Unison: The menopause is a workplace issue - guidance and model policy

m
The menopause is a workplace issue: guidance and model policy
What is the menopause?
The menopause is a natural transition stage in
most women’s lives. It is marked by changes
in the hormones and the woman stops having
periods. Women may also experience a wide
range of physical and psychological symptoms
as a result of the menopause.
There is also a period of time before the
menopause, in the years leading up to it,
called the perimenopause where there can be
significant changes for women, with irregular
and heavy menstrual bleeding and many of the
classic symptoms associated with menopause.
Many women with symptoms have at least
two or three years of ‘hormonal chaos’ as their
oestrogen levels decline before the last period,
although for some this can go on for five or
more years.
Overall this period of hormonal change and
associated symptoms can last from four to
eight years, although for some women it can
be much longer.
Post-menopause is a term used when
a woman’s periods have stopped for
12 consecutive months. However other
menopausal symptoms may not have ended
so soon. Problematic symptoms may continue
for years.
The menopause affects a
wide range of people
Although most women experience this natural
change between the ages of 45 and 55, for
some women, it can be experienced at a much
younger age, in their 30s or even younger.
This is known as a premature menopause,
or premature ovarian insufficiency. The NHS
estimates that 1 in every 100 women will
experience premature menopause.
In addition there are some medical
circumstances that will create an immediate
menopause, whatever the woman’s age, such
as a medically induced menopause to shrink
fibroids or when the ovaries are damaged
by specific interventions such as treatment
for cancer, or when a woman’s ovaries are
removed as part of a hysterectomy. This is
known as a medical or surgical menopause.
Although it may be supportive for women in
same-sex relationships, if the partners are
also experiencing menopausal symptoms at
the same time, it could increase difficulties if
symptoms include anxiety, sleep disturbance
and depression for example.
And struggling with menopausal symptoms
may be additionally difficult for lesbian, gay,
bisexual, trans plus (LGBT+) people if they
already experience discrimination in the
workplace.
Trans workers – Some people grow up with
or develop a strong sense that their gender
identity is different to how they were labelled
at birth. They have a strong desire to transition
and live permanently in the correct gender for
them.
Trans men identify as male but were assigned
female at birth. Trans men may experience
natural menopausal symptoms if their ovaries
remain in place and no hormone therapy
is given. They may experience surgical
menopause if the ovaries and uterus are
removed. If hormone therapy is in place it may
complicate it for trans men.
Trans women identify as female but were
assigned male at birth. They may experience
pseudo-menopausal symptoms if their
hormone therapy treatment is interrupted or
levels are unstable.
Non-binary people are people who are
not solely male or female. They may define
themselves as both, neither or something
entirely different. Non-binary people don’t
think of themselves as simply male or female.
Their gender identity is more complicated.
Some non-binary people may also experience
menopausal symptoms.
Women who experience an early menopause
may also have to cope with the psychological
distress of facing infertility at an early age.
6