Do you feel like you hide your menopause symptoms at work and avoid all conversation about it? It’s essentially an invisible problem in the workplace. Women don’t mention symptoms because they worry about the impact on their reputation and career. That may be the status quo for women in American workplaces, but it’s not the case in other parts of the world. In countries like the U.K., employers are making headlines for addressing menopause at work. While there’s still a long way to go, women in every country should feel inspired by the discussions. Menopause doesn’t have to be a secret at work any longer!

Menopause and work in the U.K.
Every menopause journey is unique. Globally there are significant differences in what women+ experience due to racial/ethnic disparities, geography, lifestyle, societal stereotypes, and workplace culture.
In the U.S., women don’t talk about menopause, especially not in the workplace. It’s just one of those accepted things. Yet, in the U.K., women at the peak of their careers are leaving the workforce in droves.
Nearly a million women left the workforce
If you don’t follow the subject closely, you may be unaware the issue is garnering a lot of headlines in other parts of the world.
Government and private employers are taking notice and taking action in the U.K.
The Trades Union Congress (TUC) in the U.K. called menopause an “occupational health issue” in its guidance to union representatives.
U.K. companies are creating menopause policies and menopause-friendly work environments. There’s a growing awareness, more flexible work environments, and even added health and well-being benefits to support women in this journey. There is even an official “menopause-friendly workplace” accreditation employers can earn if they meet specific standards and implement best practices.
Global menopause momentum
In Australia, employers are beginning to offer paid time off for menopause and menstruation.
We’re starting to see a change in the media too.
Forbes recently published its first-ever list of 50 over 50, a list of female visionaries.
There’s even a Netflix series featuring a 49-year-old woman dealing with the impact of middle age on her body. In Bombay Begums, the bank executive runs out of a meeting in one scene and runs to the bathroom to splash water on her face as she tries to cool down and dry her armpits with the hand dryer. Women all know why – she’s in menopause.
It’s a slow march forward. Even with the momentum in the U.K., a BBC survey found 70% of women did not tell their employers about their menopause symptoms.
No doubt about it, there’s still a long road ahead. But women can do something about it and no longer have to cope with menopause in secrecy.

Coping with menopause at work
It’s reality – menopause impacts job performance. Nobody ever wants to admit that anything affects their ability to do their job, fearing their job is in jeopardy. But, it’s the truth. It must be accepted to reduce the impact.
Some progress has been made relative to conditions like cancer and employees. And with the COVID-19 pandemic, the stigma surrounding emotional distress and mental health conditions has lessened, and employers are taking steps to provide workplace support.
59% of middle-aged working women said menopause had a negative impact
on them at work.
Here are a few reasons why women in the U.K. said menopause negatively impacted them, according to the CIPD survey:
- 65% said their concentration diminished.
- 58% said they experienced more stress.
- 52% said they felt less patient with colleagues and clients.
While a third took sick leave to manage symptoms, only a quarter felt comfortable enough to talk with their manager about the real reason they needed time off.
Women cited privacy, embarrassment, and lack of support as reasons they kept their menopause issues to themselves.
This was in the U.K., where menopause is more widely discussed at work.
So, what do women do? They suffer silently (especially in the U.S.) or even leave the workforce.
Menopause U.S. Workplace Costs
Women leave their positions for unexplained or “socially acceptable” explanations. They often are reluctant or do not feel safe sharing the actual reason they were driven to leave.
Menopause protections should be like childbirth
Juggling life and work (as well as the sometimes blurred line between the two) is challenging. This required multitasking is often a more significant burden for women given the typically disproportionate share of caregiver responsibilities they carry, pay inequity, and fewer opportunities for career advancement.
During pregnancy, there is built-in employment protection in the U.S. But, there’s nothing for menopause. Yet!
In some ways, menopause is as demanding as having a child, and the symptoms can be reminiscent of adolescence.
The symptoms last a lot longer than a pregnancy, too. Up to 10 years for menopause!
Decades of silence burden women
The silence has an impact.
Women feel “blindsided” by menopause and can’t name many symptoms.
How many menopause symptoms can you name? Did you know they can vary by age and stage of the journey?
This lack of knowledge can often make it difficult for women to recognize the symptoms and even understand they’re in the menopause transition.
2 out of 3 women were blindsided by menopause.
We use the word transition because, scientifically speaking, menopause refers to the point in time when a woman has not had a period of 12 consecutive months.
You’re in perimenopause before this moment, and then you transition to the post-menopausal phase after the 12-month time when your period ends.
During all three stages, you experience symptoms. They can last up to 10 years or more!
Women may discuss hot flashes (one of the more common symptoms), but what about pain with intercourse during menopause?
Women shouldn’t feel ashamed to talk about the dozens of menopause symptoms that affect a woman mentally, physically, and emotionally.
Changing the menopause mindset
Both women and society in general, have been conditioned to speak negatively about the experience.
Part of that is societal stereotypes and the long-standing silence.
In the U.S., we say “old age.” That simple and common phrase has a negative connotation to it.
Look around you the next time you’re at the checkout counter. Who and what is valued? It’s not a graying woman aging vibrantly. Young women who are thin, smiling, and have perfect skin are the ones who disproportionately grace the cover of magazines.
Of course, some actresses and supermodels occasionally pose without makeup on. But, it’s not often.
There’s also the occasional Hollywood movie or Netflix show that draws attention to the matter.
But in some cultures, longevity and age are revered as a sign of wisdom and strength.
That’s how menopausal women should be viewed. It’s time we change the mindset about it.
Depending on a woman’s mindset, support systems, and health and well-being benefits, it can be a time of freedom, joy, consistent self-care, and focus on dreams and passions for which time had not been available and/or prioritized. By making healthy choices, you can manage symptoms and win the “menopause marathon.”
Normalizing menopause like mental health
Normalizing such conversations, as is becoming more the case with depression and anxiety, helps to remove the stigma, reduces the feeling of “being the only one,” and may increase the likelihood a woman will seek help and restore a sense of control.
In many ways, it’s a road we’ve traveled before with pregnancy, fertility, and mental health.
A decade ago, it was rare someone felt comfortable sharing their mental health struggles. Now, it’s much more mainstream and more readily accepted. Particularly when well-known figures like Simone Biles, Michael Phelps, Meghan Markle, Demi Lovato, and Adele go public.
Mental health conditions are now more commonly viewed by society as a disease rather than a sign of weakness and inability to “suck it up.” That change in perception is slowly reducing the degree of stigma, which has historically been the case.
There are parallels between the two health conditions.
Dark Horse is a creative sports agency in the U.K. The CEO, Melissa Robertson, said she felt like she was “losing her mind” during menopause.
Coping with everyday life may be a struggle at any point but can be exacerbated by symptoms like insomnia, night sweats, palpitations, and “brain fog.”
Who wants to share that with an unsympathetic boss or colleagues unsupportive due to a lack of knowledge of this stage of life all women will eventually experience? Most women would worry about their job or chances of career advancement.
Without workplace resources and protections for menopause and a supportive environment, women will continue to suffer in silence.
How employers are impacted
It impacts not only women but employers too.
Studies show women are also less likely to apply for a promotion.
The leadership styles more frequently attributed to women and skills no longer considered “soft” but essential, which women bring to the table, have been shown to result in happier, more productive, and cohesive teams. Though these have long been identified as a competitive edge, as noted by McKinsey & Company in a report in 2008, women remain behind the eight ball, as documented by McKinsey & Company’s “Women in the Workplace 2021″ report.
Businesses lose the benefits of a diverse and inclusive workforce – greater creativity, productivity, employee engagement and sense of belonging, reduced stress and greater resilience, and better health.
And without education, robust benefits, and workplace resources, healthcare utilization goes up as women search for the right doctor/combination of practitioners to treat their symptoms or practitioner who will even recognize their symptoms as menopause-related and provide a cost-efficient approach to diagnosis and address their needs.
We need to celebrate menopause and all that a woman at this stage of life and career contributes to society and the workforce, just like society celebrates other moments in a woman’s life such as the birth of a baby.
The tide can and will turn as more women have these conversations in public rather than private.
Overall, there’s a lack of investment in menopause compared to pregnancy, periods, and fertility. In short, the focus is on a woman’s ability, or lack thereof, to reproduce. Thereafter, a life of invisibility gradually takes hold.
FemTech changes
Investments in FemTech are helping bring more conversations and focus to women’s health. For a long time, the focus was only on a woman’s ability, or lack thereof, to reproduce. Women became invisible after that.
The tide is changing, though.
Once considered a “niche,” menopause represents a market valued at over $600 billion. Interest is growing in digital health startups as more companies evolve in this space. They provide solutions for a variety of symptoms, and some offer support systems tailored to a woman’s desire for a group setting or a “buddy” experience.

Speak about menopause authentically
If you’re in a position where you feel comfortable speaking up or have the power to change lives as a result of it, do it!
Authenticity is essential for leaders and also employees. It’ll make you happier.
You may be surprised by the support and the number of others who empathize with how you feel because they feel the same way.
Employers and society will benefit by accepting this as “normal.” It’s part of life. Half of the U.S. population will experience menopause.
Symptoms often hit when a woman is at the peak of her career, and they can span up to half or a third of the time a woman spends in the workplace.
While everyone’s journey is unique, women shouldn’t be ashamed to discuss the symptoms.
We talk about our breasts in the workplace, especially when someone gets breast cancer.
It wasn’t always this way, but we have progressed on many female health issues. There’s the potential to do the same with menopause. It takes all of us to make a difference.
How to change the work culture
Talk about it if you’re in a situation where you can say something. Tell your boss the real reason for your sick time.
Share your story if you’re a leader, as many women are at this stage in their career!
Many companies perform workplace surveys which provide the opportunity to communicate about benefits and resources that would be beneficial. Make sure you know what your current benefits are. For example, do you have coverage for acupuncture, nutrition consultation, subsidies on gym memberships, EAP counseling, virtual care for mental health conditions, caregiver benefits, and paid family leave? Does your company offer education regarding menopause or the opportunity to form a group where employees can come together for open conversations?
Talking about it is the first step to breaking down stereotypes and helping to end embarrassment and taboo topic status.
Some companies leading the charge offer flexible schedules and work hours, adaptive dress codes, the ability to control room temperatures better to help with hot flashes, and menopause-related stress management support.
Push your employer to do the same.
Let’s start talking, normalize the conversation, and help make your organization menopause-friendly.
Supporting working women through the menopause – Guidance for Union Representatives | Trades Union Congress
The Menopause Friendly Accreditation | The Menopause Friendly Accreditation
Forbes 50 Over 50 | Forbes
The Netflix show putting the spotlight on menopause | Netflix
Employers urged to ‘normalise’ menopause in the workplace | BBC
Mayo Clinic study puts price tag on cost of menopause symptoms for women in the workplace | Mayo Clinic
The Gen M Invisibility Report | Generation Menopause
Menopause in the Workplace: Impact on Women in Financial Services | Standard Chartered and Financial Skills Commission
Women Matter 2 | McKinsey & Company
Women in the Workplace 2022 | McKinsey & Company
The Why Behind DE&I Initiatives: Examples, Benefits, Definition, and more | Workhuman
Why More Startups and VCs Are Finally Pursuing the Menopause Market: ‘$600B Is Not ‘Niche'” | Crunchbase
How to Be Your True Authentic Self | PeopleTweaker
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