World Menopause Day: bolster women, fortify systems

Professor Pauline M. Maki is Professor of Psychiatry, Psychology and Obstetrics & Gynaecology at the University of Illinois at Chicago; Expert Member, World Economic Forum’s Global Alliance for Women’s Health; Expert medical advisor, Halle Berry’s Respin Health.

Menopause
This World Menopause Day, support women and strengthen systems.
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For ages, menopause has been viewed as a hushed, personal struggle. This lack of discussion comes at a price. On World Menopause Day, elevating menopause from obscurity isn't just a specialized issue but a widespread concern with concrete benefits for well-being, fairness, and financial progress. The dialogue needs to shift from isolated initiatives to a unified strategy that's feasible for adoption in medical settings, professional environments, and governmental strategies.

TL;DR

  • Menopause affects over 450 million women globally, with significant economic and well-being benefits when addressed.
  • Systemic readiness, not need, is the barrier; diagnosis and treatment are often delayed or unavailable.
  • Workforce impact is substantial, with many women considering leaving jobs due to menopausal symptoms.
  • Actionable steps for healthcare, employers, researchers, and policymakers are needed to improve support and care.

The perimenopausal and menopausal phases can extend over ten years. Globally, over 450 million women are in this transition at any given time. The World Economic Forum’s Global Alliance for Women’s Health reports that addressing the women's health disparity concerning menopause could result in an estimated 2.4 million disability adjusted life years every year and roughly 120 billion dollars in annual GDP gains. This translates to fewer days off work, more stable family finances, and reduced pressure on healthcare infrastructure. Furthermore, it signifies lives lived with greater ease, understanding, and self-assurance. While statistics highlight the significance, personal experiences provide the context.

The obstacle isn't a shortage of need, but rather insufficient readiness within the systems impacting women's health. Diagnosis and treatment are frequently delayed, erratic, or unavailable. Supporting this is data from a Yale University review of insurance claims, revealing that although 60% of women experiencing significant menopausal symptoms seek medical attention, nearly 75% do not receive treatment. Inadequate training contributes to this issue. In one study, half of family medicine physicians reported receiving only one lecture on menopause during their education, with one in five receiving none whatsoever. The consequences for the workforce are evident. Studies suggest that one in four women has contemplated leaving their job during this life stage, and one in ten who have worked through menopause have resigned due to their symptoms. This isn't solely a matter of productivity; it also represents a loss of opportunity. It means seasoned leaders withdrawing, teams losing key members, and families enduring unnecessary strain.

As an Expert Member of the one-of-its-kind multistakeholder platform, the World Economic Forum’s Global Alliance for Women’s Health, as well as an expert medical advisor at acclaimed actress, director, producer, advocate, and entrepreneur, Halle Berry’s menopause care platform, Respin Health, I see how quickly the conversation shifts when evidence meets execution. These organisations are helping translate science into clinical standards and employer policies, while informing policy frameworks that leaders can adopt and fund. Advocacy is meaningful when it results in actions that are easy to copy, measure, and sustain. Our work with Halle Berry, who recently joined the Global Alliance for Women’s Health as Public Ambassador, showcases the sheer appetite and momentum that exists to redefine menopause and empower women to be the guardians of their own health. The path is known. What remains is follow-through.

“When we leave women to figure menopause out alone, we pay a grave price in health, productivity, and our very own dignity. We have to normalize this conversation about menopause. We have to make guidance useable. We have to improve access to quality care, and we need to invest in research and innovation,” said Halle Berry. 

The initial focus for healthcare should be established.

Menopause ought to be integrated into standard primary healthcare, rather than being relegated to specialized services with limited accessibility. Initial screening can commence during regular appointments for women in their forties and fifties, establishing clear routes for guidance and management. Evidence-backed choices encompass lifestyle adjustments, non-hormonal interventions, and, when suitable and secure, hormone treatments based on informed decisions. Healthcare should address mental well-being and cardiometabolic risk, as sleep disruption, mood changes, and metabolic shifts are frequently interconnected. Referral networks need to link primary care, gynecology, mental health, and cardiometabolic departments to prevent women from facing a confusing system with conflicting recommendations. This initiative aims not at exclusive clinics for a select group, but at empowering frontline healthcare providers to address a widespread requirement.

Employers can also make a significant impact. Minor changes can lead to substantial improvements. Offering flexibility when possible, providing paid leave for days with symptom exacerbation, and implementing practical solutions such as temperature regulation and designated quiet zones can lessen the difficulties that transform symptoms into missed workdays. Employee benefits packages should specifically mention menopause to inform women about available coverage. Training for managers should foster a supportive environment without compelling employees to disclose personal health information. Companies that track employee retention, error rates, and team productivity both before and after implementing these strategies will discover what numerous organizations have already confirmed. Modest expenditures help maintain stable teams and prove cost-effective.

Research and product development need to bridge the data divide and elevate the standard for remedies. Investigations ought to mirror the variety found in actual women, encompassing ethnicity, age, and concurrent health issues. Outcome measures should be standardized to enable healthcare providers and individuals to discern effectiveness and suitability. Digital instruments and user-facing items aimed at sleep, mental function, body temperature control, and reproductive well-being require assessment against established benchmarks and affordable pricing for widespread availability. Novelty is encouraged, as is thoroughness. Both are due to women.

Policy and funding can elevate best practices to standard operating procedure.

Essential menopause services belong in national primary health packages and in public and private insurance coverage. Governments can accelerate employer adoption with clear standards, public recognition, and targeted incentives that reward organizations for implementing menopause supportive policies. Public information campaigns can replace stigma with practical knowledge for women, partners, managers, and clinicians. Countries should publish a small set of indicators that matter in daily life. Time to diagnosis, treatment access, and workforce participation are simple to understand and powerful to track. Accountability is easier when the yardstick is clear.

This is significant beyond healthcare settings and employment. Prioritizing women's health leads to improved family and economic performance. Prompt detection and effective treatment decrease missed workdays. Workplaces that accommodate menopause retain skilled employees and lower staff churn. Quality care averts expensive future complications. These benefits multiply across numerous women and countless businesses, ultimately boosting national output. However, the most valuable outcome is personal. Enhanced sleep, sharper cognition, balanced emotions, and renewed self-assurance transform women's midlife experiences, fostering growth in dignity and potential.

Strong advocacy requires merging public visibility with specialized knowledge and unified efforts. Prominent individuals make the subject accessible. Experts in research and patient care establish benchmarks for high-quality treatment. Collaborative settings bring together businesses, healthcare providers, and public bodies to agree on actionable guidelines and schedules. This synergy transforms recognition into tangible progress. This is how organizations like the Global Alliance for Women’s Health and the International Menopause Society significantly contribute by uniting professionals and decision-makers to move from plans to execution. 

What should happen now?

Health systems can add a brief screening and counselling step to routine primary care visits and build simple referral pathways that do not collapse under real world pressure. Medical schools and continuing education providers can strengthen training, so the next generation of clinicians starts on firmer ground. Employers can publish a menopause policy, train managers, and update benefits language so support is easy to find. Researchers can design studies that reflect the diversity of women and use shared endpoints that allow transparent comparisons. Policymakers can put menopause care in the basic benefit package and require transparent reporting on access and outcomes. None of these actions is a moonshot. Each is a choice that aligns with what we already know.

Cultural shifts accompany policy adjustments. Allies can offer a listening ear without criticism. Companions can impart beneficial experiences. Civic figures can integrate menopause discussions into existing health dialogues reaching women in their daily environments. The approach is significant. Accuracy is crucial. A strategy is essential. Collectively, these elements foster a setting where a woman can avoid prolonged periods of seeking a diagnosis for her symptoms or a route to recovery.

World Menopause Day ought to serve as more than an annual observance. It should function as a yearly checkpoint to pose a straightforward inquiry: Have we improved women's access to reliable information, prompt medical attention, and useful assistance this year? Affirmative responses will yield positive outcomes across healthcare settings, professional environments, domestic spheres, and national landscapes.

The way forward is evident; what's needed now is determination. We must take action today to enable more women to live, work, and flourish in the future.

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