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Why the Five and One?
Health care doesn't fail women because we lack information. It fails because systems are slow to change, and they're rarely built around women's bodies, lives, or timelines. The Five & One exists to make those systems visible.
Each week, we share five signals shaping women's health across care, policy, research, and access, plus one thing just for you.
This week
This week, it's all about better science. From the cost of pregnancy care to new tools for spotting breast cancer, plus fresh discoveries about menopause, the immune system, and brain health, we look at how small changes in how we prevent and diagnose disease can ripple across women's lives.
Not a Member yet? 51& is the membership that has women's backs when the healthcare system doesn't — research, tools, and a community that moves with you.
01. The Changing Landscape of Billing Codes for Pregnancy
How doctors get paid for pregnancy care is about to change, and that could affect the care you get. The way insurance pays for pregnancy rarely makes the news, but it shapes almost every part of the experience. A new plan would update these payment rules to better match how complex pregnancy care really is. It also raises questions about what it will mean for costs and coverage.
The Breakdown
Right now, pregnancy care is often paid for as one bundle. That single payment covers prenatal visits, delivery, and care after birth.
That bundle doesn't always match the real work involved, especially for pregnancies that are high risk.
Low payments have strained OB-GYN practices and hospitals, which hits rural communities the hardest.
More detailed billing could mean more paperwork for patients, like extra charges, approvals, and insurance steps.
The Breakthrough
Updated payment rules would better reflect the time, skill, and complexity of pregnancy care. Fairer payments could help keep OB-GYN practices open, protect labor and delivery units, and improve access. They could also push insurers to modernize pregnancy coverage. The real test isn't how doctors get paid. It's whether women see better access, clearer costs, and fewer hassles.
Source: Health News
02. Better Diagnostics, Better Treatment
For women with breast cancer, one test can shape the entire treatment plan. It's called HER2 status, and it tells doctors whether a tumor is likely to respond to certain targeted drugs that have greatly improved outcomes. A new automated tool aims to make this test faster and more consistent, with less room for human guesswork.
The Breakdown
HER2 status is one of the most important clues doctors use to plan breast cancer treatment.
Today the test depends on experts reading tissue samples by eye, and results can differ from one lab or pathologist to the next.
Even small scoring differences can decide whether a patient qualifies for targeted drugs.
Inconsistent results can lead to delays, repeat tests, or missed treatment.
The Breakthrough
An automated scoring tool could make results more consistent across labs. Standard readings reduce differences between experts and help make sure patients get the treatments most likely to help them. Faster, more reliable testing can also shorten the wait between diagnosis and treatment. It's part of a bigger shift where better tests matter just as much as better drugs.
Source: News Medical
03. Menopause May Not Be the End of the Ovary's Story
For years, textbooks described menopause as the moment the ovaries stop working. New research suggests that's not the full story. A study in the journal Science found that after menopause, the ovaries may go through a surprising change, shifting from reproductive organs to ones that help the immune system.
The Breakdown
Menopause has long been seen as the end of ovarian function.
Most research focused on what the ovaries stop making, not what they keep doing.
Women's biology after menopause is still understudied compared with the reproductive years.
The Breakthrough
Researchers found that ovaries after menopause may take on immune-related jobs instead of simply shutting down. That suggests menopause is a transition, not the end of an organ's usefulness. Understanding these new roles could reshape how we study aging, inflammation, and chronic disease in women. It's another reason to study women's health across the whole lifespan, not just the reproductive years.
Source: Science
04. A Vaccine With Benefits Beyond Shingles?
The shingles vaccine may do more than prevent a painful infection. It's long been recommended to lower the risk of shingles later in life. Now, growing research suggests it may also reduce the kind of inflammation linked to memory loss, and may even lower the risk of dementia. That points to a strong connection between the immune system and brain health.
The Breakdown
We often think of a vaccine as protection against one disease. But infections and long-term inflammation can affect the whole body, including the brain.
Dementia has no single cause, which makes it especially hard to prevent.
Women make up nearly two-thirds of people living with Alzheimer's, yet prevention options are still limited.
The Breakthrough
New research suggests the shingles vaccine may protect the brain, not just prevent shingles. Scientists think calming viral flare-ups and long-term inflammation could help keep the brain healthy over time. It supports a more connected view of aging, where immune, heart, and brain health work together. And it shows why studying aging through a women's health lens matters, since women carry more of the dementia burden.
Source: NBC News
05. When a Sunburn Is More Than a Sunburn
A viral TikTok trend has people sharing the "life-changing sunburn" that led to a skin cancer diagnosis. Social media shouldn't replace a doctor, but these stories point to something real. Paying attention to changes in your skin, and getting them checked, can save your life. The tricky part is knowing when online awareness helps and when it turns into fear or misinformation.
The Breakdown
Skin cancer is one of the most common cancers in the US, yet many people brush off early warning signs.
Women often see skin cancer messages through beauty or social media rather than from a doctor.
Viral posts spread awareness fast, but rarely give the nuance you need to judge your own risk.
Late diagnosis is a major reason melanoma outcomes get worse.
The Breakthrough
More awareness can lead to more skin checks and earlier talks with your doctor. But don't panic over the phrase "life-changing sunburn." It's social media language, not a medical diagnosis. Take every sunburn seriously, but in context. One burn is unlikely to change your life on its own, though the damage adds up over time. If you do get a bad burn, get out of the sun right away, cool your skin with a shower or cool cloths, moisturize, and drink water.
Source: Women’s Health Magazine
Your+1: Your Summer Sunscreen Refresh
We're not going to leave you on that "life-changing sunburn" note without a little help. That's not how we roll here at The Five & One.
With July 4th celebrations, long weekends, and the FIFA World Cup pulling more people outside this summer, here's a simple reminder: sunscreen isn't just for beach days. It's one of the easiest habits you can build for your long-term health.
Dermatologists recommend wearing it year-round. For a lot of women, the hard part isn't deciding to wear sunscreen, it's finding one they'll actually put on every morning. The best facial sunscreen is the one that becomes as automatic as moisturizer: comfortable enough to wear every day, under makeup or on its own.
If you want to refresh your routine, New York Magazine's The Strategist has a big guide to the best facial sunscreens for different skin types, finishes, and budgets. Whether you're headed to the beach, the backyard, or the stadium this weekend, it's a good excuse to find one you'll be happy to wear every day.
Source: NY Mag
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P.S. Your ovaries may have a second career in the immune system. Somewhere, a textbook is quietly updating itself.