In a New York Times opinion essay, Melinda French Gates argues that menopause and perimenopause have been chronically overlooked by the U.S. healthcare system, leaving millions of women without adequate diagnosis, treatment, or support despite the significant impact on their health and quality of life. She calls for a “menopause revolution” through greater research, physician education, workplace support, and investment in women’s health, while announcing new funding to help drive systemic change.