From Bias to Burnout: How Menopause Impacts Women’s Work Experiences

I’ve talked a lot over the years about barriers for women in the workplace such as gender bias, care, stereotypes etc. all of which can prevent women from reaching their potential. For those who do manage to overcome these barriers, the menopause can be one that finally defeats them.

In terms of the figures, recent research from CIPD demonstrates that ⅔ of women (aged 40-60 in employment) have found that menopause symptoms have had a negative impact on them at work.

A 2023 survey found that 23% of women aged 40–60 considered quitting their job due to menopause, and 14% were actively planning to leave their job.

The reduction in oestrogen levels can have a major impact on women’s lives and this process typically begins when a woman reaches late 30’s/early 40’s. From reading menopause threads on mumsnet, I have come to the inexpert opinion that if you are over 40 and have symptoms that you think are hormone related then they probably are. 

From my own experience in recent years, symptoms are wide-ranging and can be easily mistaken for other things. Itchy upper arms, for example, I  was treating as dry skin until I saw a Twitter post by Newson Health talking about this as a symptom of menopause. As soon as I started on HRT, the itching went away completely. Other typical symptoms of peri-menopause include hot flushes, anxiety, insomnia, fatigue, headaches, and muscle and joint pains – and I have had the lot over the past 18 months. 

Given the level of knowledge women have about the menopause today, it is amazing that so many of us are still being fobbed off by health professionals and prevented from getting the treatment we desperately need.

Hard-working and well-meaning as they are, I’ve heard some ridiculous things from healthcare workers. For example, when I first spoke to a GP about anxiety and asked if it could be peri-menopause, I was told that it was more likely to be depression (it definitely wasn’t).

I’ve had a nurse tell me that I have unusual symptoms and that most women come in with hot flushes and night sweats (probably because it’s the only symptom that gets talked about regularly despite a wide range being recognised).

Another GP asked me if my mum had experienced early menopause so I had to educate her on the concept of peri-menopause which was not something that was widely known about in my mother’s day. I’m aware of other women who have been told they can’t have HRT because they are ‘too young’ – this is despite the fact they are struggling to cope with their symptoms.

Finally (though I could go on) I was told by a male GP that he doesn’t deal with HRT ‘because he’s a man’ (and yet women over 40 are more likely to present with symptoms of anxiety due to hormones and this was the mental health specialist). A long-standing women’s rights activist, I am beside myself to think that he considered it acceptable to say this in 2024.

Thankfully, I eventually realised my symptoms weren’t normal and went elsewhere to get help.

Clearly, I am not qualified to make medical recommendations and if you are struggling, you should do your own research and access appropriate support. However, it might be useful to know these top 3 things that have made a difference for me:

  1. Magnesium – I have been experiencing severe muscle pain for nearly a year to the extent that I have felt like I can’t go on feeling so uncomfortable in my own body. I’ve put it down to a range of things from carrying a bike to doing yoga. Eventually, I realised that everyday activities couldn’t be the cause of such severe discomfort. Desperate for a good night sleep, I was given magnesium supplements to try and have discovered this is a magic mineral! Not only did they tackle my insomnia but they also got rid of my joint pain overnight. I have to take it regularly but it works and the effect is immediate. It’s also a good excuse for a salt bath or foot soak! If you want to know more, read this article by Better You.
  2. Testosterone – whilst I knew that oestrogen reduces, I didn’t know that testosterone levels reduce in peri-menopause as well. After requesting a blood test, I was told that my results were ‘normal’. Having a look myself, it seemed to me that my levels were at the low end of normal. When I spoke to a private GP, she confirmed that all my hormone levels were low and prescribed testosterone as part of my treatment plan. After a week boosting my testosterone levels, I felt like a new woman, able to cope with all of life’s challenges. Read more about the benefits of testosterone in menopause.
  1. Menopause specialist – whilst reluctant to fork out the money to go private, I finally decided to bite the bullet and I am so glad I did. Finally, I was speaking to a GP who recognised my symptoms and could put me on a treatment plan that would make a difference. 

Getting older is a challenge for all of us but with hormonal and chemical imbalances, mid-life is especially challenging for women who can suddenly find themselves feeling anxious, confused and unsupported. 

Finally, I have been to several awareness sessions which have ensured I have a good understanding of the symptoms and was able to recognise them. If you are looking for something for your workplace, I recommend The Menopause Team who can provide a very informative and worthwhile session.

Has your life been affected by menopause symptoms? Do you have a story to share? Let us know in the comments below.

A hit of dopamine and sprinkling of oxytocin

Something that stood out for me when reading Simon Sinek’s ‘Leaders Eat Last’ was the section on chemicals in the body. In my previous organisation, my team was fortunate to be offered lots of fantastic opportunities which I encouraged them to take. This often pushed them out of their comfort zones, creating powerful feelings of challenge and achievement.

We had also introduced new organisational values at that time which encouraged ambition and, I felt, self-service. Whilst family and togetherness was the essence of one of the values, the others were in danger of encouraging competition amongst the team and whilst I want my teams to be driven, in this situation it felt like the balance was in danger of tipping in the wrong direction.

As I read the book, I realised that my team were high on dopamine and endorphins most of the time which feels great when you’re up but have a tendency to throw you down after the initial surge and make you want to chase the buzz these chemicals provide.

The opportunities in my area of work were amazing and we were all pleased to be able to enjoy this aspect but I did often feel exhausted by the highs and lows I experienced. The book also describes these chemicals as ‘selfish chemicals’ which push us to make progress but sometimes at the expense of others.

Sinek describes another two chemicals – serotonin and oxytocin – which are ‘selfless chemicals’. These chemicals encourage the strengthening of social bonds, foster connection and allow us to work together. I realised we needed more of these and I started to think of ways to introduce them.

My solution took the form of awards which provided recognition to those who went the extra mile. Not just in their work but in what they did for others. Achieving in this space provided the warm, fuzzy feeling we had been lacking, encouraging appreciation of each other and making people want to give back so others could share the love.

This idea operated on two levels – one for my team on a monthly basis and one for the organisation as part of our annual conference. The awards allowed colleagues to say thank you to each other for doing something nice which took the focus away from business results just for a moment. They rewarded the personal achievements like resilience, team work and being supportive.

It made the difference we needed. I didn’t put an end to the highs and who would want to? A dopamine rush is pretty amazing! But it did mean there was a little bit more of the cuddle drug flying around to create a sense of harmony.

Click here for a summary of Simon Sinek’s ‘Leaders Eat Last’.

Click here to watch Sinek explain the concept in person.

Or buy the book here: Leaders Eat Last: Why Some Teams Pull Together and Others Don’t

3minuteleadership.org

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