Menopause
Work stress top trigger of perimenopause symptoms, says Health & Her report

The menopause support platform Health & Her has found that 80 per cent of women reported at least one trigger of perimenopause symptoms, including stress, caffeine, alcohol, and sugar.
The research conducted on 55,047 women going through perimenopause has shown that 54 per cent of participants reported stress at work as a major trigger. Examples of work stressors might be meeting a tight deadline, presenting in front of clients, attending performance reviews and taking part in social events.
“There are an estimated three million women currently going through perimenopause in the UK,” says Dr Rebeccah Tomlinson, GP menopause specialist at Health & Her.
“Although symptoms are primarily due to falling sex hormone levels, many of these women are unaware of the way mental health, lifestyle and diet choices can trigger the frequency and severity of their perimenopause symptoms.
“The reason stress at work is cited so frequently by women is because oestrogen helps maintain cortisol levels, so when oestrogen levels start to drop things go out of balance. It then becomes a vicious circle. The more you stress, the more you experience mind, mood, and sleep problems.”
Health & Her research found stress of this nature highly correlated to mind and mood symptoms of perimenopause including anxiety, low mood, poor concentration, brain fog and memory loss.
With more than four million perimenopausal or menopausal women currently in the workplace and one in ten leaving the workplace, finding ways to help them manage stress to minimise triggering symptoms is vital.
The research confirms a link between stressful events and worse menopause symptoms. However, according to the report, it is not necessarily the event that exacerbates symptoms but how a woman responds to that event.
Just under half (47 per cent) of the women surveyed reported this as trigger alongside anxiety, poor concentration, memory loss and heart palpitations.
Two in five women reported they started to experience more sensitivity to caffeine as they progressed through perimenopause.
Dr Rebeccah says this happens due to the caffeine found in tea, coffee and energy drinks that accelerates the nervous system, increases alertness, and interferes with the absorption of vitamins and minerals.
“Whilst it might seem like a good pick me up after a bad night’s sleep, caffeine can have a detrimental effect on sleep, causing insomnia which is one of the most common symptoms of perimenopause,” she adds.
Additionally, four in ten women found that they experienced an issue with alcohol tolerance.
Alcohol causes the blood vessels to dilate and raise the internal body temperature, leading to more hot flushes and night sweats, higher levels of cortisol, disrupted sleep, mood swings and increased dehydration.
Sugar posed a moderate issue for one third of the women. Sugary snacks are known to cause rapid high spikes in blood sugar levels.
High blood sugar, insulin resistance and metabolic syndrome are linked to hot flushes in perimenopausal women while dips in blood sugar can impact energy and mood levels. These spikes and dips can lead to a cycle of snacking on quick fix foods that can exacerbate menopausal weight gain and other symptoms such as bloating, digestive issues and memory loss, the researchers say.
Kate Bache, co-founder at Health & Her, says: “Seeing stress featuring twice in the top five triggers, it’s no wonder 15 per cent of women experiencing perimenopausal women have called in sick due to their symptoms.
“Women are struggling to perform at their job, due to the severity of their symptoms and lack of support.
“Almost a quarter of perimenopausal women surveyed admitted to making mistakes at work, while six per cent had to skip meetings to deal with their symptoms.”
Bache’s Health & Her aims to support perimenopausal and menopausal women through its Employer Menopause Support Plan.
The package offers clinic access to menopause-specialist GPs, advice, managerial and employee training, digital tools and webinars to help women track and manage menopause symptoms and support the employees who work with them.
“Businesses need to learn to adapt, create a space and culture that supports perimenopausal women to retain them in the workplace,” says Bache.
“These women are at a point in their lives where they have the experience, talent, and skills to positively contribute to the workforce. By offering the right help and developing the right plan around they will be able to continue to progress in their careers, rather leaving due to their symptoms.”
Menopause
Cultural stigma is a barrier to menopause help, black women say

Cultural stigma and a lack of education are making it harder to get menopause help, ethnic minority women in Jersey have said.
The women came together to share their stories at an event in St Helier hosted by Eve Studios and Liberty Underwear.
Participants were encouraged to speak openly about the symptoms they had experienced.
Angela Mowanga, from Jersey, told ITV Channel: “I became dismissive about signs and symptoms. From our parents and our grandparents, they just carried on.
“I hardly heard the word menopause spoken about in my household. We never had things like hot flushes, itchy skin and tiredness.
“So for us to start talking about menopause, there is a taboo around it. A taboo that comes from ignorance but also not being willing to educate ourselves.
“We as women of colour, societies of colour, we have a lot of taboo subjects, which now have to be highlighted with the generation today.
“However, with the modern day, society is changing. And we hope programmes like this can actually be well received.”
Daisy Ayebale, from Jersey, added: “I think it’s important we are listened to. We need the right information from the experts, but we have also been overlooked when it comes to the healthcare system.
“We need to know this information before it’s too late, before you’re gambling with your health. We are glad to be changing the narrative, we are glad to be changing things right now. We are very hopeful.”
Research shows that black women are more likely to experience menopausal symptoms earlier, more intensely and for longer.
Insight
Women urged to be wary of menopause misinformation on social media

Women are being urged to seek evidence-based advice and avoid menopause misinformation shared on social media.
A seminar co-hosted by the World Health Organization (WHO) mainly examined what is known about the cognitive effects of menopause and current research in the field worldwide.
Dr Nicole Jaff, a South African academic and certified menopause practitioner, said research into menopause and its effects was now at a peak.
She said: “There’s a lot of information out there.
“But I would say please look for the evidence-based information, not for the influencers and the misinformation, but those who are giving guidelines, who are giving information.”
Jaff highlighted research into cognitive changes during menopause and how some women experience brain fog, a term for difficulties with memory, concentration and clear thinking.
She said: “I’m very excited about the non-hormonal treatments that are now available, especially for women who could never take hormone therapy because of breast cancers and various cancers, who can now take it.
“I’m extremely excited about people who are standing up for evidence-based medicine, for science, who are actually fighting back against a lot of the social media and influencers who are not giving evidence-based information and making life very difficult for women because they think they should be forever young or buying this or buying that.”
Jaff advised women and healthcare workers to read new guidelines recently issued by the International Menopause Society. They are available free to download from its website.
The seminar also heard from Professor Aimee Spector, professor of clinical psychology of ageing at University College London.
She raised similar concerns about misinformation, particularly claims linking hormone replacement therapy, known as HRT, to dementia. Some claims suggest HRT reduces dementia risk, while others suggest it increases the risk.
Spector said: “I think there’s also lots of misinformation.
“And I think that there’s huge variations in how even professionals and doctors interpret this information.”
She was part of an international research team commissioned by the WHO last year to assess published studies on the issue.
The institutions involved also included the Global Brain Health Institute at Trinity College Dublin.
Spector said: “The first thing to say is that the quality of evidence was very low.
“Nine out of the 10 studies we looked at were observational, which means that you’re observing patterns over time. But you don’t necessarily know whether that’s due to the hormone therapy or not.
“Our overall recommendation was that there’s insufficient evidence for menopause hormone therapy in terms of either increasing or reducing the risk of dementia. In other words, we don’t know either way.”
Spector said women should therefore decide whether to use HRT to treat menopause symptoms rather than based on concerns about dementia.
She said: “It’s recommended for menopause symptoms, but it’s not recommended to reduce dementia. And I think a lot of people are saying that.”
The Menopause on the Brain webinar was part of an ongoing series hosted by the WHO and other global health agencies.
News
Premature menopause is a high blood pressure risk, study finds

Premature menopause is linked to a higher risk of developing high blood pressure, according to a study of more than 107,000 women.
The risk was highest among women who reached menopause between the ages of 25 and 35.
Researchers said the findings support earlier cardiovascular screening for women who reach menopause before the age of 40.
Dr Stephanie Faubion, medical director for The Menopause Society, said: “The results of this study highlight the potential adverse long-term health outcomes associated with premature menopause, and in particular, the need to regularly screen for cardiovascular risk factors such as hypertension.
“Use of hormone therapy is also routinely recommended in women with premature menopause at least until the natural age of menopause unless contraindications exist.”
Hormonal changes during menopause are known to affect women’s wider health, while earlier menopause has previously been linked to coronary heart disease and stroke.
Coronary heart disease develops when the blood vessels supplying the heart become narrowed or blocked.
However, previous evidence directly linking the timing of menopause to high blood pressure has been mixed.
High blood pressure, also known as hypertension, puts extra strain on the heart and blood vessels and can increase the risk of heart disease and stroke.
Researchers said it can be difficult to separate the direct effects of hormonal changes from factors that often accompany menopause, including weight gain, metabolic changes and other cardiovascular risks.
Metabolic changes affect how the body processes and uses energy, including sugar and fat.
The study analysed data from 107,836 postmenopausal women who joined the UK Biobank between 2006 and 2010. They were followed for a median of almost 15 years.
Researchers divided the women into three groups based on their age at menopause: after 45, between 40 and 45, or before 40.
They also examined whether menopause occurred naturally or followed surgery.
During the follow-up period, 18,508 women, or 17.2 per cent, were diagnosed with high blood pressure.
The proportion increased as the age at menopause fell. Hypertension developed in 16.6 per cent of women who experienced menopause after 45, compared with 18.8 per cent of those who reached menopause between 40 and 45.
Among women who experienced menopause before 40, 22.6 per cent developed the condition.
After taking account of more than 50 factors, including weight, lifestyle habits, family history and laboratory results, premature menopause remained linked to a 12.3 per cent higher risk of hypertension than menopause after age 45.
Further analysis suggested the risk peaked among women who reached menopause between the ages of 25 and 35.
The researchers said this may mean that the cardiovascular risk associated with premature menopause is concentrated among a younger group than the conventional under-40 definition suggests.
Surgical menopause was initially linked to higher rates of hypertension, but the association was no longer significant after other risk factors were taken into account.
The authors said clinicians should consider age at menopause as a distinct cardiovascular risk factor, particularly for women who experience it before 40.
They also called for earlier detection and management of hypertension, alongside individual discussions about hormone therapy.
Hormone therapy replaces hormones that decline during menopause and may be recommended for some women, depending on their individual health and medical history.
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