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Menopause

Tackling the taboo: how to give meaningful menopause support at work

By Suzy Jordan, chief client officer at Medialab

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Suzy Jordan

There is more work for employers to do, but with the right guidance, a better future in the workplace for menopausal women is possible.

The Government’s announcement that women in England will be able to access cheaper HRT for menopause through a new prescription prepayment certificate from April was welcome news for many.

While making HRT more financially accessible is a positive step, HRT is only one tool in the armoury for supporting women effectively through the menopause and perimenopause.

Given that menopausal women are the fastest growing demographic in the workplace, the role of employers in providing menopause support is key, yet almost three quarters of UK companies have no menopause policy.

Last year, Bloom, the professional network for women in communications, released the results of their Understanding Menopause survey which showed that only four per cent of respondents felt they had a “fair amount” of support at work.

The Menopause and the Workplace report by the Fawcett Society, found that one in ten women who worked during the menopause have left a job due to their symptoms.

The challenges faced by some women during perimenopause and menopause have recently hit the headlines in a tragic way, with the news coverage around Nicola Bulley’s death and as a hot topic of focus again for daytime TV and radio shows.

This is a conversation for society at large. But how can employers start effecting change to how we support people going through the menopause?

An issue for everyone

Talking about menopause openly in the workplace helps reduce stigma and can make it easier for those going through it to ask for support. It also helps others to be empathetic towards their colleagues and understanding of the potential impact of the menopause and perimenopause.

At Medialab, we pride ourselves on our open and inclusive culture. Hosting regular ‘Together We Stand’ open forum discussions around subjects such as racism, disability, and LGBTQ+ issues, everyone at Medialab has the opportunity to learn from experts, and each other, about how to understand and respect experiences different from our own.

Creating space for conversation and questions is crucial in equipping our team with the ability to engage with each other and support people going through challenges at work.

And we were proud to launch our menopause policy in this open forum setting. Hosted by a number of women in the thick of it, we were able to share our experiences in our own voice and answer any questions colleagues might usually feel too embarrassed to ask.

With many colleagues, including large proportion of men, across a diverse range of ages in attendance, our staff now know some simple steps to being a better ally to menopausal women at work.

And we have had the opportunity to educate our people on how we can make adjustments to working patterns and environment, and how symptoms of menopause can have a detrimental impact on women in the workplace.

Traditionally, if you’re not in the affected demographic you are less likely to be interested in the topic. But it’s essential we put raising awareness and education around the menopause at the top of the agenda, so that it should be in everyone’s interest.

Because at some point in everyone’s life, they may have a colleague, friend, mother, or other family member who will be experiencing symptoms and it is important to be mindful and supportive of how to navigate the menopause.

Encouraging empathy and offering practical support

The purpose of a Menopause Policy such as the one we have at Medialab is to raise awareness of the menopause and the impact of it in the workplace, as well as encourage open conversations between colleagues and their management.

Every employer should commit to supporting employees who are affected by the menopause and to signpost relevant advice and assistance to anyone who needs it.

Recognising that employees will experience the menopause and that, for some, it will impact their working lives is a step in the right direction.

While many who go through the menopause will be able to carry on their working lives as normal, employers should be prepared to make adjustments to working conditions, setups and practices to mitigate the impact of menopause symptoms.

Our policy takes a 360 approach, and it covers adjustments that can help with employees’ physical and mental health needs including temperature control, the provision of electric fans and access to rest areas, greater flexibility with working arrangements and more frequent rest breaks, as well as mental health support from qualified mental health first aiders and counselling.

For those looking to improve the experience of menopausal and perimenopausal women in the industry, do check out Bloom’s Menofesto. It’s full of practical advice and insight.

There is more work for employers to do, but with the right guidance, a better future in the workplace for menopausal women is possible.

 

Suzy Jordan is Medialab’s chief client officer. She has worked in roles across client leadership, business development, insights and commercial strategy, with experience of several categories including FMCG, charity, retail and financial services.

Menopause

Enter the menopause innovation award before it’s too late

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If you are working in menopause care and have not yet entered the Femtech World Awards, you have until this Friday, 17 April, to put your work forward.

The award celebrates those leading the way in reshaping how menopause is understood and supported across healthcare and society.

The winner will have demonstrated exceptional innovation in addressing the health, wellbeing and quality of life needs of people going through this transition.

Judges will assess impact, inclusivity, accessibility and the ability to challenge stigma while delivering meaningful, real-world solutions.

The scope is intentionally broad.

Whether you have developed a digital platform, a diagnostic tool, a pharmaceutical or non-pharmaceutical treatment, a workplace support programme or something that does not sit neatly within a single category, if your work is improving the menopause experience, this award is for you.

Who is behind the award

The category is sponsored by Cross-Border Impact Ventures (CBIV), an impact venture capital firm investing in early growth stage health technology companies across medical devices, diagnostics, therapeutics and digital health.

Every company CBIV supports must show relevance to women’s, children’s and adolescents’ health, with the ambition to scale into emerging markets.

Annie Thériault, managing partner at Cross-Border Impact Ventures, said: “Being part of the FemTech World Awards gives us a front-row seat to the most exciting breakthroughs in women’s health.

“It’s a powerful way to stay connected to the pulse of innovation and the future of care.”

What you stand to gain

Entry is free.

Every shortlisted organisation receives extensive coverage across all Femtech World platforms, placing your innovation in front of a global audience of investors, clinicians, industry leaders and potential partners.

The winner also receives a trophy and a dedicated interview.

The deadline is this Friday

Nominations and entries close on 17 April.

After that, the Femtech World team will shortlist the strongest submissions, with the final decision made by a representative from CBIV.

Find out more about the awards and enter for free here.

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Premature menopause raises long-term heart risk by 40%, study finds

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Women who enter natural menopause before age 40 face about a 40 per cent higher lifetime risk of developing coronary heart disease than women who experience menopause later, according to a large study that is the first to calculate lifetime heart risk associated with premature menopause.

The findings suggest that doctors should routinely ask women about age at menopause, using the menopausal transition as an opportunity to identify higher-risk women and intervene earlier.

Dr Priya Freaney is assistant professor of medicine in the division of cardiology at Northwestern University Feinberg School of Medicine.

She said: “When menopause happens before age 40, women still have more than half of their life expectancy ahead of them.

“Understanding their cumulative lifetime risk of blockage-related heart disease is critical.”

Coronary heart disease is a condition where the heart’s arteries become blocked or narrowed by a buildup of fatty deposits called plaque.

By restricting blood flow to the heart, these plaques can lead to sudden events (heart attacks) or gradual damage (weakened heart muscle).

The study of more than 10,000 U.S. women followed for decades also found that premature menopause was three times more common among Black women than white women (15.5 per cent vs. 4.8 per cent).

According to Freaney, the disparity likely reflects a complex mix of life-course exposures, health conditions and structural inequities rather than solely inherent biological differences.

Freaney and colleagues analysed data from 10,036 postmenopausal Black and white women who participated in six long-running U.S. studies, including the Framingham Heart Study, Atherosclerosis Risk in Communities Study and the Women’s Health Initiative.

The women were followed between 1964 and 2018.

During that time, the Northwestern scientists found more than 1,000 cases of coronary heart disease events in the data, including fatal and non-fatal heart attacks.

Even after accounting for cardiovascular risk factors such as smoking, obesity, hypertension and diabetes, premature menopause was associated with 41 per cent higher risk of coronary heart disease for Black women and 39 per cent increased risk for white women.

The scientists note in the study that the causes of premature menopause are not fully understood and are likely multifactorial.

Potential contributors include genetic, biological and environmental factors, as well as earlier age of the first menstrual period, health behaviors (such as smoking), obesity and the cumulative effects of chronic stress.

It is also unclear whether the menopausal transition itself creates a vascular environment that promotes disease, or whether women who experience premature menopause already have an underlying risk profile that predisposes them to both premature menopause and cardiovascular disease.

Even at the average age, menopause’s hormonal changes can affect cardiovascular health.

During menopause, declining estrogen levels trigger changes that increase coronary heart disease risk.

“As the natural estrogen declines, no matter what age it happens in, cholesterol and blood pressure go up, body fat distribution shifts to the abdomen, muscle mass gets lower, blood sugars can become dysregulated and arteries stiffen,” said Freaney, who also is director of the Women’s Heart Care Program at Northwestern Medicine Bluhm Cardiovascular Institute.

“Together, these changes over a short period increase the risk of heart disease.”

Freaney said women who experience premature menopause should think of it as an early signal to take their heart health seriously.

“Tell yourself: I have to be far more proactive than my neighbor about my own heart health,” Freaney said.

“The vast majority of heart disease is preventable, but people need to know that they’re at risk early in life because effective prevention takes decades.

“Tell your doctor, ‘I experienced premature menopause. What can we do to protect my heart?’” she suggests.

The findings also highlight a gap in how menopause is discussed in medical care, according to Freaney.

“All clinicians need to get comfortable asking about menopause because we have estrogen receptors from our head to our toes.”

For years, menopause has largely been treated as a gynecologic issue, she said. But the hormonal transition affects nearly every system in the body, including the cardiovascular system.

That means cardiovascular clinicians should routinely ask about menopause history when assessing long-term cardiovascular risk.

“Historically, women have been vastly understudied in cardiovascular science, and we still have much to learn about how menopause influences heart health,” Freaney said.

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Cardiff opens its first women’s health hub as nationwide rollout begins

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Cardiff’s first women’s health hub has opened, offering specialist perimenopause and menopause support for women aged 40 to 65.

Minister for mental health and wellbeing Sarah Murphy visited the East Cardiff Menopause Hub this week to learn about the new service, which brings together patient-centred advice, treatment and community support under one roof.

The hub forms part of a Wales-wide network of pathfinder women’s health hubs established during the first phase of delivering the Women’s Health Plan.

Women registered with one of the East Cardiff GP Cluster practices will be able to access extended 20-minute consultations, available face-to-face, by telephone or online, with GPs who have specialist experience in menopause care.

Practice nurses will also provide broader healthcare support, including blood pressure checks, lifestyle advice and guidance on hormone replacement therapy.

A Menopause Café, open to women of all ages, will offer a welcoming community space to share experiences and ask questions.

Sarah Murphy said: “It was fantastic to visit the Maelfa hub and see first-hand how Cardiff and Vale University Health Board is bringing high-quality, compassionate care closer to home for women in East Cardiff.

“Women’s health hubs will make it easier for women in Wales to get care when they need it.

“As the pathfinder hubs are rolled out, we’ll be listening to women’s feedback and adapting to make sure we are building a health service which meets the needs of women and girls, now and for generations to come.”

By March, every health board in Wales will have a pathfinder women’s health hub. Each health board has received an additional £300,000 this financial year to support their development.

The hubs form part of the Women’s Health Plan, which includes more than 60 actions to close the gender health gap and is based on feedback from around 4,000 women across Wales.

Dr Claire Beynon, executive director of public health at Cardiff and Vale University Health Board, said: “Too many women feel unsupported or unheard when seeking help for the symptoms of menopause.

“The East Cardiff Menopause Hub is a really positive step in bringing high-quality, compassionate care closer to home, with longer appointments and specialist expertise focused on women’s health needs.

“By combining clinical care with community support, this service helps women feel informed, confident and in control of their health. It also reflects our wider commitment to reducing health inequalities.”

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