Kidman has had work done. The comment sections have opinions on every millimeter of every face. Meanwhile, the same culture demanding these women age invisibly will crucify them the minute a single line appears. There is no winning. The game is rigged so the only acceptable outcome is disappearance. Work done? Vain. No work done? Letting yourself go. The punishment is the point.

A lot of the loudest voices tearing Madonna apart online are other women. I've been thinking about this as a “lobsters in a pot” situation. If you've followed every rule, if you've shrunk on schedule, if you've gone quiet, if you've dressed appropriately, if you've turned down the heat on your own life because culture at large told you to, and then a 67 year old woman in a lace corset struts out under the Coachella lights and does "Vogue" with the biggest pop star of the year?

Some women are going to feel rage. Not because Madonna did anything to them. Because she refused the deal they accepted. That refusal is unbearable to look at when you're still trapped inside the contract.

Now let's talk about Sabrina Carpenter as she is one of the most interesting pop culture figures we have had in years.
Sabrina is objectively, undeniably the whole package. Singer, actress, songwriter, comedian. Her music videos are tiny films with plot and insane wardrobe and violence and jokes. Watch "Taste." Watch "Please Please Please." Watch "Manchild." And “Hour Tour.: Men get tied up. Men get buried. Men in her videos get exactly what they deserve. They are being told a specific, pointed, hilarious story by a woman who is in full creative control of the camera.

There is a comment I saw recently from some guy online saying "no normal straight man likes Sabrina Carpenter's music." Sir, that is the entire point. Sabrina's whole body of work is sexy, funny, clever, h***y, winking pop written from inside a woman's head for other women to enjoy. It's the female gaze with a spotlight on it. It's not for him. It was never supposed to be for him.

His confusion is why he is camped out in the comments. There is a particular kind of male rage aimed at pop stars like Sabrina and Madonna.

It is the rage that shows up when a woman is clearly, unmistakably, verifiably exceptional. Beautiful, and talented, and smart, and funny, and accomplished. And she is not delivering any of that exceptionality to him. Male entitlement tells him a woman this gifted owes him her attention. When she spends it on herself and on other women instead, he does not experience that as a preference. He experiences it as a theft.

That is the rage you are seeing in the comments. It is not critique. It is grievance. A woman who should, by the rules of the system, belong to him, has opted out of the system, and he cannot tolerate it.

On one side, men furious that these women are exceptional in a direction that excludes them. On the other side, women with unprocessed internalized misogyny furious that these women get away with breaking the rules. Two different angers, pointed at the same target, enforcing the same contract.

Sabrina and Madonna are living proof you can survive that contract. You can refuse it at 26 and you can still be refusing it at 67, and the refusal compounds. The longer you do it, the bigger the stage gets.

Sabrina is the inheritor. Madonna knows exactly what she is doing by showing up at her show. She has done this her whole career. She made a moment with Britney. She made a moment with Christina. Now she is making one with Sabrina. This is pop lineage. This is a queen saying, here, take the crown, wear it your way, I'll be watching proudly.

Twenty years ago at Coachella, Madonna was 47 and performing in the dance tent in a lace bodysuit the culture at the time tried to tell her she was too old to wear. On Friday, she put that same bodysuit back on at 67 and did it again. The outfit did not age out. The woman did not age out. The only thing that has changed is that now there are two generations of women standing behind her saying, yes, louder, do it again.

Here is what I want women my age, and women younger, and women older, to take from this moment.

You are allowed to still be here. You are allowed to still want things. You are allowed to be loud, and sexual, and ambitious, and fabulous, and ridiculous, and alive at 47 and 57 and 67 and 87. You are allowed to wear the bodysuit. You are allowed to headline your own life past the expiration date that was never real in the first place.

They're not mad about Madonna's age. They're mad she won't shrink or go away.

Be ungovernable. Age offensively. Put the lace gloves back on.

02/26/2026

Midlife isn’t an ending—it’s a bridge 🌉

This engaging, accessible talk is for anyone curious about how the midlife transition impacts overall well-being and sexuality—and how to create a vibrant, healthy life after menopause. We’ll explore current research, dispel myths about hormone therapy, and make space for your real questions.

Led by Susanrachel “Birdie” Condon, midwife and health & sexuality educator with nearly three decades of experience, and founder of Midlife Midwife. Birdie is also the interim program director and clinical assistant professor at SUNY Downstate’s Midwifery Education program.

Join us for “Midlife as a Bridge: Everything You Want to Know About Menopause!”

🗓 March 1, 2026

⏰ 2:30–4:30 PM

📍 The Living Room at Full Circle

💵 $35 per person | $60 per couple

Come learn, ask, and connect—because knowledge is powerful at every stage of life. ✨

FullCircleCommunity

Join me for an informative presentation and discussion about the menopause transition at Full Circle in Gardiner March 1...
01/25/2026

Join me for an informative presentation and discussion about the menopause transition at Full Circle in Gardiner March 1. Register at fcgardiner.com

11/15/2025

The science around hormone therapy to treat menopause has changed a lot since the FDA issued warning labels 20 years ago. Now the labels are being removed, here are 6 things to consider.

11/10/2025

ACOG commends HHS for improving access to hormone therapy needed for treatment of menopausal symptoms. ACOG has long called for removal of the black box warning on low-dose vaginal estrogen, and our guidance remains the same: Hormonal treatment should be individualized and based on each patient’s risks and goals. Read our full statement: https://bit.ly/43pChzP

https://www.carifriedman.com/fall-yoga-retreat-with-cari-friedmanWonderful local yoga retreat for women over 35:
08/30/2025

https://www.carifriedman.com/fall-yoga-retreat-with-cari-friedman

Wonderful local yoga retreat for women over 35:

Embrace the season of transformation at Cari Friedman's Fall Yoga Retreat. Ground your practice through Katonah yoga, breathwork, and meditation while surrounded by autumn's beauty and supportive community near NYC.

https://www.facebook.com/amightygirl/posts/pfbid0yVzuUwNNm2jkMB2BaUenxY7nieBGsCqRyAJnezKugzaR11c1ApCJd4mH38rxekapl
06/27/2025

https://www.facebook.com/amightygirl/posts/pfbid0yVzuUwNNm2jkMB2BaUenxY7nieBGsCqRyAJnezKugzaR11c1ApCJd4mH38rxekapl

Gisèle Pelicot, whose extraordinary courage captivated France and the world during the harrowing trial of her ex-husband and 50 other men for drugging and ra**ng her, has won her privacy battle against Paris Match magazine -- and promptly donated the entire €40,000 settlement to support sexual violence prevention organizations! The magazine had published unauthorized photographs of Gisèle's post-trial life, prompting her successful legal action that resulted in two €20,000 payments to associations supporting sexual violence victims. This resolution highlights the critical distinction between choosing to waive anonymity in court -- a decision Gisèle made to shine light on sexual violence -- and surrendering one's fundamental right to privacy thereafter.

The settlement marks another chapter in Gisèle's courageous journey to reclaim her autonomy after enduring almost a decade of unconscionable violations orchestrated by her former husband, who was convicted of drugging her and facilitating her r**e by dozens of strangers. Despite the shocking revelation that Paris Match had published personal photos of her new life without consent -- a particularly disturbing action given that her original victimization involved being filmed without knowledge or consent -- Gisèle has once again demonstrated extraordinary resilience. As her lawyer poignantly stated, "She became a public figure unwillingly," yet by refusing to be silenced, Gisèle continues to transform her experience into a powerful force for change.

Kudos to Gisèle for transforming her personal tragedy into a powerful beacon of hope for sexual violence survivors everywhere!

Gisele's daughter Caroline Darian has released a memoir about her and her mother's experience and how they helped give voice to many women who had been silenced -- "I'll Never Call Him Dad Again" at https://bookshop.org/a/8011/9781464257957 (Bookshop) and https://amzn.to/4jikYpX (Amazon)

For several powerful memoirs by young women who survived and spoke out after sexual assault, we highly recommend "Know My Name: A Memoir" (https://www.amightygirl.com/know-my-name), "Notes on a Silencing: A Memoir" (https://www.amightygirl.com/notes-on-a-silencing), and "I Have The Right To" (https://www.amightygirl.com/i-have-the-right-to), recommended for older teens and adults

For fictional stories that address r**e and sexual violence and offer a helpful way to spark conversations with young adult readers around sexual assault, we recommend "Speak" for ages 14 and up (https://www.amightygirl.com/speak), "Girl Made of Stars" for ages 14 and up (https://www.amightygirl.com/girl-made-of-stars), and "The Way I Used To Be" for ages 15 and up (https://www.amightygirl.com/the-way-i-used-to-be)

To start teaching children -- girls and boys alike -- from a young age about the need to respect others and their personal boundaries, we recommend "Let's Talk About Body Boundaries, Consent, and Respect" for ages 4 to 7 (https://www.amightygirl.com/body-boundaries) and "My Body! What I Say Goes!" for ages 3 to 6 (https://www.amightygirl.com/my-body)

For older kids, check out the excellent "Consent (for Kids!)" for ages 6 to 10 at https://www.amightygirl.com/consent-for-kids

There is also a helpful guide for teens on topics such as consent and coercion, "Real Talk About S*x and Consent: What Every Teen Needs to Know," for ages 13 and up at https://www.amightygirl.com/real-talk-about-sex-and-consent

And if you know a teen girl struggling after sexual abuse or trauma, “The S*xual Trauma Workbook for Teen Girls: A Guide to Recovery from S*xual Assault and Abuse” may help at https://www.amightygirl.com/sexual-trauma-workbook-girls

Image via https://www.womensvoicesnow.org/gisele-pelicot

01/02/2025

AFTER FIFTY
After fifty, you can no longer handle restrictions...
You can’t stand a tight bra, forced dinners with your sister-in-law who inspects the dust in every corner, high heels on rocky paths, or circumstantial smiles...
At fifty, you no longer want to prove yourself. You are who you are, the things you’ve done, and the things you still want to do. If it’s fine with others, great. If not, it is what it is...
After fifty, it doesn’t matter if you have children or not; you’ll still be a mother, your mother, your father, a lonely aunt, your dog, or a bald cat you rescued from the street...
And if none of those are there, you’ll be your own mother because, over the years, you’ll have learned to care for a body you’ve finally come to love—one that grows more imperfect, but only in the eyes of others...
Who cares if half your wardrobe is the wrong size...
What matters is that your back doesn’t creak too much when you stand up, that you don’t feel lumps when touching your breasts, and that menstruation finally becomes someone else’s problem...
After fifty, you want freedom—free to say no, free to stay in pyjamas all Sunday, free to feel beautiful for yourself and not for others...
Free to walk alone; those who love you will walk with you, those who care about appearances...
You are free to sing loudly in your car, even if people stare at you at traffic lights. You’ll no longer have school records to check or mum group chats to endure...
You’ll have dreams like when you were twenty, and you’ll ask God every day for time to achieve more...
You’ll have said goodbye to the men you loved and to the insecurities that once made you tremble...
And now, just now, after devouring half of your life in big, hurried bites, you’ll discover the desire to slowly savour all the sweetness and salt of the days ahead...
~Jr Arenivas

image | Emma Thompson by Veronique Vial.

08/26/2024

No one told me
it would be like this—
how growing older
is another passage
of discovery
and that aging is one
grand transformation,
and if some things become torn apart
lost along the way,
many other means show up
to bring me closer
to the center of my heart.

No one ever told me
if whatever wonder
waits ahead
is in another realm
and outside of time.
But the amazement, I found,
is that the disconcerting things
within the here and now
that I stumble
and trip my way
through, also
lead me
gracefully
home.

And no one told me
that I would ever see
an earth so strong
and fragile, or
a world so sad
and beautiful.
And I surely
didn't know
I'd have
all this life
yet in me
or such fire
inside my
bones.
~Susan Frybort~ With gratitude for this Soul Deep Poem

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