Trump Drops in on SCOTUS & Bulldozes Judge’s Ballroom Construction Ruling | Dr. Mary Claire Haver

Summary

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The Daily Show: Ears Edition

Episode: Trump Drops in on SCOTUS & Bulldozes Judge’s Ballroom Construction Ruling | Dr. Mary Claire Haver
Date: April 2, 2026
Host: Desi Lydic
Guest: Dr. Mary Claire Haver

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Episode Overview

This episode of The Daily Show, hosted by Desi Lydic, blends sharp political satire with practical health information. The first half covers Donald Trump's unusual appearance at the Supreme Court and the ongoing drama over his attempted White House ballroom construction, while regular contributor Lewis Black hilariously dissects the absurdities of online prediction markets. In the second half, acclaimed OB-GYN Dr. Mary Claire Haver joins for an insightful and uplifting interview about perimenopause, debunking myths and offering advice grounded in science and empathy.

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Headline Rundown & Political Satire

Trump Attends Supreme Court Case on Birthright Citizenship (01:19–05:20)

• Supreme Court hears a landmark case on birthright citizenship, questioning whether every child born in the U.S. is automatically a citizen—a right enshrined for over 125 years.
  • Desi Lydic: “The Supreme Court—the people who have ruined more women's lives than eyebrow plucking. Today they took on a historic case...” (01:22)
• Trump’s personal attendance at the Supreme Court makes headlines, provoking speculation over his motives and jokes about his attention span.
  • Desi, on Trump attending oral arguments: “Trump heard they'd be doing oral and was like, I'm in.” (02:22)
  • Satirical take: Trump falls asleep at legal proceedings; his inconsistent arguments against birthright citizenship are lampooned.
  • Desi Lydic: "Big difference between 75 and 10. 10 is Mormon. 75 is a spider." (03:54)
• Trump is accused of wanting to block not billionaires, but a different, unspoken group from citizenship.

Trump’s White House Ballroom Blocked by Judge (05:20–08:19)

• A federal judge halts construction on Trump’s $400-million White House ballroom, ruling that the President is a steward, not the owner, of the White House.
  • Lewis Black: “It was a 35-page ruling and it was quite extraordinary in its writing. It had 19 exclamation points.” (05:33)
  • Desi Lydic jokes: “Who was the judge? Me. Writing a work email.” (05:44)
  • Only safety-related work is permitted—the ruling inspires jokes about hypothetical accidents and Trump’s legal maneuvering.
• Trump’s creative interpretation of the ruling is mocked:
  • Trump Spokesperson: “We are allowed to continue building as necessary... for the safety and security of the White House and its grounds.” (06:39)
  • Exaggerated features of the ballroom: bulletproof, ballistic-proof, drone-proof, hospital, bioweapons defense, bomb shelters.

Trump’s “Presidential Library”—or Hotel? (08:19–10:23)

• Trump unveils renderings of a proposed skyscraper “library” in Miami.
  • Fact-check: It’s probably a hotel, not a library.
  • Trump Spokesperson: "It's going to be most likely a hotel. Could be office, but it's most likely going to be a hotel." (08:44)
  • Desi Lydic: “A hotel parading as a presidential library where you can honor his legacy by cheating on your wife in the Ashley Madison suite.” (08:50)
  • Trump undermines his own announcement by declaring he doesn’t believe in building libraries or museums.

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Lewis Black’s “Back in Black”: Prediction Markets & Political Betting (13:54–21:07)

(Lewis Black Segment)

• The world of prediction markets is explored—the ability to bet real money on almost any event, from politics to pop culture.
  • Lewis Black: “Since the dawn of time, humans have wondered what the future holds…But now, thanks to the Internet, we don't have to worry about the future. We can just bet on it.” (14:08)
• Examples of bets: Oscars, the next Federal Reserve chair, Elon Musk’s tweets, bridesmaids at Taylor Swift’s wedding.
  • Lewis Black, on Taylor Swift bet: “Any real Swifty knows Taylor’s going to have a small private service without bridesmaids. Next time, try listening to the lyrics of her 2010 hit, Speak Now, you idiot.” (16:12)
• Even apocalyptic and religious outcomes are listed: “The odds of Jesus returning this year is 4%.” (16:49)
  • Lewis notes Jesus's odds are four times better than the Jets winning the Super Bowl.
• Dark humor on insider political betting:
  • Desi Lydic (clip): “Massive bets on Trump's war with Iran, raising questions of insider trading...” (18:46)
• Lewis spots Don Jr. as an unlikely advisor to prediction markets like Kalshi or Polymarket.
• It’s easy money: “Trump only says like three things. He's like a big mouth Billy Bass that hates Mexicans.” (20:09)
• Lewis closes with a punch: “I bet everything on me swearing less than that and took all your money. Ha ha ha ha ha.” (20:39)

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Feature Interview: Dr. Mary Claire Haver on Perimenopause (23:00–39:08)

Introduction & Purpose (23:00–23:44)

• Dr. Haver, OB-GYN, founder of The Pause Life, author of The New Perimenopause, joins to demystify perimenopause—a stage many women experience but few understand.
  • Desi Lydic: “Thank you for writing this book. I think this is gonna be such an incredible guide for so many women.” (23:30)
  • Dr. Mary Claire Haver: “An evidence based guide to surviving the zone of chaos.” (23:47)

What Is Perimenopause? (23:54–25:44)

• Dr. Haver provides a clear, science-based explanation:
  • Transition from normal menstrual cycles to menopause, triggered by a declining egg supply—"it begins in the brain.”
  • Dr. Haver: “So the reason why we ovulate is because we have signals coming from the brain when estrogen levels naturally get low... what used to look like this beautiful pattern, now I take spaghetti, I throw it at the wall. And this is the next seven years of your life.” (24:59, 25:30)

The Knowledge Gap & Medical Practice Lag (27:08–28:15)

• Dr. Haver: “There is about a...17-year gap from when a study comes out...before it is actually assimilated into clinical practice.” (27:22)
• The “evidence to practice gap” means treatment advances are often slow to reach patients, especially in menopause care.

Medical Training & Gaps in Perimenopause Education (28:52–30:28)

• Medical professionals typically receive little formal training on perimenopause.
  • Dr. Haver: “All I learned about perimenopause was how to pronounce it...never been a single large-scale study on the treatment of perimenopause.” (28:54)

Symptoms & Early Signs (28:52–30:28)

• Early symptoms are neurological and psychological—not just hot flashes or cycle changes.
  • Sleep disruption, brain fog, mood disorders (“anxious, ragey, or depressed or all three”)
  • Dr. Haver, on mental signs: “That's the first signs of perimenopause in the brain. Not your periods, not your hot flashes, those are late perimenopause. That's the end, really.” (29:45)

Hormone Replacement Therapy (HRT): The Scientific Pendulum (30:28–33:23)

• Dr. Haver recounts the notorious 2002 WHI study and ensuing panic about estrogen/HRT and breast cancer.
  • “It was the number one medical news story of 2002...we were recommending hormone therapy to almost everyone, right. Who was a good candidate. And all of a sudden it was like, stop.” (31:10)
• Current understanding: For most, HRT is safe, and it's the “gold standard treatment for hot flashes.” Also benefits bone, cardiovascular, and potentially brain health.
  • Mention of the FDA’s black box warning on estrogen—a warning finally rescinded, leading to a shortage of estrogen patches.
• Dr. Haver: “We have asked the FDA for decades to remove this black box warning. It was not warranted... So finally in November, the FDA was able to take the warning label down, which has caused a shortage of estrogen patches.” (32:47–33:13)

Women’s Health Research Disparities (34:30–35:20)

• Stark lack of research compared to pregnancy: “Pregnancy: 1.2 million articles... Menopause: 99,000... Perimenopause: 9,000.”
  • Dr. Haver: “We have a lot of work to do here... women are owed centuries of research.” (35:01–35:20)

Living Beyond Menopause & Alzheimer’s (33:27–36:36)

• Higher prevalence of Alzheimer’s in women — not just genetics, loss of hormones may play a role.
• Advocacy for healthy habits: fiber, exercise, stress management, therapy, for improved long-term quality of life.

Self-Advocacy for Women (36:57–38:08)

• Find menopause-literate providers via menopause.org or the Pause Life; plan a dedicated visit for perimenopause, not just an annual exam.
  • Dr. Haver: “It’s not a well woman visit... This is a separate visit for you to really have the time. Not in stirrups.” (37:14)
  • Desi Lydic: “Don't bring my stirrups.” (37:56)

Gentle Decline for Men, Cliff for Women (38:08–38:21)

• Dr. Haver: “Women’s hormones fall off a cliff … men’s have a slow, gentle decline.” (38:18)

Final Message & Memorable Quote (38:36–39:01)

• Dr. Haver: “This is an inevitable and very normal transition... But you should never suffer through it. Ever.” (38:36)
• Desi Lydic: “Yes. Cheers. Living our best lives.” (39:01)

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Notable Quotes & Moments

• Desi Lydic, on Supreme Court: “The people who have ruined more women's lives than eyebrow plucking.” (01:22)
• Lewis Black, on gambling: “You could lose the last one two ways, an STD or child support. I can't count how many times I woke up in someone's bed like, come on, chlamydia.” (14:50)
• Dr. Haver: “What used to look like this beautiful pattern, now I take spaghetti, I throw it at the wall—and this is the next seven years of your life.” (25:30)
• Dr. Haver: “All I learned about perimenopause was how to pronounce it.” (28:54)
• Dr. Haver: “We have a lot of work to do here, and, you know, this book is a guide... so that you can go through this transition as healthy as possible.” (35:20)
• Lewis Black, on Trump prediction markets: “Trump only says like three things. He's like a big mouth Billy Bass that hates Mexicans.” (20:09)
• Desi Lydic, to Dr. Haver: “Cheers. Living our best lives.” (39:01)

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Timestamps for Key Segments

• [01:19] Major headlines—Trump at SCOTUS, birthright citizenship case
• [05:20] White House ballroom construction ruled illegal
• [08:19] Trump “presidential library” saga
• [13:54] Lewis Black “Back in Black”—on prediction markets
• [23:00] Dr. Mary Claire Haver interview begins
• [27:22] Explanation of the “evidence to practice gap”
• [30:28] Hormone replacement therapy deep dive
• [33:27] Discussion of Alzheimer’s risk and women’s health research
• [36:57] Tips for self-advocacy and finding specialized care
• [38:36] Dr. Haver’s closing advice—“never suffer through it”

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Tone & Takeaways

The tone bounces between bitingly satirical and genuinely supportive: political segments are irreverent, full of rapid-fire jokes and running gags, while the interview with Dr. Mary Claire Haver is practical, validating, and empowering for women.

For listeners:

• You’ll laugh at the absurdities of Trump’s legal and real estate drama.
• You’ll learn why betting on world events is both a new gamble and old grift.
• You’ll walk away with real tools, hope, and solidarity around perimenopause and women’s health, armed with the best science and humor both.

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Transcript

[Dr. Mary Claire Haber]

Quick interruption worth hearing.

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[Desi Lydic]

It's not a battle. So glad the Saja boys could take

[McDonald's Promo Host]

breakfast and give our meal the rest of the day.

[TikTok Sports Announcer]

It is an honor to share.

[Dr. Mary Claire Haber]

No, it's our honor.

[Ballroom Law Advertiser]

It is our larger honor.

[McDonald's Promo Host]

No, really, stop. You can really feel the respect in this battle. Pick a meal to pick a side.

[Trump Administration Spokesperson]

Ba da ba ba ba.

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And participate in McDonald's while supplies last.

[Comedy Central Announcer]

You're listening to Comedy Central. From the most trusted journalists at Comedy Central. It's America's only source for news. This is the Daily show with your host, Desi Lining.

[Desi Lydic (Host)]

Hello. Welcome to the Daily Show. I'm Desi Lydic.

[Desi Lydic]

We've got so much to talk about tonight. The White House ballroom gets cock blocked. Lewis Black tells us the stupidest way to lose money. And you won't believe this, but Donald Trump attended a court case where he's not on trial. Let's get into the headlines. Let's begin with the Supreme Court. The people have ruined more women's lives than eyebrow plucking. Today, they took on a historic case to decide whether every child born in the United States is automatically an American citizen. Even kids with annoying names like Grayson or Portabella. And it's a very tricky question because on the one hand, it's been enshrined in the Constitution for 125 years. But on the other hand, Donald Trump doesn't like it. So scales of justice, and Trump is taking this case very personally.

[Dr. Mary Claire Haber]

I'm outside of the Supreme Court in Washington, where President Trump has become the first sitting president to attend oral arguments at the Supreme Court.

[Desi Lydic]

Well, that makes sense. Trump heard they'd be doing oral and was like, I'm in. Or maybe he was just hoping to influence the justices. He's doing this thing with John Roberts or this thing to Clarence Thomas. Unfortunately for Trump, he's not a great legal scholar, so he probably thought a Supreme Court argument was going to be like this.

[Comedy Central Announcer]

I want the truth.

[Lewis Black]

You can't handle the truth.

[Desi Lydic]

When actually it was more like this.

[Legal Analyst]

Is the application of that general rule limited only to the situations that they had in mind when they adopted the general rule? Or do we say they adopted a general rule? They Meant for that to apply to later applications that might come up.

[Desi Lydic]

Okay, There is no way Donald Trump was still awake at that point.

[Desi Lydic (Host)]

Isn't this.

[Desi Lydic]

No way. I mean, isn't this the guy who fell asleep at his own criminal trial? Now, if you're wondering why birthright citizensh is such a big problem for Trump, yesterday he explained that it's all about devious people exploiting it as a loophole.

[Trump Administration Spokesperson]

Chinese billionaires who are billionaires from other countries who all of a sudden have 75 children, or 59 children in one case, or 10 children becoming American citizens.

[Desi Lydic]

Okay, big difference between 75 and 10. 10 is Mormon. 75 is a spider. Also counterpoint. Have you seen seen America's test scores? We need as many Chinese kids as we can get.

[Desi Lydic (Host)]

Please bring them on.

[Desi Lydic]

Gotta cheat off someone. But that's actually a fair point. Okay? Foreign billionaires shouldn't be able to just buy their way into citizenship. Finally, we agree on something.

[Trump Administration Spokesperson]

For $5 million, this could be yours. A gold card. For $5 million, you buy a path to citizenship in this country.

[Desi Lydic]

See, that's weird. So Trump says he opposes birthright citizenship because he doesn't want rich people to buy their way into America, but at the same time, he wants rich people to buy their way into America. It's almost as if he's bringing up billionaires for a completely disingenuous reason and there's some other group of people that he wants to stop from becoming citizens. Gosh, what group am I thinking thinking of? Sorry, that was just my reminder to turn my ringer off. Anyway, I guess we'll never know. But let's move on from birthright citizenship because the President has another court case to worry about tonight.

[McDonald's Promo Host]

A federal judge putting the brakes on construction of President Trump's $400 million ballroom, declaring the President of the United States is the steward of the White House for future generations. He is not, however, the owner.

[Lewis Black]

It was a 35 page ruling and it was quite extraordinary in its writing. It had 19 exclamation points.

[Desi Lydic]

19 exclamation points. Who was the judge? Me. Writing a work email. The court demands an immediate halt in construction, but no worries. If not exclamation point, sideways smiley face. Sorry. Donald Trump, it looks like your precious ballroom is over. There is no way around this. No loopholes here. The judge does allow that they can

[Dr. Mary Claire Haber]

finish up projects so that they don't

[Desi Lydic]

leave the site unsafe. Oh, well, sure, yeah. Of course you have to patch up the site to make it safe. I mean, what if Kristi. Noem's husband tripped and fell and popped his enormous kitty. Very dangerous. But aside from that tiny safety loophole, the judge was clear. You are not allowed to build the ballroom. It's over. Even you can't talk your way into saying that this is somehow a positive for you.

[Trump Administration Spokesperson]

This is positive for us. I'm allowed that. Meaning we are allowed to continue building as necessary to. Let's see, what is that? To cover the safety and security of the White House and its grounds. So it says here, very carefully, the safety and security have to be protected on the White House grounds. Well, that's what we're doing, because everything's bulletproof. Glass, et cetera, et cetera. Including the ballroom.

[Desi Lydic (Host)]

Son of a bitch.

[Desi Lydic]

The judge said no ballroom. And President Amelia Bedelia took that to mean. The judge is begging us to build that ballroom. By the way, bulletproof, et cetera, et cetera. What was the. Etc.

[Trump Administration Spokesperson]

It's bulletproof and it's ballistic proof. The roof is drone proof. We have secure air handling systems. We have a hospital and very major medical facilities. We have bio defense. We have bomb shelters.

[Desi Lydic]

Okay, this is intense for a ballroom. Might I suggest if the ballroom starts experiencing ballistic assault, maybe we just cancel the ball. No worries. If not, exclamation point hug emoji. The worst part of all this is that this ballroom isn't even his only DIY project. He's also starting a new one in Florida.

[Legal Analyst]

We're getting our first look at what President Trump's presidential library could look like. The president posted the video on social media showing renderings of a skyscraper in Miami with no surprise Trump's name on it.

[Lewis Black]

Huh.

[Desi Lydic]

Interesting library. Has Donald Trump ever seen a library before? Because this just looks like one of his hotels. But it's his library, right? Not a hotel.

[Trump Administration Spokesperson]

It's going to be most likely a hotel. Could be office, but it's most likely going to be a hotel.

[Desi Lydic]

What a fitting monument to President Trump. A hotel parading as a presidential library where you can honor his legacy by cheating on your wife in the Ashley Madison suite. Guess what? All the suites are Ashley Madison. I know Trump doesn't do anything in the traditional way, whether it's governing or standing. But

[Comedy Central Announcer]

Trump,

[Desi Lydic]

don't you want that classic presidential library or museum?

[Trump Administration Spokesperson]

I don't believe in building libraries or museums.

[Desi Lydic]

Reminder. This is him announcing that he is building a library and museums, and he's like, I don't trust museums. All the little guys come to life at night and make you learn history. Honestly, honestly, this sounds like one of the worst ideas Trump has ever had, which is not very easy. I mean, I can't think of a single good thing about this building.

[Trump Administration Spokesperson]

I wouldn't start until I'm out of office.

[Desi Lydic]

Wait, you wouldn't start until you're out of office? Mr. President, we need this library that is mostly a hotel as soon as possible.

[Desi Lydic (Host)]

You know what?

[Desi Lydic]

You should leave office and start building it right now. We can't wait a second longer. In fact, you might. You might even need help.

[Desi Lydic (Host)]

Bring JD with you.

[Desi Lydic]

He can supervise. And yes, yes, we are losing your administration, but we are gaining so much more and more. Hotel brary. No worries. If not, fingers crossed emoji. But the Trump Hotel is still just a twinkle in Trump's eye. For now, his main focus is on that ballroom. If he can overcome all the legal obstacles. But good news, help may be on the way.

[Ballroom Law Advertiser]

Has this ever happened to you? You smashed up the east wing of a historic building and started building a ballroom no one asked for. Because you really like having balls. And you need a ballroom to room your ball. Then you need ball and ball law. I dedicated my career to ballroom law. That was a mistake. But don't let my poor career choices stop you from getting justice. This is America. You have the right to demolish anything you want and build a ballroom in its place. Who's to say the Statue of Liberty shouldn't be the ballroom of Liberty Mount Rushmore? More like Mount Ballroom. Goodbye, Baltimore. Hello, ballroom. Tamar, you need us. And we need this case. Please. I have so much debt. Ballroom law school is like 10 times the cost of regular law school because

[Lewis Black]

every classroom is a ballroom.

[Ballroom Law Advertiser]

Why call 1-800-ballroom today if you're a debt collector? I'm not here right now.

[Desi Lydic (Host)]

We make up that newest bets on America collapsing. So don't go away.

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[Desi Lydic (Host)]

Welcome back to the Daily Show.

[Desi Lydic]

When a news story falls through the cracks, Lewis Black catches it for a segment we call back in.

[Lewis Black]

Since the dawn of time, humans have wondered what the future holds. Will I get rich? Will I live long? Will they ever bring back MILF Manor? These questions have stumped our greatest profits. But now, thanks to the Internet, we don't have to worry about the future. We can just bet on it.

[Dr. Mary Claire Haber]

Now to an industry skyrocketing in popularity. Prediction markets.

[Ballroom Law Advertiser]

The online platforms like Kalshi and Polymarket are where people bet money on the outcome of future events.

[McDonald's Promo Host]

You can bet on sports, you can bet on world events. You can bet on. Like what song will be on the charts next week?

[Desi Lydic (Host)]

Wow.

[Lewis Black]

Can I bet on how many times I'm gonna swear during this segment? I bet it's over 10 because this sh is crazy bitch. And that's three. That's three right there. Trust me. Bet the over. Of course, I remember a simpler time when gambling meant going to the racetrack and blowing your kid's college fund on a tip from a guy who seemed Italian. Back then, there were only three things you could bet on. Sports, dice and unprotected sex. You could lose the last one two ways, an STD or child support. I can't count how many times I woke up in someone's bed like, come on, chlamydia. But thanks to prediction markets, you can now bet on basically anything. And I mean anything you can bet on.

[McDonald's Promo Host]

Or Kelshi says invest in nearly 3,500 markets on the company's platform.

[Dr. Mary Claire Haber]

Things like Oscars. Who's going to be next? Federal Reserve chair?

[Lewis Black]

How many tweets will Elon Musk send in a week?

[Legal Analyst]

Who the next James Bond will be?

[Lewis Black]

Who will be a bridesmaid at Taylor Swift's wedding? Oh, Christ, that's the stupidest bet I've ever heard. Any real Swifty knows Taylor's going to have a Small private service without bridesmaids. Next time, try listening to the lyrics of her 2010 hit, Speak now, you idiot. And that's four. Now, all of this frivolous gambling might have you hoping that the world is ending. And I have good news. You can bet on that, too.

[Legal Analyst]

According to Polymarket, the odds of Jesus returning this year is 4%.

[Lewis Black]

Jesus Christ. A 4% chance. That means, and this is true, Jesus returning has four times better odds than the jets winning the Super Bowl. And if that's not bad enough, people put Jesus returning at 4% and Jeffrey Epstein coming back alive at 5%. That's right. It's neck and neck between one of history's greatest monsters and Jeffrey Epstein. I guess if I knew it, we all knew it. We're not idiots. We write for stuff. We put it out there. We hope for the best. I knew this shit was gonna hit us. God damn it. Son of a bitch. And that doesn't count toward my number? I guess Jesus is the joke, to be honest. Is about Jeffrey Epstein. God damn it. Son of a bitch. I hate to have to explain explain this stuff, but I don't want to go to jail. Okay, sorry, that was a little extreme. I guess if Jesus is coming back, I'm going to need the cash to bribe my way into heaven. Hey, St. Peter, I know you don't have room for a blasphemous Jew, but what about my friend Ben Franklin? Now, if you're worried about people losing all their money gambling, don't worry. A lot of these assholes are cheating.

[Desi Lydic]

Massive bets on Trump's war with Iran, raising questions of insider trading on the prediction market platform Polymarket.

[Legal Analyst]

Hundreds of accounts placed wagers correctly predicting

[Lewis Black]

a US Strike on Iran before that

[Legal Analyst]

strike was publicly known.

[Desi Lydic]

Among them, an account trading under the username maga. My man made nearly a million dollars since the war started.

[Lewis Black]

Great job, maga, my man. I don't know who you are, but I'll keep an eye out for a Rolls Royce with a Don't Tread on me flag. But for all I know, you could be Don Jr. Who is an advisor to both CalSHI and Polymarket. What the. Could he possibly advise them on where to drop his large bag of cash? Don't worry, Kalshee. He'll be awake for the next 48 hours, so the timing is flexible. But, hey, you don't have to be a member of Trump's family to make money on his decisions. Any fartlick can do it.

[Shopify Advertiser]

Will Trump say low IQ this week?

[Trump Administration Spokesperson]

Jason Crockett, Let me tell you before you even ask. She's a very low IQ.

[McDonald's Promo Host]

Yes.

[Lewis Black]

Wow.

[Ballroom Law Advertiser]

Wow.

[Lewis Black]

That asshole won $100,000 predicting what the President is going to say next. Trump only says like three things. He's like a big mouth Billy Bass that hates Mexicans. It's not rocket science, suckers. Now, I've sworn 10 times in this segment, which means if I say one more swear word, everyone who listened to me earlier is gonna make a killing. But I'll let you in on a little secret. I bet everything on me swearing less than that and took all your money. Ha ha ha ha ha ha ha. Oh. Better luck next time, assholes.

[Desi Lydic (Host)]

So close. So close. Lewis Black, everyone. Welcome back. Dr. Mary Claire Major will be joining me on the show, so don't go away.

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Why wait? Ask your doctor. Visit botoxchronicmigraine.com or call 1-800-44-BOTOX to learn more.

[Desi Lydic (Host)]

Welcome back to the Daily Show. My guest tonight is a board certified

[Desi Lydic]

obgyn, founder of the Pause Life and author of the forthcoming book the New perimenopause. Please welcome Dr. Mary Claire. Have.

[Desi Lydic (Host)]

So many minutes. I know.

[Desi Lydic]

Hi. Oh, we are so happy to have you here.

[Dr. Mary Claire Haber]

So happy to be here.

[Desi Lydic]

Thank you. This is. Thank you for writing this book. I think this is gonna be such an incredible guide for so many women who are gonna be so grateful for you. An evidence based guide to surviving the zone of chaos.

[Dr. Mary Claire Haber]

Exactly.

[Desi Lydic]

The zone of chaos is also what I call my bikini line. As you should, when I'm a little

[Dr. Mary Claire Haber]

overdue for a wax.

[Desi Lydic]

So many people have heard about the stage of menopause, but not a lot of people have heard about the perimenopause stage. Right, Walk us through what perimenopause is, she asks. Like she doesn't know, since you asked.

[Dr. Mary Claire Haber]

So medically we define perimenopause as simply the transition from normal, regular menstrual cycles to full menopause. But it's a whole lot more than that. And perimenopause begins actually in the brain. So females, we're gonna get a little science y here. Go for it. Females are born with all of our egg supply. So at birth, we have 1 to 2 million eggs. By the time we're 30, we're down to about 10% of that original egg supply. And by the time we're 40, we're down to 3%. And full menopause is. You're out of eggs. That's it. So the reason why we ovulate is because we have signals coming from the brain when estrogen levels naturally get low that tell the ovary, okay, let's ovulate this month. And so for a healthy woman at like 28, pretend, you know, on day 12.

[Desi Lydic]

Thanks for guessing my age. Don't Google it.

[Dr. Mary Claire Haber]

So you're gonna do this on day four, this on day 12. You're gonna ovulate on day 14. On and on and on. It's just this beautiful, predictable cycle that looks like an EKG month after month after month. Then we reach a critical egg threshold level where the signals from the brain stop working as well because there's not enough eggs to respond. So the brain starts going crazy trying to force our to get the hormones out. And so what used to look like this beautiful pattern, now I take spaghetti, I throw it at the wall, and this is the next seven years of your life.

[Desi Lydic]

Oh, God, that sounds terrible with this administration. God help us.

[Dr. Mary Claire Haber]

And like, I'm sorry, I used. I just talk to women, so.

[Desi Lydic]

Hey, guys. Yes.

[Desi Lydic (Host)]

There's a lot of men in the audience.

[Desi Lydic]

This is so exciting. Don't worry, they put the men in perimenopause so that you would listen too. So you are included in this conversation. One of my favorite things in this book is that you have comments and stories from actual women who have gone through this. One woman wrote, this is like puberty with a vengeance. My question is, why does God hate women?

[Dr. Mary Claire Haber]

You know, this is a normal, natural transition that 100% of us, if we're lucky to live that long, will go through. And the reason why I wrote the book is so many women are blindsided by the symptoms and they shouldn't be. Like, we don't go through puberty without someone in our family in our lives guiding us through this is gonna happen. You're gonna grow taller, hair's gonna grow in weird places, and you're gonna just start bleeding everywhere once a month. You know, like, you get a heads up about that, right? And so now we're going through perimenopause, like as reverse blue lagoon. I'm dating myself, right? You know, we're all Brook Shields in the water. And like, no one is guiding us through it. And so women are getting blindsided. We see, you know, mental health disorders increase 40% across the transition. We see women quitting their jobs. We see long term relationships coming under strain. And it doesn't have to be this way. We have lots of tools to help guide you through this zone of chaos until you get out on the other side.

[Desi Lydic]

So one of the things that I found so interesting, the way that you explain it, because I felt it on the other side as a patient, but never understood why. Is this the evidence to practice gap in the medical world?

[Dr. Mary Claire Haber]

Yes.

[Desi Lydic]

Explain what that is.

[Dr. Mary Claire Haber]

So there is about a 17 year old, a 17 year gap from when a study comes out that is going to change the way we practice medicine before it is actually assimilated into clinical practice.

[Desi Lydic]

17 years.

[Dr. Mary Claire Haber]

17 years. So this could be medication for a heart attack. This could be, you know, menopause information. It is 17 years now. Something about the Internet, which has become the women's water cooler, it's how we share medical information now, is speeding that up. We are getting lay people are getting access to, clinicians are getting more access because we can now go online and search the studies ourselves. So I think that is speeding up. But If I wait 17 years for this study that I read and then try to wait for the guidelines to change, and then, you know, to go to a medical conference and then they talk about it and then I start trying it, I'm gonna have a patient like lose her entire perimenopause Right, right. And the ability to get her treated well.

[Desi Lydic]

And you bring up the Internet, which I'm grateful that so many more women are talking about it. You're leading the charge. It's actually how we met on social media. Because I was a patient, I find

[Dr. Mary Claire Haber]

all my yes is in my DMs.

[Desi Lydic]

Same just slide into those DMs, doctors all over the place. But that was happening to me. And I love my doctors, but I was experiencing symptoms that I thought were hormonal. And I had a doctor ready to just write a prescription for Lexapro and send me on my way. And I am all for antidepressants, anti anxiety meds if needed, but I was feeling like this was. I didn't have the hormonal conversation.

[Dr. Mary Claire Haber]

Right. That's a problem because in medical school. So I'm gonna date myself. I was in medical school from 94 to 98. We had one one hour lecture on menopause, nothing on perimenopause. Okay. Then I graduate and from 98 to 2002, I'm in my OB GYN residency program, which was amazing. And I learned so many important things. You know, we're surgeons, we're obstetricians, we're gynecologists. We do so much. We did not have a menopause clinic, a perimenopause clinic. All I learned about perimenopause was how to pronounce it. And so nothing about the zone of chaos like that. It just wasn't. There was no treatment. There's never been a single large scale study on the treatment of perimenopause. And so now it's kind of consensus opinion. Thank God for the menopause. My friends, in the menopause world, all the menopause certification, there's now a menopause society. So we're getting there. But you know, it's really unreasonable for you to think you can go to your great obgyn or your family medicine or internist. If they haven't sought training outside of the residency program, most likely they're not going to be able to connect the dots between hormone changes and brain fog, hormone changes and sleep disruption, hormone changes and mental health changes, which is really the first signs of perimenopause in the brain. Not your periods, not your hot flashes, those are late perimenopause. That's the end, really. The first things that our patients are seeing, and I see the nods going on in the audience is I'm not sleeping, I'm struggling At my job, I'm having executive dysfunction, like, like ADHD type symptoms. And I'm either anxious, ragey, or depressed or all three.

[Desi Lydic]

Talk about potential solutions. So we've all heard about hormone replace. Well, some of us have heard about hormone replacement therapy. It was good, then, it was bad, now it might be good again. Can you. There was a study that came out.

[Dr. Mary Claire Haber]

This is a pendulum. So there was a landmark study. It was pretty exciting that finally we were going to study women outside of reproduction. It was really. I was very excited about the study. And it was to see if hormone therapy would actually decrease the rate of heart disease. Right. We thought it would because of anecdotal evidence and observational studies. But we need randomized control studies to say this medicine actually does this. So it had tens of thousands of patients enrolled, but the average age of the patient was a lot older than average age of menopause. It was 63. Because they were trying to see, is she going to have a heart attack or not with hrt, is it going to make it better or not make it better or make it worse, potentially. So when the first initial rolling out of the studies came, they thought they saw a potential increase. It wasn't statistically significant of breast cancer, but they led with a press conference where most of the people on the paper weren't allowed to attend. And it was this very dramatic. Estrogen causes breast cancer. And like, that was the shot heard around the world. It was the number one medical news story of 2002. I remember sitting in my residency hearing about this, and we were recommending hormone therapy to almost everyone, right. Who was a good candidate. And all of a sudden it was like, stop. You might give her cancer. And it was so hard to get that genie back in the bottle. It's taken 23 years for us to really reanalyze the data and say, actually, this is really safe for the vast majority of patients. We can start in perimenopause. We can decrease her risk of heart attacks. We'll definitely protect her bones. And it is the gold standard treatment for hot flashes.

[Desi Lydic]

Oh, and this just. You just got the black box warning.

[Dr. Mary Claire Haber]

What came with that study was this crazy, scary black box warning. That was you open up your medication and there's a big black box in black that says, this medicine basically can kill you. Okay? And that's not what the study said. And so patients would get their prescription all excited to go home and get their symptoms relieved. Even for vaginal estrogen. Can I say vaginal on national tv?

[Desi Lydic]

I mean, he said so this is basic cable. You can say whatever the you want.

[Dr. Mary Claire Haber]

Okay.

[Desi Lydic (Host)]

Okay. Vagina, vagina, vagina.

[Desi Lydic]

Okay, I could say it.

[Dr. Mary Claire Haber]

So yeah, the vaginal estrogen. So a butt. So several. You know, this has been. We've asked the FDA for decades to remove this black box warning. It was not warranted for this medication. So finally in November we were able to. The FDA was able to take the warning label down,

[Desi Lydic (Host)]

which has caused a

[Dr. Mary Claire Haber]

shortage of estrogen patches.

[Desi Lydic]

Right?

[Trump Administration Spokesperson]

Yes.

[Dr. Mary Claire Haber]

So now we have a shortage of estrogen patches. So anybody want to open an estradiol factory? I'll invest because it is really hard to find.

[Desi Lydic]

Oh, we got some hormonal women during an authoritarian regime.

[Dr. Mary Claire Haber]

Look the out

[Desi Lydic]

women need their hormones. There's Alzheimer's has affected both of our families. Talk about the connection, the potential connection between Alzheimer's and perimenopause menopause.

[Dr. Mary Claire Haber]

So two thirds of Alzheimer's patients are female. So there's a huge, much higher risk for women versus men. Did you guys know that? Yeah. So two thirds and most of it is not genetic. Right. 98% of Alzheimer's is a non genetic component. You don't have that APOE4 gene. And so when we look at the risks, it's definitely something about being female, like losing your hormones. And then of course there's lots of lifestyle things as well. What we know about hormone therapy is we have to. No one's doing new studies on hormone therapy, sadly. So we have to extrapolate from the older studies. It doesn't appear to be harmful. So going on hormone therapy is not going to increase your risk of developing Alzheimer's. What we think is that you're going to have secondary benefit in lowering inflammation. Living healthier, having stronger bones, potentially less heart disease. That will also help keep your brain healthier. But you know, women are owed centuries of research here, Desi. So I go to PubMed, which is where I look up research articles, right? And I type in the word pregnancy. 1.2 million articles today. Okay. Important. We need healthy pregnancies. I love being an obstetrician. When I used to do it, my 50th birthday present was stop delivering babies to myself because if they didn't come at 3am I'd still be doing it.

[Desi Lydic]

Congratulations.

[Dr. Mary Claire Haber]

So yeah, and I type in the word menopause and we have about 99,012 to 1. So that's brain power, that's NIH funding, that is academic institutions. That is what we're focusing on in women's health. If I type in the word perimenopause. 9,000.

[Lewis Black]

Wow.

[Dr. Mary Claire Haber]

9,000. Wow. So we have a lot of work to do here. And, you know, this book is a guide to help you get tools, resources, know what questions to ask so that you can go through this transition as healthy as possible. Get these habits locked in the lifestyle habits so that you don't suffer. My patients, when they come to see me, we put out the fire of menopause, right? She's not functioning. She can't sleep. She's, you know, she's in crime crisis. We calm her down, okay? Then we start looking at the next 30 years, and we say, maybe not with this current administration, you know, we say, what? How do your. How did your mother age? How did your grandmother age? And I don't have a single patient who wants to be Brian Johnson, God bless him, and live to 120, you know? Any of you ladies want to live to 120?

[Desi Lydic]

No, right?

[Dr. Mary Claire Haber]

And so not in this economy.

[Desi Lydic (Host)]

Who can afford it?

[Desi Lydic]

Right?

[Dr. Mary Claire Haber]

Who can afford it? They don't want to be a burden on their children. They want the years they have to be full years without loss of independence. And what we're both dealing with in our family is having women in our family who are suffering from dementia, you know, due to Alzheimer's, that maybe had some choices, you know, we could have limited this or delayed it, you know, and I want that. I don't want this to be the inevitable for my children, so for my two daughters. So we start making the plan in that visit after we get the hot flashes stopped and her sleeping and her feel like she's got her life back. How much fiber are you getting? What kind of exercise are you doing? How's your stress? Are you in therapy? You know, and so all the tools that she needs so that she can live her best life for as long as possible.

[Desi Lydic]

So it feels like a lot of this kind of falls on the shoulders of women themselves to take it, take it upon themselves, get educated, know their bodies, go in and have conversations with their doctors. What advice would you give them to best advocate for themselves?

[Dr. Mary Claire Haber]

So educate yourself as much as possible. Try to find someone who's menopause certified. You can go to menopause.org, order our [e-mail] we have a list of providers who have been recommended by thousands of our followers. And they give a little testimonial, and we organize them by city and state. And the Menopause Society has a list of certified providers on their website. That's all over the United States and in Canada. So there are resources available. But just plan. It's not a well woman visit. That's the other thing. So if you're gonna use insurance, this is not your well woman exam. Your well woman exam is to get your breast exam, your pap smear, and all the basics. This is a separate visit for you to really have the time. Not in stirrups. So that you can discuss your.

[Desi Lydic]

Don't bring my stirrups.

[Dr. Mary Claire Haber]

Got it.

[TikTok Sports Announcer]

Got it.

[Dr. Mary Claire Haber]

Yeah. So that you can get the most out of your visit and hopefully have someone educated enough to connect the dots and help you.

[Desi Lydic]

Excellent advice. Do men experience perimenopause? Is that like buying a Corvette? Is that

[Dr. Mary Claire Haber]

so women's hormones fall off a cliff.

[Desi Lydic]

Oh, okay.

[Dr. Mary Claire Haber]

Yeah. So we go through chaos and then it falls and then men's have a slow, gentle decline.

[Desi Lydic]

They're so gentle. You need to be gentle with that. That makes sense. What is your hope that women take away from this wonderful day?

[Dr. Mary Claire Haber]

You know, this is an inevitable and very normal transition. It happens to 100% of us if we're lucky to live long enough. But you should never suffer through it. Ever. There should be zero suffering. And that you come out of it on the other end. I'm 57 years old, I'm fully menopausal, and I am living my best life.

[Desi Lydic]

Yes. I want that for everyone.

[Desi Lydic (Host)]

Here's to living our best lives here.

[Desi Lydic]

Yes. Cheers. Living our best lives.

[Desi Lydic (Host)]

The new perimenopause comes out April 7th

[Desi Lydic]

and is available for pre order.

[Desi Lydic (Host)]

Dr. Mary Claire Haber. We're gonna take a quick break and we'll be right back after that.

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[Desi Lydic (Host)]

That's the show for tonight. Now here it is, your moment of dead.

[UK Correspondent]

There's a bit of drama in the street, number 10, outside number 10, front door during that press conference when Larry the Cat, been around here for a long time, was filmed by my colleague Steve the cameraman, catching a mouse and killing it and eating it. It's the first time I've ever seen Larry the Cat do anything useful in Downing Street. He normally appears, pose for photographs, but now, finally, he's catching a mouse.

[Comedy Central Announcer]

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[Lewis Black]

This has been a Comedy Central podcast.