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Menopause and the workplace inquiry – what happened next?

Read My Menopause Centre's evidence to the Women and Equalities Committee’s menopause and the workplace inquiry, plus the outcome, and current employer guidance.

In 2021, the Women and Equalities Committee launched an inquiry into menopause and the workplace, examining discrimination, workplace practices, and the law. My Menopause Centre submitted evidence based on research with BritainThinks, published data, and our experience in menopause care.

The inquiry has now concluded, so we’ve added a brief update on what happened next before sharing our original evidence below.

What happened after the menopause and workplace inquiry?

The Committee published its report in July 2022. It called for better public information, model workplace policies, a trial of menopause leave, a Menopause Ambassador, and stronger legal protection for people experiencing menopause at work.

The government supported some of the Committee’s recommendations but rejected making menopause a separate protected characteristic under the Equality Act 2010 and decided not to trial a specific menopause leave policy.

Menopause itself isn’t a protected characteristic. However, employees experiencing menopause symptoms may be protected under existing disability, age, and sex discrimination law. If symptoms have a substantial, long-term effect on someone’s ability to carry out normal day-to-day activities, they may meet the legal definition of disability. In this situation, their employer may have a duty to make reasonable adjustments.

The Equality and Human Rights Commission published further guidance for employers in 2024. Since April 2026, organisations with 250 or more employees have also been able to publish a voluntary action plan alongside their gender pay gap data, explaining how they support employees experiencing menopause.

For practical help with workplace policies, manager training, employee education, and access to specialist care, explore our menopause support for employers.

Who we are

My Menopause Centre provides clear, evidence-based information about perimenopause, menopause, and postmenopause, alongside a free symptom checker and specialist online clinical care. We want everyone to understand their symptoms, treatment options, and the support available at home and at work.

We are passionate about raising awareness of the menopause, the symptoms and the range of treatment options so that women thrive, and not just survive, through this stage of their lives. The benefits of this will be felt across the whole of society and not just the workplace.

How menopause discrimination affects women and wider society

 Why menopause is still difficult to discuss

Menopause is a natural stage of life for most women, although it can happen early or be brought on by surgery or medical treatment. Some trans and non-binary people may also experience menopause. The findings below formed part of the evidence available when we made our submission in 2021.

Despite this, and despite the very welcome and much needed increase in public and national conversation about the menopause, our recent research shows the long-standing menopause taboo is still very much in place: 47% of the public agree it is a taboo topic in UK society – rising to 72% of perimenopausal and menopausal women[3]. As one of our participants explained:

“I don’t think we speak about it actually. Menopause is almost like a bad word. I don’t remember my mum or aunties talking about it. So no one ever knew enough.”

 How low awareness affects health

This taboo feeds directly into low awareness of the menopause as a women’s health issue, and low knowledge and understanding of this phase in women’s lives, including amongst women themselves.

While around 8 in 10 women will experience symptoms of the menopause…

  • an average of 7 symptoms[4]
  • with symptoms usually lasting 4 years, but can last for up to 12 years[5] and change over time
    only one in four of the menopausal women we interviewed feel – or felt – prepared for the menopause, and over half underestimated the physical and mental/emotional symptoms.

In wider society, knowledge and understanding is even lower: 2 in 5 (43%) of the public agree they don’t know much about the menopause and just a third (33%) say that they would know how to support a woman who is going through the menopause.
This lack of knowledge, coupled with difficulties talking about menopause, has real-world impacts. Overall, without the right support and treatment, the symptoms of the menopause can have a negative impact on all aspects of a woman’s quality of life – home, work, social and sex life as research conducted by the British Menopause Society shows:

British Menopause Society Data - Impact of menopause symptoms on quality of life

Ultimately, for some women, the cumulation of these challenges can lead to a loss of identity:

“It takes your confidence away. It took a lot of years out of my life when I wasn’t the same as I used to be.”

 How menopause symptoms affect work

In research we conducted in the Spring with BritainThinks, over two thirds of the menopausal women we interviewed agreed that the symptoms of the menopause can have a negative impact on a woman’s performance and on her career.

More recent research confirms that menopause symptoms continue to affect working lives. In 2023, the CIPD[6] found that 67% of working women aged 40–60 who’d experienced menopause symptoms said they’d had a mostly negative impact at work. Among those affected, 79% felt less able to concentrate, and 68% experienced more stress. That’s a staggering figure, given the organisational impact of this loss of talent and impacted productivity, and clearly illustrates the need for workplaces to do more to support women in this stage of their life.

 Why preparation matters

Our research shows very clearly that the more prepared for the menopause a woman is, the better her experience of it will be. This underscores the importance of education and information in enabling women to feel empowered to talk about their health and the support they need – whether at home or at work – and shows that women who feel prepared for menopause have better outcomes.

  • While only 1 in 4 women say they feel/felt prepared for the menopause, those who say they feel prepared are far more likely than other women to say that menopause can be a positive change in women’s lives (54% vs 26%) and less likely to say they feel/felt under pressure just to cope with the symptoms (24% vs 71%) and less likely to say they feel/felt more isolated from others as a result of the menopause (12% vs 44%).

This finding highlights the importance of building knowledge of the menopause amongst younger women so that they’re prepared for what’s to come. In our survey, over half (53%) of women aged 18 – 44 interviewed agree they ‘don’t really know much about the menopause’, compared to 20% of women aged 45 – 64.

The menopause is everyone’s business

But it’s not just women we need to focus on. This data also highlights the need to make the menopause everyone’s business by tackling the taboos around it and showing that it affects not ‘just’ the 50% of the population who experience it, but everyone around them… their families, friends, and employers.

Men – whether at home or at work – also have a key role to play. With 67% of the men surveyed agreeing that the menopause is not an issue which affects them personally, it’s clear there’s a real need to raise awareness of the menopause, the impact that symptoms can have and the best way to support those going through it too.

Workplaces clearly have a key role to play here, which will benefit not only them, but also society more widely.

 The economic impact of menopause at work

Symptoms, performance, and retention

As mentioned above, around 8 in 10 women will experience symptoms of the menopause, and research has shown that the symptoms that can have the most impact at work are related to mood and cognitive function:

Symptoms that most impact at work

Multiple studies show the negative impact that the symptoms of the menopause can have on women’s workforce participation i.e., engagement, retention and performance. For many women, symptoms impact them when they are in senior roles and at the peak of their careers.

  • In the CIPD’s 2023 research, 53% of respondents could recall a time when they’d been unable to go into work because of menopause symptoms. Around one in six had either left work or considered leaving because they didn’t receive enough support.
  • Women aged 45-54 being the group most commonly report work related stress[8]
  • Various research studies also suggest that, amongst those experiencing symptoms, for some women their symptoms are leading them to consider reducing their hours, leaving their jobs altogether or are the reason they have left their jobs[9]. This from one of the workplace managers interviewed in the BritainThinks research:

“One of my senior colleagues took a demotion as she was embarrassed, she made some mistakes, and I felt she didn’t feel like she could say, and it was just too much”
Workplace manager

How menopause can affect the gender pay gap

This no doubt also contributes to the increase in the gender pay gap that we see for women in their 40s, 50s and 60s:

Gender pay gap by age

How employers can support people experiencing menopause

The menopause is still a taboo at work

Despite the increasing conversations about it, the menopause is still a taboo subject in the workplace, with around half of the menopausal women interviewed in one survey saying they didn’t discuss their symptoms with their line manager:

Menopause support at work

 Why some employees don’t feel supported

Women also do not feel supported at work (a survey by Nuffield Health found 72% of female workers suffering symptoms said they felt unsupported at work, even though 1 in 5 said their symptoms have a detrimental impact on their work[10]) and there is appetite for menopause policies and access to advice and support[11].

In My Menopause Centre’s work with BritainThinks, women interviewed were largely unaware of policies to support women through the menopause at work and were often uncomfortable discussing the issue with their line manager (especially if they were younger and/or a man) – meaning that they were left feeling that they “just have to cope”.

More support would, unsurprisingly, be welcomed.  Nevertheless, there is a desire for support; in an Ipsos MORI survey[12], among the women interviewed whose employer did not offer any support:

  • almost 4 in 10 (37%) would like their employers to offer access to specialist menopause advice from a third-party expert
  • 31% would like their employer to offer a menopause policy
  • 27% would like training/courses for line managers to address menopause awareness
  • 19% would like a menopause support group
  • 12% would like menopause workshops

Turning menopause policy into workplace practice

What effective workplace menopause support looks like

Developing and implementing a menopause policy is a great first step to ensuring that women are supported and not discriminated against because of the impact of their menopause symptoms. And as the above research demonstrates, it would be much welcomed.

Such a policy could include, for example:

  • An overview of what the menopause is and the key symptoms – with information provided in a factual, straightforward, and engaging way to help educate all colleagues.
  • An overview of the types of workplace support and adjustments that can be made to help women manage their symptoms – e.g., desk fans, cool/quiet rooms, flexible working, support from Occupational Health (for both the home and work environment), sickness and paid leave, medical support.
    • Covering both the workplace and homeworking settings when looking at the adjustments that can be made.
    • Tailoring content for supporting roles (HR, Occupational Health, line managers), for all employees and for employees going through the menopause
  • Outline what training is available to line managers and colleagues, and what is expected of each.
    • It’s important to train managers to be better equipped to support colleagues impacted by menopause symptoms, and in managing an age-diverse workforce
  • Signpost relevant resources.
    • Be clear what help and support is available and how to access it
    • Take an ‘always-on’ approach to communications and engagement on this

However, while creating a menopause policy is incredibly helpful and provides a great foundation, in and of itself it’s not enough. Our research indicates that to be effective, policies and support needs to be championed from the very top of the workplace so that it becomes embedded in the organisation’s culture.

One workplace manager interviewed described the transformational effect the CEO talking about her experience had:

“They do drop-in sessions, and the CEO was really good and open about her situation and that encouraged other people to be open, and that opened up a lot of doors.”

Where employers can find current guidance

Employers can use the latest Acas guidance to help them speak with employees, consider suitable workplace support, and develop a menopause policy. The Equality and Human Rights Commission also explains employers’ responsibilities under equality and health and safety law, including when reasonable adjustments may be required.

Government guidance now provides evidence-informed actions for organisations developing voluntary menopause action plans. These include carrying out menopause risk assessments, training managers, offering appropriate workplace adjustments, and clearly explaining how employees can access support.

Book a consultation

Whether you want to discuss your symptoms, create a treatment plan that's right for you, understand some test results or have a check-up, the highly experienced doctors and nurses in our menopause clinic are here to help you.

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References

  1. BritainThinks is a global insight and strategy consultancy dedicated to putting the people that matter most to its clients at the heart of their thinking. BritainThinks works across issues and sectors, but has particular expertise in the healthcare space, where its clients include DHSC, NHS England, the Richmond Group of Charities, and the Cabinet Office.

  2. Data based on ONS population estimates for the UK, England and Wales, Scotland and Northern Ireland: mid-2019, using April 2020 local authority district codes; all women aged 45-90+

  3. BritainThinks conducted a nationally representative online quantitative study of 2,087 adults in the UK over the 30th April – 3rd May, and qualitative research with women with experience of the menopause, male partners and workplace managers

  4. Menopause – Understanding the impact on women and their partners, Heather Currie, Sara J Moger ; (based on three online surveys with women 45+ with menopause symptoms (currently/in previous 10 years; 2015/n=1,000; 2016/ n=1,000; 2017/n=650 women and n=350 partners)

  5. https://www.nhs.uk/conditions/menopause/symptoms/

  6. Millions Of Women Exit Workforce For A Little-Talked About Reason (bloombergquint.com)

  7. Menopause – Understanding the impact on women and their partners, Heather Currie, Sara J Moger ; (based on three online surveys with women 45+ with menopause symptoms (currently/in previous 10 years; 2015/n=1,000; 2016/ n=1,000; 2017/n=650 women and n=350 partners)

  8. The effects of menopause transition on women’s economic participation in the UK Brewis, Davies, Matheson Joanna Brewis, Vanessa Beck, Andrea Davies and Jesse Matheson – University of Leicester, July 20172

  9. https://www.ipsos.com/ipsos-mori/en-uk/world-menopause-day-2020
    Ipsos MORI interviewed a sample of 846 working women and 250 working men aged 40-65 in the UK. Interviews were conducted via Ipsos MORI’s online panel between 1st-5th October 2020.
    https://www.nuffieldhealth.com/article/one-in-four-with-menopause-symptoms-concerned-about-ability-to-cope-with-life; N = 3,275 women aged between 40 and 65. Results issued September 2017.
    https://comresglobal.com/polls/bbc-menopause-survey/. ComRes interviewed 1,009 women aged 50-60, between 8th December and 18th December 2017.

  10. https://www.nuffieldhealth.com/article/one-in-four-with-menopause-symptoms-concerned-about-ability-to-cope-with-life; N = 3,275 women aged between 40 and 65. Results issued September 2017.

  11. https://www.ipsos.com/ipsos-mori/en-uk/world-menopause-day-2020
    Ipsos MORI interviewed a sample of 846 working women and 250 working men aged 40-65 in the UK. Interviews were conducted via Ipsos MORI’s online panel between 1st-5th October 2020.

  12. https://www.ipsos.com/ipsos-mori/en-uk/world-menopause-day-2020
    Ipsos MORI interviewed a sample of 846 working women and 250 working men aged 40-65 in the UK. Interviews were conducted via Ipsos MORI’s online panel between 1st-5th October 2020.

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