Should menopause support be top of your wellbeing agenda?
Find out how you can support your female employees during this significant time in their lives.

According to recent data women now make up 37% of the global workforce,1 and women of menopausal age are the fastest-growing demographic.2 In 2021, it was estimated that women filled 31% of senior management roles globally3 which certainly sounds like progress, but the reality is that it took until January 2023, for the number of Fortune 500 companies led by women to go over 10%.4
So why is there still such a gap when it comes to female leadership? While there are a large number of issues which contribute to gender inequality in the workplace, including unequal pay and inflexible working hours after having children,5 we’re going to focus on one that is fast rising up business agendas – menopause.
Some facts...
Did you know that 25% of women going through menopause experience severe symptoms?6 And given that both perimenopause and menopause generally occur when a female worker is at the peak of her career, this is surely a contributing factor to the lack of female leadership. According to a recent UK survey…
These statistics highlight, quite dramatically, the personal struggle that almost all women of menopausal or perimenopausal age go through, and the glass ceiling that women – particularly those with a lack of menopause support – face. But they also demonstrate something else… menopause is a business issue.
With the resignation, or reduced hours, of so many women at the peak of their careers, businesses face the loss of crucial skills, experience and talent, and are left to pay the substantial cost of replacing important role models. And with the number of women working well into their 40s and 50s, and beyond, only increasing, this is a matter for multinationals to take seriously if they want to support and retain their female employees.
...menopause is a business issue.
Before we look into how multinationals can support their female employees at this stage in their lives, let’s look at some perimenopause and menopause facts.
Menopause usually occurs between the ages of 45 and 55, although it can begin earlier or later, either naturally or because of medical intervention. Perimenopause, when a woman will often start to experience a number of similar symptoms, can start as early as 35.
While every woman experiences both stages differently, the most common symptoms include anxiety, mood swings, brain fog, hot flushes and irregular periods,7 as well as impacting many women's ability to sleep well, which can make the symptoms worse.9
Menopause as a business issue – is a shift taking place?
With such personal symptoms, and the ignorance, silence and stigma that has historically surrounded them, it’s no surprise that many women haven’t felt comfortable speaking up about menopause at work. And for a long time, it s been largely overlooked by employers too.
But now, with a generation of women starting to open up about their experiences, and further increases in the focus on health and wellbeing as a result of the COVID-19 pandemic, it seems that menopause is finally being recognised as a significant factor in many women’s working lives.
All of this means that menopause support is no longer a ‘nice to have’ – it’s essential if employers want to keep their valued and experienced female employees, especially at a time when businesses are encouraging the over 50s back to work to help with employee shortages. This is just one of the many reasons that demand for these services will only continue to grow.
...menopause support is no longer a ‘nice to have’
So, is there a shift taking place?
In a recent blog post, Kathy Abernethy, Director Menopause Services at Peppy, says that in the past five years, 63% of employers have seen an increased demand for menopause support from their people,10 with many companies now realising that this is something that must be prioritised.
It’s not a done deal by any means: some countries are making progress more quickly than others, and there’s still work to be done, with 36% of employers feeling that they are behind the curve,10 but it’s promising to see menopause finally making its way onto the corporate agenda.

And this is something we’re seeing at MAXIS too.
“Many medical plans and employee wellness programmes don’t offer solutions tailored to gender and age. This might appear appropriate on the surface, but in reality, it means employers are offering a one-size-fits-all approach to healthcare which doesn’t factor in the specific needs of individual employees – something very much determined by gender and age. Menopause is the perfect example of specialist care being needed for a specific employee group.
“At MAXIS, we’re increasingly being approached by our multinational clients to address health inequities. Specifically, assistance with menopause support is being requested more and more. Employers are asking for awareness and education campaigns, apps and more to bring menopause support into their wellness programmes. It’s promising to see this crucial issue being discussed by global employee benefits professionals, and I’m looking forward to seeing continued progress around menopause support in the coming years.”– Dr Leena Johns, Chief Health & Wellness Officer, MAXIS GBN
And it’s not just our clients raising the issue – it’s important to us as an employer too.
“52% of the MAXIS team is female, and this is more than reflected at senior leadership level with 70% of our Executive Committee (ExCom) being women. Women are at the forefront of our business and we want to protect the knowledge, experience and skills that they bring. We’re currently working on launching a menopause policy which will support our female employees experiencing perimenopausal and menopausal symptoms, as well as ensuring that line managers and colleagues know how to support them, and, in fact, anyone impacted by menopause.” – Mattieu Rouot, CEO, MAXIS GBN

But what should menopause support look like?
Women experiencing menopause, and perimenopause of course, need support for their symptoms, whether these are physical, mental, or very often, both. However, a wider understanding of this stage of life is needed in general. Menopause tends to last for around seven years but can go on for as long as 14 years.11
This is a lengthy period in a woman’s life, at a time when they might be dealing with a number of other family-related matters such as caring for children and / or parents, or facing other important life events, all while trying to succeed at work. It’s also important to remember that menopause doesn’t just impact the woman experiencing it – it can impact families, partners, friends, colleagues, and the business they work for.
...a wider understanding of this stage of life is needed in general.
So, menopause support can’t simply focus on tackling the symptoms of menopause and perimenopause – education and understanding are crucial to this conversation. While mental health support is the most common benefit offered to employees experiencing menopause, others include healthy lifestyle advice, information on company/benefit portals, training for line managers and senior leadership, support groups, and training targeted at male colleagues.10
The key is providing flexible and personalised support to each individual, and treating menopause like other conditions that require specialist care.10
Case study: Santander UK
One company leading the way with menopause support is Santander UK. Santander was voted the world’s best bank for D&I by Euro Money in 2020,12 with its UK business being named among the Times top 50 employers for women in 2021.13 So it’s clear that looking after their people is something that they are both committed to, and good at. But what have they done to support their female employees experiencing menopause that's won them this accolade?
Santander UK’s menopause story started in 2019, when Senior HR Manager, Theresa Winter, saw a menopause-related post on LinkedIn which spurred her to start the conversation internally.12 Theresa said that, while there were guidelines in place prior to this, they were not well-communicated and were difficult for employees to find. To kick-off their journey towards providing menopause support, Santander UK agreed on four priority areas:
- Building awareness and understanding
- Creating a psychologically safe workplace
- Support for leaders and managers
- Guidance and practical support.
With these priority areas in place, Santander UK ran communications campaigns and planned a number of activities around menopause, including outlining key facts and providing external resources for support, undertaking a staff survey to establish the support their people needed going forward and carrying out site awareness sessions.
Santander UK also set up an internal hub called “Let’s Talk About Menopause” and provided guidance and training for people managers, helping them to learn more about menopause and understand potential adjustments that might be helpful for those experiencing symptoms.12
The team also ran a four-week Peppy Menopause14 pilot with 130 female employees.
And the results…
Following the success of the pilot, Santander rolled out Peppy Menopause support for all its UK employees, with more than 500 having signed up to use it by mid-way through 2021.16 And the positive results seem to be long-lasting, with 72% of employees remaining active users of the support 90 days after registration, and 59% engaged in the programme after 180 days.15
Providing this support has definitely helped. 81% of Santander UK employees say they experience less bothersome mental and/or physical menopause symptoms and 88% feel more comfortable discussing this with their line manager.15
That’s one example which has achieved great results – but what can you do?
There’s a lot to consider for multinationals looking to implement, or improve, their menopause offering, but as we have seen with our case study, the benefits of providing support can be significant.
And these could be great for your business too – women are far more likely to stay with an employer that supports them during this time, so starting the conversation is good for both employees and business. Here are some ideas…

1. Launch a survey. Don’t try to guess what your employees might need to feel supported at this time – ask them! Launching a survey is a great way to gauge how your employees feel, and what they need in terms of support and information going forward. And don’t just ask your female employees. It’s important to include all colleagues in the process and understand what everyone needs to make your workplace menopause-friendly, and to help your people when they’re not at work too.
2. Educate and encourage discussion. Awareness and education are key to both general understanding and to make talking about menopause less taboo in your workplace. Educate your employees about menopause and encourage conversation so that your female employees feel more comfortable opening up about their experiences, if they want to.
3. Write a menopause policy. If you don’t already have one, a menopause policy is a great place to start. Having your company’s menopause support explained in one place can help those experiencing menopause and perimenopause to know where they stand, and where they can go for help. It’s also really important to make sure your policy is easy to find, so make sure it’s clearly signposted on your intranet. You can also become an accredited ‘Menopause Friendly’ employer.17
4. Check your medical policies. It’s also important to check any exclusions on your medical policies – menopause is often not covered and/or is considered a chronic condition. Multinationals writing their employee benefits risks into a captive might be able to remove these exclusions and ensure that their people are receiving the best support possible.
5. Be flexible. As we know, menopause and perimenopause can result in a whole host of symptoms, including difficulty sleeping. Offering flexible or hybrid working can help women who might need to work outside of the traditional 9-5, or work from home while they are experiencing these symptoms.
6. Make menopause a year-round priority. It’s important that menopause support becomes a part of your company culture and isn’t just a tick box exercise – shout about the support you’re providing all year round and not just on menopause awareness weeks or International Women’s Day.
Prioritising menopause support is no longer optional for multinationals that want to compete in the war for talent and retain some of their most experienced and knowledgeable female employees. It might feel like there is a mountain to climb, but committing to opening the conversation, and offering the support your people need, is important for those experiencing menopause… The business benefits could be very positive, too!
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[1] The World Bank https://data.worldbank.org/indicator/SL.TLF.TOTL.FE.ZS (Sourced February 2023)
[2] Deborah Garlick, Menopause in the Workplace https://menopauseintheworkplace.co.uk/menopause-at-work/menopause-and-work-its-important/ (Sourced February 2023)
[3] Anon, Natural HR https://www.naturalhr.com/2021/03/23/10-reasons-why-the-world-needs-more-women-in-leadership-roles/ (Sourced February 2023)
[4] Emma Hinchliffe, Fortune https://fortune.com/2023/01/12/fortune-500-companies-ceos-women-10-percent/#:~:text=This%20month%2C%20for%20the%20first,over%20the%20long%2Dawaited%20threshold (Sourced February 2023)
[5] Lauren Taylor, Independent https://www.independent.co.uk/life-style/health-and-families/davina-mccall-symptoms-nhs-cipd-b1938361.html (Sourced February 2023)
[6] Kalyeena Makortoff, The Guardian https://www.theguardian.com/society/2021/may/19/financial-sector-takes-part-in-survey-about-impact-of-menopause (Sourced February 2023)
[7] Anon, NHS https://www.nhs.uk/conditions/menopause/ (Sourced February 2023)
[8] Anon, John Hopkins Medicine https://www.hopkinsmedicine.org/health/conditions-and-diseases/introduction-to-menopause (Sourced February 2023)
[9] Anon, NHS Inform https://www.nhsinform.scot/healthy-living/womens-health/later-years-around-50-years-and-over/menopause-and-post-menopause-health/menopause-and-your-mental-wellbeing (Sourced February 2023)
[10] Kathy Abernethy, HR Zone https://www.hrzone.com/community/blogs/kathy-abernethy/increased-demand-for-menopause-support (Sourced February 2023)
[11] Anon, NIA https://www.nia.nih.gov/health/what-menopause#:~:text=The%20menopausal%20transition%20most%20often,begins%2C%20and%20race%20and%20ethnicity (Sourced February 2023)
[12] Deborah Garlick, Menopause in the Workplace https://menopauseintheworkplace.co.uk/case-studies/santander-helping-colleagues-thrive-in-the-workplace/ (Sourced February 2023)
[13] Allie Nawrat, Unleash https://www.unleash.ai/wellbeing/5-companies-going-above-and-beyond-to-support-employees-through-menopause/ (Sourced February 2023)
[14] Anon, Peppy Health https://peppy.health/ (Sourced February 2023)
[15] Anon, Peppy Health https://8397591.fs1.hubspotusercontent-na1.net/hubfs/8397591/UK%20Website%20Content%20-%20Case%20Studies/Case%20Studies%20UK%20x%20Santander%20-%20October%202022.pdf (Sourced February 2023)
[16] Louise Farrand, Employee Benefits https://employeebenefits.co.uk/santander-uk-supports-people-through-menopause/ (Sourced February 2023)
[17] Anon, Menopause Friendly https://menopausefriendly.co.uk/ (Sourced February 2023)
This document has been prepared by MAXIS GBN and is for informational purposes only – it does not constitute advice. MAXIS GBN has made every effort to ensure that the information contained in this document has been obtained from reliable sources but cannot guarantee accuracy or completeness. The information contained in this document may be subject to change at any time without notice. Any reliance you place on this information is therefore strictly at your own risk.
The MAXIS Global Benefits Network (“Network”) is a network of locally licensed MAXIS member insurance companies (“Members”) founded by AXA France Vie, Paris, France (“AXA”) and Metropolitan Life Insurance Company, New York, NY (“MLIC”). MAXIS GBN, a Private Limited Company with a share capital of €4,650,000, registered with ORIAS under number 16000513, and with its registered office at 313, Terrasses de l’Arche – 92727 Nanterre Cedex, France, is an insurance and reinsurance intermediary that promotes the Network. MAXIS GBN is jointly owned by affiliates of AXA and MLIC and does not issue policies or provide insurance; such activities are carried out by the Members. MAXIS GBN operates in the UK through its UK establishment with its registered address at 1st Floor, The Monument Building, 11 Monument Street, London EC3R 8AF, Establishment Number BR018216 and in other European countries on a services basis. MAXIS GBN operates in the U.S. through MAXIS Insurance Brokerage Services, Inc., with its registered office located at c/o Katten Muchin Rosenman LLP, 50 Rockefeller Plaza, New York, NY, 10020-1605, a NY licensed insurance broker. MLIC is the only Member licensed to transact insurance business in NY. The other Members are not licensed or authorised to do business in NY and the policies and contracts they issue have not been approved by the NY Superintendent of Financial Services, are not protected by the NY state guaranty fund, and are not subject to all of the laws of NY. MAR01186/0323