OP-ed: Menopause at Work – A Call To Action

A senior HR official at a Fortune 500 company recently told me that women at her company routinely refuse to accept recognition awards for their years of service. Why? Because they don’t want people to know their age. Had that ever happened with a man, I asked? Never, she replied.

Our society does not value age and aging, particularly in women. For women in the workplace and in other leadership positions, this double whammy of sexism and ageism is pernicious. As a result, many of us take steps to avoid drawing attention to our age. So when it comes to menopause, a unique marker of aging for women, it’s complicated. Even my most confident and successful friends and contemporaries become uncomfortable when talking about menopause. The stigma is real. We endure the stereotypes of angry women fanning themselves through hot flashes, while the silver fox goes happily about his business.

I am passionate about menopause because I believe that we are doing women and the people important to them a disservice by not talking more openly about the effects that menopause can have on some women, particularly at work. Many of us are in our prime professionally during these years, with senior positions of responsibility and management. It goes without saying (or it should) that having more women in C-suite positions is a good thing. Among other things, companies with greater C-suite diversity are shown to be more profitable, and more socially responsible.

The status quo of ignoring menopause is not ok. Menopause has a real effect on many women at work, as shown in this recent study, from Standard Chartered Bank and the Financial Services Skills commission in the UK. It delves into the effect that menopause is having on the financial services sector. A key finding centers around loss of talent due to menopausal symptoms – the study found that a quarter of employees experiencing menopausal symptoms said that they were more likely to leave the workforce early because of their experience. And the very real stigma around menopause means that only 22% are comfortable talking about it.

So what is menopause? The average age for menopause in the US is 51, and experienced by every cisgender woman (and some non-binary and transgender people.) Menopause marks the day when you have not had a period for 12 months. The time leading up to menopause is perimenopause, which generally begins in the mid 40s and lasts on average seven years. Perimenopause is caused by fluctuations in hormones, and this is when menopausal symptoms may start. During this time, periods may be uneven, heavier than normal, or irregular. You may have hot flashes, night sweats, brain fog, difficulty concentrating, heightened anxiety, reduced libido, weight gain (especially around the waist), heart palpitations, vaginal dryness, sleeping issues, or stiff and aching joints. In fact, there are 34 widely reported symptoms of menopause. 80% of women experience the most common symptoms, hot flashes and night sweats. For 15% of women, they are severe. For women who enter menopause surgically, perhaps due to a hysterectomy or cancer treatment, symptoms are often worse. The symptom that women find the most bothersome? Difficulty sleeping. Not surprising, as lack of sleep affects all other aspects of life. These menopausal symptoms don’t stop when your periods end; they often last for several years after you are officially in menopause, though they typically taper off. Once you have hit one year with no periods –a moment that can only be marked retroactively– you are post-menopausal. You will remain in this state the rest of your life.

Many women are familiar with the more common perimenopausal symptoms, but most don’t realize that their heightened anxiety, heart palpitations, sudden waking up in the middle of the night, lack of confidence, or difficulty remembering words might all be related to the fluctuating hormones of menopause. We tend to think of menopause as a gynecological issue, but it is so much more than that. It affects every organ in our body, and none more so than the brain. In fact, anti-depressants are often misprescribed during perimenopause: one study suggests that more than 60% of women have been inappropriately given antidepressants for low mood associated with menopause (and they won’t work if the cause is fluctuating hormones). It’s also important to note that menopause comes with many positives: no more periods! No more worrying about getting accidentally pregnant!

So what can we do to destigmatize menopause? Here are a few suggestions for actions to take, both personally and in your workplace.

• Get Educated. Understanding what happens during the (potentially very long!) perimenopausal period can shed some light on what can feel like uncontrollable, out-of-nowhere struggles, like those sudden middle of the night wakings or lack of confidence. It’s often difficult to untangle perimenopausal symptoms from the normal stresses of life (particularly these days). But understanding what happens during menopause, knowing that it is transitory and that you have agency, is important. A good, fact based, very readable book on the subject is Dr. Jen Gunter’s ‘The Menopause Manifesto’. A new non-profit, letstalkmenopause.org, has some great resources, and balance-menopause.com, developed by the UK’s leading menopause physician, has a lot of fact based information (and a great app, too).
• If you are suffering, seek help. Menopause is a natural transition, but that doesn’t mean it’s ok to suffer. You have options for treatment. Your OB-GYN should be your first call, but don’t be discouraged if they aren’t as helpful as you hoped: there is, sadly, a huge gap in care for menopausal women. Shockingly, just 20% of OB-GYN residency programs provide any kind of menopause training. The North American Menopause Society (NAMS) has a list of certified menopause practioners. There are also new services specifically focused on menopausal women; Gennev, Elektra Health and Alloy, for example.
• Talk to your HR department. The more that this issue is raised, the better. Ask what benefits your company has for menopausal women. Have your women’s group do an information session. Give a training on menopause for managers. Asking for information and resources will bring the issue to the fore. The more menopause is raised, the more your company will start to recognize it as a life event that should be supported just as fertility and pregnancy are, and treated with as much sensitivity as mental health.
• Talk to your colleagues, friends and family. Be part of breaking the stigma. While you may be uncomfortable talking about menopause at work, sharing your experience with trusted colleagues educates, empowers, and normalizes. And if you aren’t comfortable talking about it at work, talk to your friends! It’s helpful to understand what other women are going through, and to share your experiences. Don’t forgot your partners and family too: it’s important they understand what you are going through. There are also some great online communities: the apps Peanut and Perry have good menopause support groups.

Menopause is a natural, essential stage of life. It can also add to what’s already a stressful time – kids, parents, work, COVID. But by empowering ourselves and our communities with knowledge, support, and the right medical help, we can march into the next half of life with joy, strength and power.

About the writer:

Kate Brashares (she/her) is the co-Founder and CEO of a new startup, Hello Maisy, focused on developing clinically proven, effective products and services that are being designed to support women through all life stages, with an initial focus on perimenopause, menopause and healthy aging. She is passionate about building and growing organizations that drive societal change and improve health outcomes. Previously Kate was the Executive Director of Edible Schoolyard NYC, and has also worked in brand marketing and finance. Kate has a B.A from Cambridge University and an M.B.A. from Columbia University.

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