Friday 18th October is World Menopause Day and the theme this year is Menopause Hormone Therapy, known in the UK as Hormone Replacement Therapy (HRT). Understanding and supporting menopause in the workplace is essential for creating inclusive, productive, and empathetic work environments.
Understanding Hormone Replacement Therapy
Hormone Replacement Therapy is a treatment used to relieve symptoms of menopause by replacing hormones that decline during this phase of life. According to the NHS, the main types of hormones used in HRT are oestrogen, the primary hormone used to relieve menopausal symptoms, and progestogen, used alongside oestrogen to protect the womb lining in women who still have a womb.
HRT can be administered in various forms, including tablets, skin patches, gels, and vaginal creams, rings, or pessaries. The choice and method of HRT depend on individual health factors, symptoms, and preferences, as determined by a healthcare professional.
UK Research on HRT
Recent UK-based research has provided valuable insights into the benefits and considerations of HRT. The UK Biobank study, published in The BMJ in 2022, found that current HRT use was associated with a lower risk of developing type 2 diabetes in postmenopausal women. Additionally, a 2021 study in the British Medical Journal of Sports Medicine suggested that HRT might help maintain muscle mass and strength in postmenopausal women, potentially contributing to better physical function and reduced risk of falls.
The Women’s Health Concern, the patient arm of the British Menopause Society, reports that HRT remains the most effective treatment for menopausal symptoms and is also effective for the prevention of osteoporosis. It’s important to note that while these studies show potential benefits, HRT is not suitable for everyone, and decisions should be made in consultation with a healthcare provider.
Impact of Starting HRT on Work Life
Starting HRT can significantly impact an individual’s work life. Many women report improved concentration, with reduced “brain fog” potentially enhancing work performance. Mood stabilisation is another common benefit, contributing to more consistent interactions with colleagues and clients. The alleviation of physical discomfort, such as hot flushes, can increase comfort and confidence in the workplace.
Improved sleep quality is often reported, leading to increased daytime alertness and productivity. Many women also experience a boost in energy levels, which can enhance overall work performance. However, it’s crucial to understand that the initial weeks of HRT might involve some adjustment. Side effects can include breast tenderness, nausea, or headaches, which usually subside but may temporarily affect work.
Workplace Support
To support employees starting or using HRT, workplaces can implement several measures. Flexible working arrangements can be offered to accommodate medical appointments and manage any initial side effects.
Environmental adjustments, such as ensuring good ventilation and access to cold water, can help manage symptoms like hot flushes.
Education and training for all staff, particularly managers and HR professionals, is helpful in creating an understanding environment. Developing open communication channels where employees feel comfortable discussing menopause-related issues without stigma is equally important.
Offering access to occupational health services for confidential advice and support can be invaluable. Additionally, developing and communicating clear menopause policies that include support for those using HRT helps create a supportive framework.
Understanding the Facts
It’s crucial to base workplace support on factual information. According to the National Institute for Health and Care Excellence (NICE) guidelines, HRT is the most effective treatment for menopausal symptoms. For most women under 60, the benefits of HRT outweigh the risks. It’s also important to note that HRT does not increase the risk of heart disease when started before the age of 60.
While the risk of breast cancer is very low with oestrogen-only HRT and only slightly increased with combined HRT, it’s important to remember that HRT is not suitable for everyone. Individual risk assessments should always be conducted by healthcare professionals.
Breaking the Stigma
Open, fact-based discussions about menopause and treatments like HRT will help break down stigma. I share my story and my mission to help to break down this stigma. By normalising these conversations and basing support on reliable information, we create more inclusive workplaces where everyone can thrive regardless of their life stage.
At The Thrive Team, we’re committed to helping organisations create environments where all employees can flourish. Our training programs and coaching services can help businesses develop evidence-based strategies to support employees through all life transitions, including menopause.
As we mark World Menopause Day 2024, we encourage you to commit to creating workplaces that understand, support, and empower individuals experiencing menopause. By doing so, we not only improve individual wellbeing but also enhance organisational performance and inclusivity.
Supporting menopause in the workplace isn’t just about managing symptoms—it’s about valuing the experience, skills, and contributions of a significant part of our workforce. To find out how we can support you and your organisation contact us today for an informal conversation about our services and experience.
