Menopause in the workplace: How Becky, 49, regained control at work
Updated: Oct 16, 2019
Becky, a chief nursing officer, had been on the verge of quitting her high-
achieving job in the NHS when Women of a Certain Stage stepped in to show
her the steps to regaining confidence, control and equilibrium.
There is a great deal that can be learned from this one case study and in
revealing the problems and the solutions, it is likely that we will be able to help
other women in similar situations.
A long list of symptoms
For Becky, 49, there was a wide range of symptoms that impacted how she
felt in the workplace. Looking back, she believed she had been struggling for
around four years through the peri-menopause phase.
Symptoms included sleeplessness and fatigue. Becky said: “It was hard to get
through a full day at work because of tiredness and that made me extra
cautious about making decisions. I also felt like it took me longer to do
She noticed that she was easily losing concentration, where previously she
had felt confident and “on the ball”. Becky said: “Meetings, conversations and
commitments became difficult. I found it hard to engage and to recall and
therefore follow through on things.
“I was embarrassed to speak up in meetings and I struggled to follow policy
debates. It was difficult to keep track of which meeting I’d need to be in and
when and what I was meant to achieve from it. I felt so out of control.”
As a result, Becky’s mood became low and she felt anxious. She says: “I
started to feel like I was losing my engagement with other people, both at
work and socially.
“It was a horrible feeling and I spiralled further down, worrying that ‘this was
it' & at 39 that life as I knew it was over."
“It got worse as I became more isolated and I didn’t want to go to work or
Becky noticed physical problems associated with the menopause, too,
including hot sweats. These caused her embarrassment, especially while at
work, and she was concerned that colleagues were wondering what was
wrong with her.
She added: “I just felt so uncomfortable in my own skin and I continually
wished I could take a shower and change my clothes but this simply wasn’t
possible during a busy work day.”
Joint pain also made Becky feel old and tired. She said: “Everything I did just
felt so hard. I worried about ageing and whether it was the start of life-long
The first steps to regaining confidence and control
By chance, Becky heard me talk on stage at a conference about menopause
at work and this led her to contacting Women at a Certain Stage.
At first, I had a 45-minute phone consultation with Becky, where I identified
the health challenges, lifestyle choices and blocks that she was facing.
She told me about being a senior female in her workplace and how she
reported into the CEO of the leading hospital she worked for. I could see how
important her job was t her and the high level she had achieved in her career.
She was also studying for a Masters degree and this had been very important
to her before she started to suffer peri-menopause symptoms.
It was very concerning that Becky felt she could no longer do her job
competently and ha she was thinking about giving it all up.
After the consultation, I arranged weekly calls and we became more focused
on what Becky wanted to achieve. The aim was to work together to enable
her to feel in control, calm and competent again at work.
By being goal orientated on a timeline, we dissected the areas that Becky
could work on in bite-sized chunks.
I supported her with critical questioning to state the goals that she wanted to
achieve during the initial 12 months of working together and divided these into
Menopause in the workplace: Support and strategy
Through in-depth conversations and focused coaching, I was able to show
Becky the way to get her career back on track.
Out with the clutter: Becky was encouraged to clear the clutter in her
schedule, inbox, social media and physical space to allow some new
behaviours to develop
New sleep patterns: I showed Becky how to work on creating new habits to
developed a better night-time routine with the aim of a good night’s sleep
We made tiny changes to Becky’s eating behaviours in the evening to
progress towards a more successful nights sleep and to stop the pattern of
falling asleep and waking up three to four hours later.
Diet and hydration: Good diet and proper hydration is vital for physical well-
being, especially through the menopause years. I showed Becky how to make
subtle changes to what she was eating and drinking, with a focus on better
hydration and reducing sugar, alcohol and spicy foods.
These small changes resulted in significantly reduced day-time and night
Once Becky started sleeping through the night and suffered fewer sweats, her
low mood started to lift and her anxiety reduced.
I took her through visualisation activities and exercises to maintain a sense of
calm. We did this while working together and when she was on her own and
Learning from Becky’s story
The estimated number of women currently peri-menopausal or menopausal in
the UK is 13 million, which is a third of the entire female population.
In the core age groups of 45 to 55 and 50 to 64, figures show that 80% and
71% respectively are employed in full-time or part-time roles.
Yet, there are still some stark statistics that reveal that not enough is
understood – or being offered by businesses and employers.
A recent report revealed that almost a third of working women aged 50 to 64
are reluctantly taking time out of the working week to alleviate menopausal
symptoms. Across the year, this is estimated to be up to a total pr