The scale of the problem
In February 2024 the Equality and Human Rights Commission (EHRC) published guidance for employers on menopause in the workplace. The EHRC announcement brought together the figures behind the guidance.
| Finding | Source cited by the EHRC |
|---|---|
| About 1 in 10 women who worked during the menopause left a job because of symptoms | Fawcett Society, 2022 |
| Two thirds of working women aged 40 to 60 with symptoms said the effect at work was mostly negative | CIPD, 2023 |
| Only 12% of respondents had asked for workplace adjustments | House of Commons Women and Equalities Committee, 2022 |
| Over a quarter of those who did not ask said they feared the reaction | House of Commons Women and Equalities Committee, 2022 |
The EHRC chair said the regulator was concerned by how many women report being forced out of a role.
Your three protections under the Equality Act
Menopause is not a protected characteristic on its own. The EHRC explains how three of the protected characteristics in the Equality Act 2010 apply.
- Sex. Treating you less favourably because of menopause symptoms can be sex discrimination.
- Age. Menopause-linked treatment can also be age discrimination.
- Disability. Symptoms count as a disability if they have a substantial and long-term effect on your normal day-to-day activities. Then your employer must make reasonable adjustments and must not discriminate against you.
When menopause symptoms count as a disability
The leading case is Maria Rooney, a children's social worker at Leicester City Council for 12 years. She took sick leave in 2017 and 2018 with menopause symptoms, anxiety and depression, got a formal warning about her absences and resigned. In February 2022, a ruling reported by the EHRC found she was disabled, with the disability arising from her menopause symptoms combined with stress and anxiety. The EHRC describes this as the first Employment Appeal Tribunal decision holding menopause symptoms can amount to a disability under the Equality Act. The EHRC then funded her representation at the full hearing.
Not every woman's symptoms will meet the test. The question is how much your symptoms affect normal day-to-day activities, and for how long. Keep a record of how symptoms affect your daily life, not only your work.
What reasonable adjustments mean
Section 20 of the Equality Act 2010 sets out the duty. Where a practice, a physical feature of the workplace or the lack of an aid puts a disabled person at a substantial disadvantage, the employer must take reasonable steps to avoid the disadvantage. The employer cannot make you pay any part of the cost.
Ideas to discuss with your manager, matched to symptoms:
| Symptom | Adjustments to ask about |
|---|---|
| Hot flushes | A desk fan, a seat near a window or away from heaters, breathable or optional uniform layers |
| Night sweats and poor sleep | A later start, flexible hours, or fewer early shifts for a period |
| Brain fog | Written notes after meetings, quieter space for focused work, task lists agreed in writing |
| Heavy or unpredictable bleeding | Easy access to toilets, spare uniform, breaks when needed |
| Anxiety or low mood | Regular check-ins, access to occupational health or an employee assistance service |
| Appointments | Time off for GP, menopause clinic and talking therapy appointments |
Menopause action plans from 2027
The government guidance on equality action plans, first published in March 2026, covers employers with 250 or more staff. They can publish a first plan voluntarily during the 2026 to 2027 reporting year, and plans become mandatory from spring 2027, subject to legislation. Each plan must include at least one action to support staff through the perimenopause and after the menopause.
The guidance says support should not be limited to women aged 45 to 55, and actions can also help staff with endometriosis, fibroids or polyendocrine metabolic ovarian syndrome (PMOS, the newer name for PCOS). If you work for a large employer, ask to see its plan. The Women's Health Strategy for England notes the Civil Service and NHS England both signed a menopause workplace pledge.
How to raise the menopause at work
- Check your employer's menopause, sickness and flexible working policies first.
- Write down your symptoms, how they affect your work, and what would help. Specific requests get specific answers.
- Ask for a private meeting with your manager, or with HR or occupational health if you prefer. You can bring a trade union representative if you have one.
- Agree adjustments in writing, with a date to review them.
- Ask whether menopause-related absence will be recorded separately from other sickness, so warnings do not stack up for a health condition.
- If nothing changes, raise a formal grievance and get advice from a union or employment adviser early.
You do not need a diagnosis to start the conversation. A GP letter can help if symptoms are severe, and treatment for flushes and sleep, covered in our hot flushes guide, often makes work easier too.
If you manage someone
Few people ask for help unprompted, as the 12% figure suggests. A short, private question about how someone is doing, and a willingness to try simple changes, makes asking easier. Men managing women through the menopause can do this as well as anyone. The skill is listening and following through.
Related symptoms and guides
Anxiety and brain fog are often the symptoms women find hardest at work. Our mood guide covers what helps and when to see a GP. If tiredness is the main problem, read tired all the time, and for preparing for a GP appointment see getting heard at the GP.
If you are facing a capability process, a disciplinary or dismissal linked to menopause symptoms, get advice before you resign. Speak to a trade union, an employment solicitor or an employment adviser as soon as possible, because tribunal claims have strict time limits.
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Compare every price Discount codesSources
- Menopause in the workplace: guidance for employers (Equality and Human Rights Commission, 2024)
- Regulator provides advice to employers on menopause and the Equality Act (Equality and Human Rights Commission, 2024)
- Equality watchdog supports tribunal hearing on alleged menopause discrimination (Equality and Human Rights Commission, 2023)
- Equality Act 2010, section 20: duty to make adjustments (legislation.gov.uk)
- Creating an action plan: guidance for employers (GOV.UK, 2026)
- Women's Health Strategy for England (Department of Health and Social Care, 2022)
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