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Menopause

Can a digital coach truly support menopause in the workplace?

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By Gail MacLeitch, psychotherapist and VP of AI communications provider QuickBlox, and Leslie Taylor, co-founder of Half the Sky, the team behind BestYet—a digital platform which helps women take control of their menopausal journey.

Despite spending more than a third of their lives in menopause, most women face this transition with little support, personally or professionally. Instead, women tend to navigate menopause alone, often unclear on the full extent of what to expect, or when to expect it, until it arrives.

In 2024, nearly one-third of women said menopause impacted their job performance. Women reported reducing their work hours, turning down promotions, and quitting as outcomes of their symptoms. These numbers represent daily struggles playing out in the workplace.

Companies in 18 U.S. states, including Washington, California, Colorado, and New York, already offer their employees mandatory paid sick leave, but women have reported being penalized for using this time to cope with the side effects of menopause. Even in states with progressive leave policies, cultural stigma and managerial bias undermine their intended protection.

A UK study found that only a quarter of women taking sick leave felt able to tell their managers the real reason for their absence. While many wanted to protect their privacy, 34% said they were embarrassed, and another 32% said an unsupportive manager prevented them from speaking up.

Many of the symptoms women struggle with, such as self-doubt, low patience, heightened stress, and difficulty sleeping, can be helped with the right support.

Understanding Personal Symptoms

According to a survey of over 2,000 menopausal women in the UK, 84% experienced trouble sleeping, 73% experienced ‘brain fog’, and 69% experienced difficulties with anxiety or depression during menopause. However, the scale at which symptoms impact women varies and evolves over time.

What symptoms are your employees experiencing? How are these side effects influenced by controllable aspects of their lives, such as diet, exercise, and medication?

Companies can empower women with the tools to easily track and monitor their menopausal symptoms with secure and private daily logs. These tools help surface patterns in fatigue, mood, and concentration, correlated with sleep, food, and stress. Apps such as Health and Her and MENO already demonstrate similar solutions, providing individualized recommendations, such as meal guidance, mindfulness, and wellness nudges, based on symptom tracking and progress.

Gaining Confidential Guidance

Many women-centric midlife and menopause platforms are becoming available. Women who have used these report feeling more knowledgeable, confident, and in control of their menopause journey. The apps encourage self-reflection and build confidence around menopause discussions.

However, while menopause-at-work policies are becoming more common, conversations about accommodations remain deeply personal. Employers and managers should create safe pathways for private check-ins. Digital tools can help prep both parties with the right frameworks.

For example, a well-designed menopause support app might include pre-meeting reminders to ensure respectful, informed dialogue. Building guidance on how to handle disclosures and requests into the manager’s app user journey helps guarantee they see the right information when they need it. As menopause policies increasingly become mandatory, automated summaries that record what was discussed, what was agreed, and how confidentiality will be upheld provide a transparent data trail to protect both parties.

Companies can go a step further by using secure, no-code chatbot builders to provide 24/7 support. These tools, trained on medical research, HR policy, and expert guidance, can offer calm, evidence-based responses. When used responsibly, AI-enhanced chat tools become a supplemental layer of support and enable users to navigate to other pertinent workplace benefits and providers.

Building a Community

A problem shared is a problem halved, and this is especially true for menopause.

Women benefit from sharing what works and what doesn’t, from diet to hormone replacement therapy (HRT) to mindset. But often, just feeling understood can be transformative, especially in an isolating workplace context.

Features companies must consider for their female employees include:

  • Community support: A private, judgment-free space to connect with other women navigating menopause, share stories, and exchange tips that actually work. Women can gain emotional and practical support by engaging in forum discussions.
  • Daily prompts: Affirmations, meal suggestions, lifestyle tips, and wellness nudges that spark engagement.
  • HR integration: Integrated menopause apps can give HR anonymized data on employee well-being and resource use. No or low-code tools can be embedded directly with no technical expertise, meaning HR teams can launch a wellness resource tailored to their workforce with minimal effort.

This support should extend across the organization. Menopause literacy for male employees, team leaders, and executives reduces stigma. Including resources and workshops directed at the company as a whole will help lead to a more empathetic workforce.

So, can a digital coach truly support menopause in the workplace? Yes, when it’s designed with empathy, grounded in science, and built to empower. The right digital tools don’t just track symptoms, they help women advocate for themselves, stay engaged, and thrive in their roles. The companies that design for midlife now won’t just support women. They’ll set the standard for what inclusive, intelligent, and future-ready health tech in the workplace can be.

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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