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Menopause at work: Women face challenges but receive minimal support, study reveals

Women cited working during menopause to be challenging reporting both physical and emotional symptoms

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Women in the workforce face ‘significant’ challenges due to menopause, but receive minimal support from employers, according to a new survey from Carrot Fertility.

Carrot, a US fertility healthcare and family-forming benefits provider, commissioned the survey ahead of Menopause Awareness Month to understand the effects of menopause on careers, identify the support available and bring more awareness to menopause.

An estimated one billion women worldwide will have experienced menopause by 2025, with millions more going through perimenopause.

Of the 1,000 people experiencing perimenopause or menopause across the US who were surveyed, the vast majority of respondents (79 per cent) describe working during menopause as challenging, more than other common life stages, including starting a new job (75 per cent describe as challenging), starting a family (70 per cent), or getting a promotion (62 per cent).

When asked what age decade is the most challenging for being in the workplace, respondents ranked their 50s as number one, well ahead of second-ranked 20s, according to the study.

Most women reported the need to take time off or faced other serious challenges in the workplace during menopause and perimenopause.

More than half of women (54 per cent) have encountered at least one menopause-driven work challenge, including loss of work time and job security concerns.

Among the nearly 40 per cent of respondents who took time off due to perimenopause or menopause symptoms, 71 per cent lost more than 40 hours of work time, and 30 per cent reported losing more than a month of work time altogether.

Of those who took time off, 59 per cent felt they needed to conceal the reason for the time away.

Other workplace challenges tied to menopause reported by respondents include perceived losses to credibility in the workplace, worries over job loss due to menopause stigma, and lost work friendships.

“We’ve made tremendous progress around the ability to understand and address the fertility challenges impacting younger individuals in their work life, but we are woefully behind when it comes to supporting employees with their fertility healthcare needs as they age,” said Tammy Sun, founder and CEO, Carrot Fertility.

“The findings of this report spotlight the real challenges menopausal women in the workplace struggle with, including lost productivity and concerns over job security. The survey also validates the need for employers and business leaders to provide age-inclusive fertility benefits for employees.”

Most women surveyed were unfamiliar with workplace menopause benefits but highly supportive of the concept, with 82 per cent of respondents see such benefits as valuable.

When asked what type of menopause benefits they deem valuable, a large majority of respondents cited fundamental benefits, such as medical care and support, counselling and therapy, and support groups, as well as other offerings like menopause mentoring and office menopause rooms to manage their symptoms.

While there is high support for employer-provided menopause benefits from people experiencing menopause and perimenopause, such offerings are rare and typically limited to flexible scheduling.

Only eight per cent say their employer has offered significant support for menopause, compared to 59 per cent who report no support at all. Among the 21 per cent whose employers have offered significant or minor support, flexible scheduling is the most common.

The survey showed if employers opted to offer menopause benefits, they would gain significant advantages, including employee retention.

Other advantages for employers who offer benefits are increased job satisfaction and productivity. Among the respondents, 92 per cent have at least one reason for believing menopause benefits should be provided by employers, such as employee retention and workplace fairness.

Few respondents feel prepared for menopause, with 65 per cent describe their experience as difficult and only eight per cent report feeling very prepared and informed for the overall experience of menopause.

Despite the lack of preparedness, women shared that they’ve experienced both physical and emotional symptoms during menopause, including hot flashes, fatigue, night sweats and weight gain.

Mood changes and anxiety were the most commonly reported emotional and mental health symptoms.

The findings of Carrot’s survey highlight the perception that discussing menopause at work is taboo, and the significant impact menopause has on respondents’ personal and professional relationships.

The majority of people surveyed shared that they feel uncomfortable discussing menopause at work, having to seek support from other sources instead.

“The dramatic hormonal changes stemming from menopause can result in symptoms that negatively impact people physically, mentally, and emotionally, in both their personal and professional lives, as confirmed by this survey,” said Dr Asima Ahmad, MD, MPH, co-founder and chief medical officer at Carrot Fertility.

“What’s also crystal clear from this survey is the diversity of support and benefits women in the workplace deem critical to their productivity, ranging from medical care to counselling and emotional support groups. We hope employers are taking note.”

Carrot aims to help employers and health plans provide equal access to fertility care regardless of age, race, income, sex, sexual orientation, gender identity, marital status or location.

Earlier this year, the company developed a new line of clinically-validated, age-inclusive fertility benefits for employees going through every stage of menopause and low testosterone.

Customers have now the option to add support for menopause and low testosterone as part of their fertility benefits package, having access to providers through a specialised network, clinically supervised education and intimate group support.

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What “women’s healthmaxxing” means for patient trust and the femtech industry

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Women’s health has become one of the most searched and shared topics online, from cycle syncing and cortisol management to menopause hacks, supplements, hormone testing and clinician-creator content.

That surge in attention, sometimes dubbed “healthmaxxing,” is changing how women find, evaluate and act on health information, and it is starting to reshape the relationship between patients, clinicians and the companies building products for this market.

For providers, the shift means patients are arriving better informed but also more exposed to unverified claims, putting pressure on clinicians to engage with online narratives rather than dismiss them.

For femtech and pharma companies, it opens a route to reach and educate consumers at scale, but also raises the stakes on credibility: products and messaging that ride the trend without clinical grounding risk eroding the trust the industry has spent years building.

Investors are watching the same dynamic from a different angle.

Attention-driven demand can be a signal of where the next wave of femtech growth will come from, but distinguishing genuine clinical need from viral momentum is increasingly part of due diligence.

The net effect is a widening gap between companies that treat cultural attention as a distribution channel for credible, evidence-based care, and those that risk being swept up in trends with little clinical substance behind them.

How that gap plays out will shape patient trust, clinical relationships and commercial opportunity across the women’s health industry for years to come.

These themes will be explored in more depth in an upcoming webinar, “Women’s Healthmaxxing: The Opportunity & Risks of Cultural Attention for the Women’s Health Industry,” hosted by the Women’s Health Innovation Summit (WHIS), featuring Ellen Wilcox (Listen Ventures), Jessica Bell van der Wal (Frame Fertility), Dr. Tosin Sotubo-Ajayi (NHS, BBC and more) and Nora Lansen (Elektra Health).

Register free for the webinar on 23 July 2026 at https://events.virtualpro.com/womens-health-series-webinar-july-2026/registration

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Motherhood

Rising number of young midwives quitting NHS due to burnout

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More young midwives are leaving the NHS before 35 as burnout adds pressure to stretched maternity services, new research has revealed.

The trend has raised concerns about the quality and safety of care for mothers and babies in understaffed maternity units.

During 2025-26, 1,669 midwives aged 34 or under left the health service in England, representing 57 per cent of the 2,949 midwives of all ages who resigned.

The pressures of maternity care, including increasingly complex childbirth and the risks involved, are thought to be among the factors behind the trend.

Hannah Leonard, deputy chief midwife at the Royal College of Midwives, said the exodus of midwives under 35 was “deeply worrying” and showed that too many were ending up “burnt-out within a few years of qualifying because every shift means too few colleagues, missed breaks and unpaid hours”.

She added: “Losing these midwives, and students, even before they qualify, is a terrible waste of talent.”

The figures, revealed in parliamentary questions tabled by the Liberal Democrats, show that 205 of last year’s younger leavers were under 25, while 655 were aged 25 to 29 and 809 were aged 30 to 34.

The number of midwives under 35 leaving the NHS has risen sharply in recent years. The 2025-26 figure was 59 per cent higher than the 1,051 who left in 2014-15, according to NHS figures.

Burnout means long-term physical and emotional exhaustion, often linked to sustained pressure at work.

Separate figures obtained by the Liberal Democrats suggest almost one in four midwifery students are leaving before completing their three-year degree.

In 2021, 3,565 students started a midwifery degree, but 2,725 graduated in 2024, meaning 840, or 24 per cent, did not complete the course.

Midwifery students spend much of their second and third years learning on the job in maternity units.

The loss of staff and students underlines what the Royal College of Midwives has described as a “staffing emergency” in maternity care across the UK.

A recent survey by the Royal College of Midwives found that three-quarters of midwives had considered leaving the profession over the last year, mainly because of concerns over staffing levels and patient safety.

Both recent large-scale reviews of maternity care in England, led by Donna Ockenden and Valerie Amos, identified staffing shortages as a key problem affecting patient safety.

Helen Morgan, the Liberal Democrat health spokesperson, said: “These statistics reveal an alarming crisis in maternity, with far too many midwives burning out early in their career and in their training. Patients are paying the price, and mothers are left with no alternative but to give birth on understaffed and unsafe wards.

“Rather than throw money at yet more new recruits who quit under intolerable pressure, the government needs a new approach. Through guaranteeing protected, year-round training and professional development we can help midwives cope with rising complexity and risk.”

About 10 per cent of all midwives leave the NHS each year.

However, the figures show higher leaving rates among younger midwives, with one in seven, or 14.6 per cent, of those aged 25 to 29 and one in six, or 16.6 per cent, of those aged 30 to 34 leaving during 2025-26.

A Department of Health and Social Care spokesperson said: “Under this government we have a record number of midwives in the workforce and we value the vital service they provide in maternity and neonatal units across the country.

“To make the NHS the best employer it can be, we have introduced new NHS staff standards to improve health and wellbeing support, promote flexible working, as well as crucial measures to tackle violence, sexual harassment or abuse and racism.

“Alongside consecutive above-inflation pay rises, we’ve bolstered the midwifery workforce through our graduate guarantee and recently opened up 1,000 more midwifery roles backed by £10m to help prevent student midwives leaving the profession.”

Department of Health and Social Care figures show a record 25,500 full-time-equivalent midwives are working in the NHS, 2,000 more than when the Labour government took office in July 2024.

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Mental health

Nearly 60% of young women get health advice from influencers, research finds

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Nearly six in ten young women get health and wellness advice from influencers, new research shows.

Women aged 18 to 29 were more likely than young men to use online influencers for health information.

The topics included beauty, alternative medicine, mental health, weight loss and fitness.

The Pew Research study found that 57 per cent of women aged 18 to 29 said they get health and wellness information from online influencers, 10 percentage points higher than young men.

While Americans still mostly rely on healthcare providers, the research suggests social media influencers also play a major role in how young people find health advice.

Among women who get health and wellness information from influencers, 51 per cent said they often hear about beauty and appearance, compared with 18 per cent of men.

Young women were also around twice as likely as young men to say they see content about alternative medicine, meaning treatments or health practices used outside mainstream medical care.

A third or more of both young men and young women said they often hear about mental health and weight loss from influencers.

Around half or more of both groups said they often see fitness content.

When asked why they seek health and wellness information from influencers, around half of young women said they wanted to make a change to their health or lifestyle.

That compared with 37 per cent of young men.

The research also found that 23 per cent of young women said hearing from people who share their background or beliefs was one reason they used influencers, compared with 14 per cent of young men.

A further 19 per cent of young women said they learnt about things they did not want to ask their doctor, compared with 10 per cent of young men.

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