Menopause
Menopause stigma still ‘rife’ in the workplace, research reveals
Nearly half of women said they would lie about why they needed a sick day to cover up menopause symptoms

Women are hiding their menopause symptoms to avoid discrimination in the workplace, new research has found, with nearly half of female employees fearing that menopause would affect their careers.
The survey, conducted by the law firm Lime Solicitors, has shown that despite increased awareness around menopause, women are still embarrassed to discuss the topic at work.
The report has found that 48 per cent of respondents said they would lie about why they needed a sick day, with 39 per cent admitting that they felt embarrassed to talk about menopause at work.
Despite it being their right, less than a third (29 per cent) of women said they would feel comfortable asking for reasonable adjustments to support symptoms while less than half (49 per cent) said they would feel able to raise a formal complaint if they felt they were being discriminated against as a result of experiencing menopause.
“Our research shows that almost half of women surveyed think that going through menopause will negatively impact their career, which is why so many women suffer in silence,” said Neha Thethi, head of employment at Lime Solicitors.
“It appears that employers are failing an important part of their workforce by not providing the necessary support or creating a positive culture whereby people can raise concerns or issues with confidence.”
The law firm has found that lack of flexibility is a barrier, with over a third of women reporting that menopausal symptoms would prevent them from re-entering the workforce.
With as many as 60 per cent of participants saying their workplace should offer additional menopause support, employment law experts at Lime Solicitors are calling for the implementation of menopause champions in all workplaces to raise awareness of the menopause impacts women in the workplace and ensure that all women know their rights.
“To help dispel the stigma around menopause and empower women to speak freely and honestly about their experiences, we need menopause champions in all workplaces,” said Thethi.
“Not only will this help women feel more comfortable raising a complaint, but it will also ensure that employers know how to offer the right support from the start, supporting both retention and attraction of experienced women.
“Discrimination expresses itself in many forms and if a woman has ever felt discriminated against in the workplace, she should consider escalating the matter.
“While menopause itself is not a protected characteristic, there are still legal protections in place that women can rely on to safeguard against discrimination. Under the Equality Act, women can bring a sex, age, or disability claim if they think their employer has fallen foul of their obligations.”
Menopause
Cancer drug could tackle osteoporosis menopause weight gain

An experimental cancer drug reduced bone loss and body fat in mice modelling post-menopausal changes, early research suggests.
The compound, CADD522, appeared to strengthen bones and help the animals stay leaner after surgery designed to mimic hormonal changes seen after menopause.
The treatment remains at an early experimental stage and has so far only been tested in animals.
The study, led by the University of East Anglia, investigated CADD522, which was originally developed to block a protein involved in the growth and spread of several cancers.
Mice treated with the compound for eight weeks showed significant improvements in bone health. Scans found increased bone volume and better preservation of the honeycomb-like structures inside bones that are crucial for strength and resilience.
Blood tests suggested the treatment stimulated new bone growth without interfering with the body’s normal process of breaking down and rebuilding bone.
Dr Darrell Green, lead researcher from UEA’s Norwich Medical School, said: “Osteoporosis affects around one in three women over the age of 50, leaving sufferers vulnerable to painful fractures that can seriously impact quality of life.
“Current treatments exist, but many are plagued by side effects, safety concerns or inconvenient dosing schedules that make long-term use difficult.”
The researchers also found that mice receiving CADD522 weighed less than untreated mice despite eating the same amount of food.
They had less body fat and fewer fat deposits in their bone marrow, a process commonly seen after menopause and linked to declining bone health.
The team also examined brain tissue and found that the drug appeared to reverse several menopause-related changes in fatty acids.
Levels of omega-3 fats including DHA remained largely intact, while several other lipid abnormalities shifted back towards healthier patterns.
Green said: “We didn’t directly test for memory or thinking ability, but our work raises questions about whether this drug could one day help address wider menopause-related health problems.”
Safety experiments in mice, rats and dogs found that CADD522 could be taken orally and was well tolerated.
The compound also appeared to be metabolised more slowly in human tissue than in rodents, potentially improving its performance in people.
“This is still in the early stages and has so far only been tested in animals but we hope that the benefits will translate to humans to ultimately reduce fracture rates,” added Green.
The research was led by UEA in collaboration with the University of Maryland, the Scintillon Research Institute in San Diego and the University of Stirling.
Safety testing was funded by The Sir William Coxen Trust as part of the development of CADD522 as a childhood cancer treatment.
Menopause
Menopause hormone treatment may ease brain fog, study suggests

Estriol treatment may ease menopause brain fog and other cognitive symptoms, according to a small observational study of 20 menopausal women.
The study involved menopausal women with an average age of 53.
They underwent an initial assessment of their cognitive symptoms before receiving a customised regimen of estriol and progesterone for 12 months.
Estriol is a natural form of oestrogen that occurs during pregnancy and has been used in Europe and Asia to treat menopausal symptoms including hot flushes and genitourinary symptoms.
It differs from estradiol, the most commonly used oestrogen hormone therapy in the US, by binding primarily to a different oestrogen receptor in the brain.
Previous research has shown that estriol may help protect brain cells and reduce brain atrophy in the hippocampus, the region responsible for learning and memory.
After 12 months of treatment, participants reported significant reductions in brain fog, concentration problems, working memory problems, slower processing speed, verbal memory problems and problem-solving difficulties compared with before treatment.
Senior author Dr Rhonda Voskuhl, a neurologist and member of the Comprehensive Menopause Center at UCLA Health, said: “Oestrogen plays a well-documented role in protecting the brain, yet there are still no approved type and dose of treatment that specifically targets the cognitive symptoms so many women experience during menopause.
“Women are often told to simply live with brain fog, when in fact there is a neuroscience basis for it, and potentially a way to address it. That gap in care is what motivated us to look more closely at estriol.”
Researchers also examined estriol treatment in midlife female mice to investigate how the hormone treatment might work.
Estriol reduced markers of brain pathology in the hippocampus and improved measures of working and spatial memory in the animals.
The findings are preliminary. The study was a small case series with no placebo group or randomisation, meaning the results may not apply to broader populations.
The researchers said larger placebo-controlled clinical trials using brain imaging and standardised cognitive testing are needed to confirm the findings on cognitive symptoms.
The treatment used in the study was invented by Voskuhl and is patented by UCLA. UCLA licenses the patent to CleopatraRX, which sells the treatment as PearlPAK. Voskuhl serves as a medical adviser to CleopatraRX.
Menopause
Deaf women “excluded” from menstrual health conversations at UK unis

Deaf women face barriers to menstrual health information and support at UK universities, according to a study involving 12 BSL users.
Researchers believe it is the first study of its kind.
Participants described difficulties discussing sensitive health issues because universities and healthcare services often rely on hearing-centred communication systems.
The study was led by Professor Jemina Napier from Heriot-Watt’s School of Social Sciences and involved interviews and co-design workshops with 12 deaf women who use British Sign Language (BSL) and work or study in UK universities.
Napier said: “Our findings show that deaf women face many of the same menstrual health challenges as hearing women, but they also encounter additional barriers because information and support are rarely designed around their language and communication needs.
“The burden of constantly adapting to hearing-centred systems can leave deaf women feeling excluded from conversations about their own health.”
Participants reported a lack of accessible information about menstruation, endometriosis, fibroids, perimenopause and menopause, despite working in highly educated environments.
They also reported feeling excluded from informal conversations where hearing colleagues often share experiences and learn about menstrual health.
Researchers identified four main issues affecting participants: communication, access to information, interpreter dynamics and factors including ethnicity, geography and additional disabilities.
Many participants said they preferred discussing menstrual health directly in BSL but rarely had that opportunity because managers and healthcare professionals did not sign.
Instead, they often communicated through interpreters or written English, which some said reduced privacy, comfort and confidence when discussing personal health issues.
Napier said: “A recurring theme was that of the ‘deaf tax’, which refers to the additional emotional and practical effort deaf women need to continually undertake to explain their needs or secure support.
“It’s ongoing emotional labour and fatigue and reduced participation in menstrual-health related activities.”
BSL interpreters were seen as essential, but participants said their involvement could raise concerns about confidentiality, trust and accuracy, particularly when discussing sensitive topics.
Several highlighted that male interpreters appeared uncomfortable discussing menstrual health.
The researchers also found that existing menstrual health information is largely produced in English and then translated into BSL, rather than being created in BSL from the outset.
Abigail Gorman, deaf independent facilitator, health policy consultant and co-author of the report, said: “To be in charge of your own health, you need to be able to recognise when something’s wrong, name it, and ask for help – in an appointment where you can actually be understood. That’s the whole chain.
“But if the information was never accessible in the first place, deaf women can’t even get to step one. If the appointment itself isn’t accessible either, that breaks the chain all over again, when it matters most.
“BSL-first health resources aren’t a nice-to-have; they’re how deaf women get to be equal participants in decisions about our own health.”
Napier said: “The deaf women we interviewed want more visual, culturally appropriate resources designed specifically for them – not a crude translation of existing material.
“BSL accessibility should be the default for menstrual health information and events.
“We need improved interpreter policies and BSL-first educational resources.
“The university sector should also establish a UK-wide, deaf-led health and wellbeing network.
“All these changes would reduce communication barriers and improve access to menstrual health support for deaf women working in higher education.”
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