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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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Cultural stigma is a barrier to menopause help, black women say

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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.

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Women urged to be wary of menopause misinformation on social media

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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.

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Premature menopause is a high blood pressure risk, study finds

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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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