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Leadership Perspective
Explore Mia’s work, ideas and insights


Menopause became mainstream. Then everyone started selling us something.
Menopause advice is everywhere. How do you know what to believe? A decade ago, women struggled to find reliable information about menopause. Now we are being told to eat more protein, lift heavy, take creatine, optimise our hormones and buy an ever-growing list of products designed for midlife. More information should be a good thing. So why does it feel harder than ever to know who to trust? As recently as a decade ago, HRT still seemed to exist in a strange, shadowy
Oct 127 min read


HRT in New Zealand: What women need to know now
You’re thinking about HRT, now more commonly called menopausal hormone therapy or MHT, but should you go on it at all? If you do, should it be a patch, gel or tablet? How do you know what dose is right, whether you need blood tests, and what the breast cancer risk really looks like? Menopause specialist Dr Anna Fenton explains what HRT can actually help with, where the evidence sits and what women should be asking before and after they start treatment. When I first intervie
Oct 128 min read


I got the all-clear. The next day, I found a lump.
Last month, I had a routine mammogram. Even when it’s routine, there’s always that little kernel of worry. You go in, get your boobs squashed between two plates in a way that feels both deeply undignified and medically necessary, then get dressed and carry on. And wait. A week later, the text arrived. All clear. Nothing to see here. Get on with your life. Phew. On to worrying about everything else, then. But life said, hold my gin. The very next day, I was in the shower, wash
Oct 119 min read


Her mammogram was clear. Three months later, Sarah had stage 3 breast cancer.
Sarah Starkey knew something wasn't right. What she didn't know was that she had extremely dense breasts, or that breast density could make cancer harder to detect on a mammogram. Now she wants other women to have information she never had. Sarah Starkey had a palpable lump. Breast pain. Nipple changes. A family history of breast cancer. Then her mammogram came back clear. Three months later, the 48-year-old mother was diagnosed with stage 3 triple-negative breast cancer. By
Oct 116 min read
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