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Women in the Workplace Face Significant Challenges Due to Menopause

New survey shows 79 percent of women cite working during menopause to be challenging.
Photo: Shutterstock

Women in the workforce face significant challenges due to menopause, but they receive minimal support from employers, according to a new Menopause in the Workplace survey from Carrot Fertility. As a leading global fertility healthcare and family-forming benefits provider for employers and health plans, the company commissioned the survey ahead of Menopause Awareness Month to understand the effects of menopause on careers, identify resources available to menopausal women, and bring more awareness to menopause to further destigmatize it in the workplace. An estimated 1.1 billion women worldwide will have experienced menopause by 2025, with millions more going through perimenopause.

Women Worry About Menopause Stigma At Work 

Of the 1,000 people experiencing perimenopause or menopause across the U.S. who were surveyed, the vast majority of respondents (79 percent) describe working during menopause as challenging, more than other common life stages, including starting a new job (75 percent describe as challenging), starting a family (70 percent), or getting a promotion (62 percent). Relatedly, when asked what age decade is the most challenging for being in the workplace, respondents ranked their 50s as number one, well ahead of their second-ranked 20s. 

Most women reported the need to take time off or faced other serious challenges in the workplace during menopause and perimenopause. A majority (54 percent) have encountered at least one menopause-driven work challenge, including loss of work time and job security concerns. Among the nearly 40 percent of respondents who took time off due to perimenopause or menopause symptoms, 71 percent lost more than 40 hours (one full week) of work time, and 30 percent reported losing more than a month of work time altogether. Of those who took time off, 59 percent 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,” says Tammy Sun, founder and CEO of 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.”

High Employee Support for Employer-Provided Age-Inclusive Fertility Benefits

Most women surveyed were unfamiliar with workplace menopause benefits but highly supportive of the concept. In fact, 82 percent of respondents see such benefits as valuable. This is on par with the importance of other major employer offerings, such as continuing education.

When asked what type of menopause benefits they deem valuable, a large majority of respondents cited fundamental benefits, such as medical care and support (88 percent), counseling and therapy (79 percent), and support groups (69 percent), as well as other offerings like menopause mentoring (66 percent) and office menopause rooms to manage their symptoms (58 percent). 

Despite Employee Support For Benefits, Employers Currently Offer Few Resources

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 8 percent say their employer has offered significant support for menopause, compared to 59 percent who report no support at all. Among the 21 percent whose employers have offered significant or minor support, flexible scheduling is the most common (40 percent). 

According to the survey, if employers opted to offer menopause benefits, they would gain significant advantages, including employee retention. Of those menopausal women surveyed, 70 percent have considered at least one major employment-based change due to menopause, including 47 percent who have considered looking for remote or hybrid work, and nearly 1 in 5 (19 percent) who considered changing jobs for better menopause support. 

Other advantages for employers who offer benefits are increased job satisfaction and productivity. Among the respondents, 92 percent have at least one reason for believing menopause benefits should be provided by employers, such as employee retention and workplace fairness. Specifically, 62 percent say it would increase productivity, and 61 percent say it would improve job satisfaction. 

Few Women Feel Prepared For Menopause

Few respondents feel prepared for menopause: 65 percent describe their experience as difficult; only 8 percent report feeling very prepared and informed for the overall experience of menopause; and 47 percent say they were either not prepared. Additionally, 59 percent of respondents shared that they were more prepared for childbirth than for menopause. 

Despite the lack of preparedness, many women shared that they’ve experienced both physical and emotional symptoms during menopause. Hot flashes (78 percent) are the most commonly reported physical symptom, followed closely by trouble sleeping (77 percent), fatigue (75 percent), night sweats (74 percent), and weight gain or slower metabolism (71 percent). Mood changes (68 percent) and anxiety (62 percent) are the most commonly reported emotional and mental health symptoms.

The Impact of Menopause on Personal and Professional Relationships

Additional findings of Carrot’s Menopause in the Workplace survey spotlight the perception that discussing menopause at work is taboo, and the significant impact menopause has on respondents’ relationships. The majority of people surveyed shared that they’re uncomfortable discussing menopause at work: 77 percent of respondents noted feeling uncomfortable talking with executives about menopause, 63 percent feel uncomfortable talking with human resources, and 58 percent with their immediate supervisor. 

Most respondents (91 percent) have sought support for menopause from at least one major source, among which the most commonly reported is a doctor/physician (56 percent), followed by online searches and other forums (50 percent). Only 28 percent of respondents noted turning to their partner or spouse for support. 

Seventy-three percent say menopause has negatively impacted at least one category of interpersonal relationships, with romantic life being the most common (58 percent) and work-life relationships negatively impacted for 30 percent of respondents. 

“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,” says Asima Ahmad, M.D., MPH, co-founder and chief medical officer for 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 counseling and emotional support groups. We hope employers are taking note.”

About The Author

Julie is the co-founder of Well Defined and a longtime influencer and advocate in the wellness world. Along with her work at Well Defined, she is an executive recruiter and marketing specialist for Hutchinson Consulting. She is also a consultant and content strategist for numerous wellness brands. She is the former editor-in-chief and publisher of American Spa and was named a 2019 Folio Top Woman in Media in the Industry Trailblazers category and a 2018 winner of ISPA’s Innovate Award. She is also a seasoned journalist, specializing in spa, travel, health, fitness, wellness, sustainability, and beauty. She has been published in Departures,, E! Online,, Insider’s Guide to Spas, Luxury Travel Advisor, Marin Magazine, Ocean Home, Smart Meetings, Spa Asia, and Travel Agent.