Menopause symptoms and how they can affect work

Our hormone levels change throughout our lives e.g. during puberty, pregnancy, as a result of certain health conditions or treatment, gender transitioning, and as we get older. The main ones changing during menopause are:

  • Oestrogen which has a myriad of functions including nourishing the tissues of the body, regulating bone turnover as well as keeping our liver, brain and heart healthy.
  • Progesterone which boosts feelings of calmness and aids sleep and can help to improve mood.
  • Testosterone which increases motivation and optimism, helps improve energy levels, supports bone health and boosts sex drive.

Hormonal changes can result in a wide range of symptoms, both physical and psychological. Research shows that 3 in 4 women experience some symptoms and 1 in 4 of those experience serious symptoms. Others may not notice any major changes.

Below is a list of symptoms that may affect work ability, however this list is not exhaustive. 

Symptom Potential impact

Cognitive issues such as memory loss and reduced concentration (brain fog).

This can affect short term memory, concentration and attention to detail leading to worry about performance and loss of confidence in ability, including reluctance to apply for career development opportunities.

Difficulty sleeping.

Can lead to tiredness, irritability, memory problems and reduced concentration.

Psychological issues such as difficulties in regulating emotions, anxiety and/or depression, panic attacks, and loss of confidence.

May be unable to concentrate or feel motivated leading to performance issues and increased absenteeism or going to work when not fit (presenteeism). Mood swings may impact on relationships at work. Worry about job performance and work relationships could lead to concerns about financial wellbeing. In extreme cases, depression can also lead to thoughts of self-harm and suicide.

Hot flushes (brief, intense and sudden surges of heat usually felt in the face, neck and chest) and night sweats.

Can cause embarrassment and distress, individuals may isolate themselves from colleagues. Stressful situations can trigger hot flushes causing individuals to avoid these situations.

Irregular periods and/or periods becoming light or very heavy, more or less frequent.

Heavy periods can cause pain, anaemia, disruption, embarrassment and distress as people worry about bleeding through their clothes. If this is the case more frequent changes of sanitary protection will require more breaks and easy access to toilet facilities.

Other physical symptoms, such as muscle/joint pain, recurrent urinary tract infections, headaches and palpitations.

Could cause worry, lower productivity and performance, as well as increased sickness absence.

For more information have a look at the NHS list of common symptoms.

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