the journal

A field guide for the second act.

Original writing on perimenopause, menopause, and the medicine we wish someone had told us about ten years ago.

editorial · field journal cover
featured · Symptoms
What perimenopause actually feels like — at 38, 42, and 47.

It's not always hot flashes. Sometimes it's losing words mid-sentence, sometimes it's rage, sometimes it's just feeling not-yourself.

scriptsxoMar 12, 20267 min read
editorial · Treatments
Treatments
How to think about HRT forms.

Drops, capsules, creams, and injections each fit a different rhythm.

scriptsxo · Mar 8, 2026
editorial · Science
Science
What the WHI study really said — and what we got wrong.

A re-reading of the 2002 study that changed HRT prescribing patterns for two decades, and where the evidence sits today.

scriptsxo · Feb 28, 2026
editorial · Self
Self
Sleep is the symptom most worth treating first.

Why broken sleep cascades into everything else, and the dose adjustments that tend to fix it.

scriptsxo · Feb 22, 2026
editorial · Body
Body
Vaginal estrogen is the most under-prescribed treatment in medicine.

It's local, low-dose, very safe — and a generation of women have been quietly suffering without it.

scriptsxo · Feb 14, 2026
editorial · Member
Member
"At 51, I started a new business. Then I started Premarin."

Lauren on the year she finally treated her symptoms — and what she did with the rest of it.

Edited by L. Park · Feb 6, 2026