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Hormonal health

Endometriosis-sufferer wins landmark tribunal case on workplace discrimination

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A former Accenture employee has won an appeal tribunal ruling after a judge said her endometriosis may amount to a disability under the Equality Act 2010.

A senior employment law judge last month quashed a 2022 tribunal decision that rejected claims brought by Sanju Pal, 43, against the consulting firm.

The judge found the original ruling did not properly consider whether Pal’s endometriosis, a condition where tissue similar to the womb lining grows elsewhere and can cause chronic pain, amounted to a disability under the Equality Act 2010.

The decision also said the ruling mischaracterised her reasons for dismissal and lacked evidence for some claims.

Pal has previously described how Accenture terminated her contract in 2019 despite her having a “cyst the size of a Coke can” on one of her ovaries, in what was a severe and chronic case of the condition.

For Pal, however, the fight is not over. The judgement ordered a fresh employment tribunal to reconsider her claims, and Accenture reserves the right to appeal.

The case has drawn attention since the appeal decision, with Pal appearing on BBC News and Radio as well as ITV News.

Pal said: “Whilst my faith was shaken after the initial employment tribunal, this judgement has restored it somewhat.

“Luckily, I got an appeals judge who finally heard me.

“A line one of my close friends said was ‘the system failed Pal’. Oh my God, just to hear and see that.”

She added: “I’m not surprised my case is making waves in the media, as there is no other case in the UK that has gone to this level of court, for a respondent that refused to concede.

“Of course it’s going to gain traction now, and I think women are absolutely outraged that this could be possible.”

Emma Cox, head of Endometriosis UK, suggested on BBC Radio 5 Live that Pal’s case will make a “real difference”.

She said: “It yet again highlights that endometriosis and its impact are not properly understood in the workplace, and the appeal ruling makes it quite clear that those living with endometriosis may be protected, and it should be considered.

“I also hope it gives a push to our campaigns, one of the things we are pushing for is to have menstrual health included in the employment’s rights act.”

Pal, who also referenced a government petition to introduce menstrual leave for those with endometriosis and adenomyosis, a related condition where tissue grows into the muscular wall of the womb, due to be debated in parliament, said far more needs to be done to acknowledge the reality of workplace discrimination.

She commented: “Those with endometriosis are hearing from their employer: ‘What do you mean you can’t come into work? What do you mean you can’t do this shift’? Or ‘what do you mean that you need to take time off for X, Y and Z?’

“It’s happening every day across this country to millions of women, and that’s just endometriosis before you start talking about other conditions.”

Hormonal health

Man City launch female athlete health education platform

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Manchester City has launched a female athlete health platform covering menstrual, pelvic and breast health, as well as nutrition.

The Her City website is designed for the club’s women’s first-team players, coaches, support staff, academy players and parents.

Manchester City says the platform is the first of its kind in the Women’s Super League and was developed over two years.

The project was led by director of performance services Emma Deakin, physical performance scientist Rosie Anderson and PhD student and first-team nutritionist Sarah Malone.

It grew out of PhD research into menstrual, pelvic and breast health and nutrition, with the team seeking to turn that work into an online educational resource.

The website divides the four areas into separate sections and provides peer-reviewed information that the club says has been critically analysed by experts.

Content will continue to be reviewed and updated as further evidence emerges.

Resources include posters, visual explainers, audio materials and downloadable educational content, with information tailored to different groups including players and parents.

The platform aims to improve knowledge, develop critical analysis skills and strengthen communication within football and at home.

It also includes material to help users assess misinformation they encounter on social media or elsewhere.

A confidential contact form allows users to raise concerns or ask questions directly of experts at Manchester City.

Parents of academy players can also access the platform, with resources intended to help them support their children during a key phase of their development.

Manchester City said its longer-term aim is to make the platform available to all women working across City Football Group.

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Menopause

NIH awards multi-university team over US$4 million to improve women’s health

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Michigan State University researchers are launching a novel project to transform how medications are developed and prescribed for women.

A US$4.6m award will fund computer models designed to predict how hormonal changes affect the way medicines move through and act in women’s bodies.

The funding is the first instalment of an award worth up to US$12.8m over three years, supporting work intended to account for hormonal changes throughout women’s lives.

Researchers plan to examine factors including menstrual cycles, pregnancy, contraceptive use, menopause and hormone replacement therapy, which can affect responses to medicines.

Teresa K. Woodruff, lead investigator on the project, said: “Because female hormone levels are constantly shifting, precision medicine allows us to map out these complex interactions.

“This NIH-backed initiative will create the first computationally driven clinical tool designed to guide medical care across every stage of a woman’s life.”

The project is led by researchers at Michigan State University and funded by the National Institutes of Health, with collaborators from Rutgers, Emory, Tulane, the University of Colorado Anschutz, the University of Michigan and the University of Utah.

Thirteen researchers will develop computational models to predict how changes in female hormones influence the way medicines move through and act within the body.

The work is part of the NIH Computational Modeling of Hormone Homeostasis Initiative, which is awarding US$21m nationally to support research into sex-specific hormonal biology.

The team plans to use artificial intelligence to digitise and organise more than 40 years of hormone research data in a publicly accessible database.

Researchers will also develop a standard computer model of a 28-day menstrual cycle, alongside models of how hormones regulate organs and tissues involved in processing nutrients, including the liver, muscle and fat.

Real-world patient data will then be used to expand the models to represent groups including women going through menopause or taking birth control, as well as women with conditions such as diabetes and obesity.

The project will also use three-dimensional human tissue models and lab-grown organoids, including liver, muscle and ovarian tissue, to test and refine the computer predictions.

Researchers plan to examine medicines including metformin, insulin and GLP-1 drugs, with the aim of developing tools that could help clinicians tailor doses and avoid harmful side effects.

Qiang Zhang, associate professor at Emory University, said: “Empowered by AI, novel assays and legacy human data, we will develop mechanistically based computational models of female physiology that can make translational, quantitative predictions for women’s responses to metabolic therapies.”

The researchers said the work could help address differences in how women respond to treatments for metabolic conditions including obesity, type 2 diabetes, cholesterol imbalances and thyroid disorders.

Nanette Santoro, professor at the University of Colorado Anschutz and president of the Endocrine Society, said: “Women experience large shifts in reproductive hormones at several points in their lifespan: puberty, pregnancy and menopause.

“During reproductive years, women also undergo profound day-to-day changes in reproductive hormone levels, giving them a markedly different endocrine backdrop than men.

“Using state-of-the-art computational technology to examine how these changes interact with commonly used medications is a critical pathway toward supporting life-course women’s health.”

The project team said its computer models and data will be made freely available to researchers and healthcare professionals when the work is completed.

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Menopause

High street bakery chain Gail’s reveals menopause plan

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Gail’s has unveiled a menopause action plan offering new workplace support to thousands of staff ahead of legal reforms due in 2027.

The high street bakery chain will offer new benefits including 24/7 digital GP access and a new employee assistance programme, according to The Times.

It will also explore new online training for staff, including specific training for management.

Gail’s people director Miranda Burgum told The Times: “All we’re trying to do is talk freely and for it not to be a forbidden subject. It’s helping our managers and teams understand that this isn’t a taboo.”

“We’re going to develop the education with our managers, so it will be threaded through all our policies

“It will look at induction training, it will look at the types of people we need to make sure that we make reasonable adjustments for.

“And if somebody needs some sort of risk assessment, we’re going to be looking at [that].”

The move comes ahead of reforms due to be introduced in spring 2027 under the Employment Rights Act.

UK employers with 250 or more employees will be legally required to publish and update official menopause action plans.

The plans are intended to support employers to take effective action to improve workplace gender equality and support employees experiencing menopause.

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