The next frontier for corporate benefits is menopause

    • Celia Chen at first misattributed symptoms in her late 40s with stress from her job as a startup marketing executive. After switching to a new gynaecologist, she learned that these changes were related to her transition to menopause, known as perimenopause.
    • Celia Chen at first misattributed symptoms in her late 40s with stress from her job as a startup marketing executive. After switching to a new gynaecologist, she learned that these changes were related to her transition to menopause, known as perimenopause. PHOTO: NYTIMES
    Published Sun, Aug 20, 2023 · 06:09 PM

    IN HER late 40s, Celia Chen began experiencing unexplained symptoms such as anxiety, a spike in blood sugar, acne and chronic pain in her shoulder – all of which she attributed to her high-pressure job as a marketing executive at a startup, which involved red-eye flights and long hours.

    After switching to a new gynaecologist, at 48, she learned that these changes were related to her transition to menopause, known as perimenopause. And that the stress of the job was only making them worse. According to Chen, her doctor told her, “‘your body is screaming for you to stop’”.

    “I hit a wall,” Chen said.

    Eventually, Chen changed her lifestyle and, after a few months, switched to working as a consultant, which allowed her to control her hours and stress levels.

    Symptoms associated with the transition to menopause, which can last a decade, are often a drag on women’s careers and arise at a time when they may be stepping into larger executive roles.

    A study by the Mayo Clinic published this year found that 15 per cent of women either missed work or cut back on hours because of menopause symptoms, and that loss of productivity costs women an estimated US$1.8 billion each year. Researchers in the UK also found that those who reported at least one disruptive menopausal symptom at age 50 were 43 per cent more likely to have left their jobs by age 55.

    BT in your inbox

    Start and end each day with the latest news stories and analyses delivered straight to your inbox.

    Celia Chen eventually changed her lifestyle and, after a few months, switched to working as a consultant, which allowed her to control her hours and stress levels. PHOTO: NYTIMES

    And so, in the same way that many companies looking to attract and retain talent have expanded their benefits packages to include fertility treatments, paid parental-leave programmes and child care, some are now wrapping in menopause-specific care.

    These benefits can include virtual access to the small pool of roughly 1,000 certified specialists in the country, who can be difficult to find locally, and coverage for often-expensive hormone treatments that may not be included in some insurance plans.

    For healthcare company Sanofi, adding menopause perks were “a no-brainer”, said Nathalie Grenache, senior vice-president of people and culture.

    “If you feel truly supported throughout your life cycle, whether it is maternity or menopause, you’ll be more engaged,” she noted. “I’m sure the new generation is more demanding on that.”

    Providers of corporate support services for menopause say uptake has been fast.

    Peppy, a gender-inclusive telehealth company that was founded in 2018 in Britain, offers menopause support in workplaces and began offering services in the US in January. EBay, Nvidia, Wiley and Capgemini are all clients. In October, the healthcare benefits provider Maven launched a menopause product, which provides employees with app-based telehealth access to specialists and therapists as well as chatrooms to discuss their experiences and share resources. Within nine months, more than 150 companies had signed up, said Maven CEO and founder Kate Ryder. It has become “the fastest-selling product”, she added, “in the history of all Maven products”.

    More than 40 per cent of female workers are at least 45, the age at which women typically transition to menopause (although some studies suggest that women of colour might begin earlier). That shift – marking the end of a woman’s reproductive years – is characterised by an array of symptoms, including insomnia, hot flashes and brain fog. In large part, the symptoms can be debilitating because there are few effective treatment options and there is very little research into why and how menopause changes the body.

    Despite the high cost and common experience of menopause, it has mostly been ignored in the workplace. A 2023 survey by Bank of America found that 58 per cent of women felt uncomfortable talking about menopause at work because it seemed too personal and because they worried they might be judged by co-workers.

    But as more women enter senior leadership positions, that is changing, said Max Landry, co-CEO of Peppy. “The women who are going to go through menopause over the next five to 10 years are not going to accept this in a way that my mother’s generation did,” he added.

    Some legal experts say that existing laws may require companies to make accommodations for menopause, which could go beyond menopause-specific care benefits to include schedule flexibility or spaces for cooling down.

    These laws include the new Pregnant Workers Fairness Act that went into effect in June, said Liz Morris, deputy director at the Centre for WorkLife Law, an advocacy and research organisation at the University of California College of the Law. That US law mandates employers to provide accommodations for workers experiencing pregnancy, postpartum recovery and “related medical conditions”, which, Morris argued, could include the end of fertility.

    Regardless of whether that yet-untested argument holds up in court, corporate benefits won’t be enough, said Jennifer Weiss-Wolf, executive director of the New York University School of Law’s Birnbaum Women’s Leadership Center. She added that further research that can help prevent symptoms in the first place and laws that explicitly ban discrimination are needed. Corporate benefits, Weiss-Wolf explained, are, at best, “just scratching at the surface”. NYTIMES

    Share with us your feedback on BT's products and services