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Menopause solutions for employers

Menopause support might be lacking in the workplace, but as a leader you're in a position to change that.

By starting the conversation, offering flexibility and sharing resources, you can break the stigma, support retention and make your workplace one where women can succeed throughout their careers.

How menopause shows up in the workplace

Menopause symptoms can be hard for managers to recognize at work. Still, there are signs to watch for.

Menopause can affect women at work in many ways, including:

  • Trouble concentrating and brain fog
  • Anxiety or mood swings
  • Fatigue leading to lower productivity or absenteeism
  • Fear of stigma from being seen as less capable or out of touch
  • Worries about job security or age discrimination

From a manager's perspective, these symptoms might show up as:

  • Employees appearing disengaged, distracted or less productive
  • Unexplained drops in performance
  • Increased sick days or time off
  • Turning down promotions
Diverse group of professionals in a meeting room
24%

of women say they hide their menopause symptoms at work1

67%

of working women would not feel comfortable speaking to their supervisor or to someone in human resources about what they were experiencing1

48%

of working women would be too embarrassed to ask for help at work1

How employees can use their group benefits plan for menopause

The best place to start is by reviewing your group benefits plan to see what support is already available. Many plans cover treatments and services that help employees manage menopause symptoms. Below is a breakdown of how different parts of your plan can provide that support.

Keep in mind, coverage varies, so your plan may not include everything listed below.

Treatments listed are based on evidence from the North American Menopause Society2, the Society of Obstetricians and Gynaecologists of Canada3 and the Canadian Menopause Society4.

Benefits that can help treat or support menopause symptoms

Prescription therapies

  • Menopause Hormone Therapy (MHT): A treatment that replaces the hormones your body stops producing during menopause, usually estrogen with or without progestin. It’s the most effective option for relieving menopause symptoms and it helps prevent bone loss.
  • Other non-hormonal prescription therapies: antidepressants, gabapentinoids and oxybutynin.
  • Veoza® (fezolinetant): a non-hormonal prescription drug that helps with hot flashes and night sweats.
  • Other medications for hot flashes and vaginal dryness.

Mental health support

  • Psychology services: Support from a psychologist or social worker to help manage mood changes, anxiety or sleep issues.
  • Cognitive behavioural Therapy (CBT): a type of psychotherapy that helps with negative or irrational thoughts, feelings and behaviours.
  • Employee and Family Assistance Program (EFAP): provides confidential counselling and support services to employees and their dependents.

Learn more about available mental health supports

Physiotherapy

If other treatments don’t work or hormone therapy isn’t an option, patients with vaginal or urinary symptoms of menopause may be referred to a pelvic physiotherapist for care.

Weight management

Weight management is shown to help reduce menopause symptoms. Support may include help from a:

  • Nutritionist: Offers general advice on healthy eating.
  • Dietitian: Creates personalized plans to support weight management.

Virtual care offers access to health services like medical advice, mental health support, prescription refills, referrals and more — anywhere, anytime.

Learn more about Virtual Care for group plans

A Health Spending Account is a tax-free account funded by the employer to cover health expenses not included in other benefits. This could include services or products to support menopause, as long as they are provided by a CRA-approved medical practitioner.

Weight management support

Maintaining a healthy weight can reduce menopause symptoms.

If these providers are not covered under extended health benefits, they can be claimed through the Health Spending Account:

  • Nutritionist: Offers general advice on healthy eating.
  • Dietitian: Creates personalized plans to support weight management.

Psychology

  • Cognitive behavioural Therapy (CBT): a type of psychotherapy that helps with negative or irrational thoughts, feelings and behaviours.

Learn more about available Health Spending Account coverage

A Wellness Spending Account taxable spending account to support employee wellbeing. This can be especially helpful for menopause, covering a range of supports from managing symptoms to maintaining overall health. It can be used for fitness and sport activities, fitness apparel, learning, family care and other health supports, based on the categories you choose to include.

  • Menstrual products
  • May include gym passes, aerobic classes or wellness apps

Learn more about available Wellness Spending Account coverage

76%

of employees without health benefits would leave their current job in favour of one with a better health benefits plan.4

Does your group plan cover these treatments to manage menopause symptoms?

Select the box if your group plan includes these benefits. The checklist can also be downloaded to complete later or shared with your plan administrator or human resources department.

Download the group benefit plan checklist (PDF)

Group benefit plan checklist for employers

Check the box if your group plan offers coverage for these benefits.

Core benefits:

Extended health benefits:

Does your group benefits plan offer a:

Uncheck all
0 out of 12

Next steps

  1. Contact your benefits provider to confirm coverage and ask how you can fill in any gaps.
  2. Share the completed checklist with your human resources and leadership teams to increase awareness.
  3. Communicate available menopause supports to employees to encourage use.

Workplace strategies

Workplace culture plays a major role in whether employees feel comfortable seeking support. When menopause is met with judgment, employees will stay silent. Leaders can help challenge these dynamics by creating a more empathetic culture.

Here are a few workplace strategies for your leaders to consider:

Address the stigma

Breaking the stigma starts by creating space for open, respectful conversations.

Health observances are specific days, weeks or months dedicated to raising awareness, educating the public and promoting certain health topics or conditions. They can help open the door to these discussions. Consider recognizing the following awareness days in your workplace and use them as an opportunity to share resources or host lunch-and-learns:

  • International Women's Day (March 8)
  • Women's Health Week (May 10 to16)
  • World Menopause Day (October 18)

Train managers on how to provide support

Managers are often the first point of contact when employees are struggling, yet many feel unprepared to help with menopause-related concerns.

Managers can be trained to recognize the range of menopause symptoms and offer support in a non-judgmental way. A few places to start include:

1. Building awareness of menopause symptoms and their impact

Help managers understand the range of menopause symptoms. Explain how these symptoms can affect someone's ability to focus, communicate or stay consistent at work.

2. Focusing on empathy and psychological safety

Teach managers how to create a supportive environment. Emphasize the importance of listening and offering support without pressuring employees to share personal details.

3. Practicing supportive conversations

Use scenario-based training to show how managers can approach sensitive topics. Encourage open-ended questions like "what support would be most helpful for you right now?" to guide the conversation.

4. Clarifying available supports and benefits

Ensure managers are familiar with the group benefits plan, corporate wellness programs and any mental health or leave supports available. When they know what's covered, they can point employees in the right direction.

5. Teaching managers about flexibility and accommodation options

Show managers how to offer practical support, such as adjusting workloads or offering flexible hours for those who need it.

87%

of women in a recent study said their employer does not provide or they don't know if their employer provides support related to menopause.3

Provide educational resources for all employees

Many people don't really know what menopause is until it affects them or someone close to them. Sharing information helps normalize the conversation and reduce misunderstandings.

Consider:

  • Hosting internal webinars or panel discussions, featuring health experts
  • Sharing downloadable guides or FAQs through your internal channels
  • Asking your benefits provider if they offer toolkits or training sessions for management and employees
  • Including menopause support in your corporate wellness program

Offer flexibility

Menopause symptoms can fluctuate and be unpredictable. Offering flexibility can help employees manage their health while staying engaged at work. Consider these options:

  • Allow employees to work remotely when symptoms are challenging
  • Provide paid time off for medical appointments or personal needs
  • Encourage employees to use sick days, personal days or wellness days as needed

Menopause in the workplace: employer support checklist

Now that you've learned about the types of menopause support leaders can provide, the next step is to evaluate the support currently available in your workplace. Review the checklist and mark the boxes that apply to your organization. Once completed, it can give you a score with suggestions on how to improve support for employees going through menopause.

Tip: This checklist can also be shared with your human resources department for their input.

Download the workplace support checklist (PDF)

Menopause workplace support checklist for employers

Check the box if you offer the following workplace support and training.

Workplace culture

Manager training and support

Employee education

Flexibility and time off

Uncheck all
0 out of 15

Menopause support in the workplace benefits all

There are evidence-based solutions available that can help women manage menopause symptoms, like menopausal hormone therapy, mental health support and other prescription medications. But for many, cost and access remain barriers and employees are left to suffer in silence.

Employers have an opportunity to change this. By offering benefits that include menopause-related care, organizations can help their teams access the solutions they need. And, when symptoms are manageable the results speak for themselves: productivity improves, absenteeism drops and experienced employees can excel at every stage of their careers.

What could be possible if more organizations offered menopause support in their benefit plans?

Want to learn more about women’s health?

Visit our women's health and wellness page for practical support for your or your employees’ health and wellbeing. From menopause and mental health to reproductive care and chronic conditions, you'll find evidence-based resources to remove misconceptions and help you make informed decisions.

Sections in this guide

This guide encourages employers to consider how their organization can provide support to women experiencing menopause.

How overlooking menopause in the workplace negatively impacts business, the national and global economy and progress toward gender equity.

Learn the basics of menopause, including the different stages, symptoms and duration.

There's no need to suffer in silence anymore. This section shares the different proven treatments available, how health benefits can help and more.

Menopause solutions for employers

Discover how leaders can offer meaningful support to employees experiencing menopause and create a workplace where women can succeed at every stage of life.

Want to learn more about women's health? Visit our women's health and wellness page for practical support for your or your employees' health and wellbeing.

More to come

Our mission is to empower Albertans to lead healthier lives. Through our group benefits solutions, we enable plan sponsors to enhance women's health by breaking down workplace barriers and equipping them with the tools and resources needed for easier access to care.

We remain committed to addressing the critical concerns surrounding women's health, aiming to raise awareness, dismantle stigmas, and promote necessary research.

Research sources

  1. Menopause Foundation of Canada, “Menopause and Work in Canada,” 2023
  2. The North American Menopause Society, “The 2023 nonhormone therapy position statement of The North American Menopause Society,” 2023
  3. Nese Yuksel, PharmD, Debra Evaniuk, MD, Lina Huang, MDCM, Unjali Malhotra, e Society of Obstetrician and Gynaecologists of Canada (SOGC) Guideline No. 422a: Menopause: Vasomotor Symptoms, Prescription Therapeutic Agents, Complementary and Alternative Medicine, Nutrition, and Lifestyle, 2021
  4. Canadian Menopause Society, “Diagnosis and Management, Menopause Hub,” (n.d.)
  5. Blue Cross, “The 2023 Blue Cross Small Business Study,” 2023

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