World Menopause Month

Debate between Carolyn Harris and William Wragg

Thursday 21st October 2021 Commons Chamber

[Carolyn Harris (Swansea East) (Lab)]

I beg to move,

That this House has considered World Menopause Month.

It is rare to stand up in this place and open with the words, “This is not a political issue”, but that is what I am doing today. Women’s health is too important to be used to gain political advantage or score points against each other. Women’s health is so important, and women have suffered for far too long. To stop that we must work together across the House to bring about change. Today is just the start. Today we can talk about the perimenopause and menopause, and we can share our experiences and discuss all the areas that desperately need change. In doing so, we will break the taboo. Breaking the taboo is a huge step forward, but it does not stop there. Talking is great, but action is better.

The menopause is something that every woman will experience at some point in her lifetime. When and how we experience it is unique to each of us. For some, it will be a simple transition with relatively few side-effects. For others, the side-effects will be extreme—physically painful, mentally challenging and, at their peak, completely debilitating.

It is estimated that 13 million women in the UK are either perimenopausal or menopausal. That is almost a fifth of the population. Can we imagine any other condition that affects that many people being so woefully overlooked and misunderstood? This issue is not just about the women experiencing the symptoms; its impact directly affects husbands, partners, children, friends and colleagues. It really is an issue that we need to take seriously.

Next Friday, my private Member’s Bill, the Menopause (Support and Services) Bill, comes to this place for its Second Reading. I have been blown away by the support I have received from Members right across this House and the other place, and from outside—the press, celebrities, the general public and businesses. It seems that finally, after years of whispered comments and clandestine conversations, everyone is ready to talk about the menopause. Women are ready to stand up and share their experiences.

Hot flushes, night sweats, brain fog, weight gain, insomnia, anxiety, vaginal dryness, poor concentration—I could go on; the list is endless. Hormone imbalance does all those things to our bodies. For many, help is available in the form of hormone replacement therapy. It is not for everyone, but for those of us it does suit, including me, it is honestly life changing. After 11 years on antidepressants, I am now on HRT and weaning myself off antidepressants, having realised that I was not having a nervous breakdown but actually going through the menopause. I have been on HRT for only a relatively short time, but I did not realise how much of me I had lost to the menopause until I started taking it.

Despite the fact that HRT makes such a difference to so many of us—it is no exaggeration to say that it can quite literally save women’s lives—it remains the only hormone medication that is not exempt from prescription charges in England. For many, because they need both progesterone and oestrogen, the cost is double. I can guarantee that mums on a tight budget will make sure that their kids have everything they need before finding the £20 to pay for the prescription, which means that that cost is a real barrier for many women up and down the country. But we can change that—and I hope that we will with my Bill. Every MP in England will have constituents who would benefit from that change in legislation. We cannot let them down.

Let us look at what else we can do, once we have broken down the financial barrier, to reduce the impact on women’s lives during the perimenopause and menopause. Let us look at where else women are being failed. Menopause training in medical schools is unacceptably poor, with 41% offering no mandatory menopause training at all. Curriculum content in schools needs to be reviewed so that the next generation of girls and boys are educated and prepared for this stage of their lives.

Support in the workplace is still a lottery, with some employers excelling but others letting their employees down at a really difficult time. The right hon. Member for Romsey and Southampton North (Caroline Nokes), with whom I work closely on this issue, will speak later about workplace support and the excellent work being done by the Women and Equalities Committee, but I want briefly to mention a few companies that are really taking the issue seriously. Yesterday, the all-party parliamentary group on menopause held a session focused on workplace support, and we heard some really good examples of best practice from PricewaterhouseCoopers, Network Rail, Bristol Myers Squibb, Tesco and John Lewis. We also heard from Timpson. James Timpson—the man walks on water! He announced on Monday that Timpson will be allowing staff to claim back their HRT prescription charges on expenses. I cannot praise the man enough. This is a true example of a company that cares about the welfare of its employees and understands that in offering this benefit it will retain its experienced workforce who are invaluable.

The fact that so many organisations are starting to wake up to this is such a positive step forward. It is a joy to be able to stand here today and celebrate that, but we need it to be the norm, not the exception. The UK’s workforce is changing. More than three-quarters of menopausal women are now in employment. We need employers to change, too, so that women feel comfortable speaking to their managers about their symptoms and what adjustments they need. In fact, we need to educate everyone, so that talking about the menopause with medical professionals, among friends and within families, as well as in the workplace, becomes a natural thing for women to do.

Earlier this year, ahead of a Westminster Hall debate that had the topic of menopause support, the Chamber engagement team helped me hugely by creating a survey for anyone impacted by the menopause to share their experiences. I was taken aback by the number of responses we received in just a couple of days, and by how honest and insightful they were. Looking again at those responses and at the hundreds of emails coming into my inbox makes me realise just how many women out there are now ready to reach out and share their experiences. I am honoured that they are choosing to do that, but it saddens me that many of them have never spoken about their symptoms with anyone else.

[Mr William Wragg (Hazel Grove) (Con)]

It is impossible to resist any campaign spearheaded by the hon. Lady and this is one I am very proud indeed to be able to support. I look forward to the Second Reading of her private Member’s Bill next week, which I will be here to support. What would she say to the men out there as to how they can be supportive and better understand the menopause, rather than treat it as a taboo subject?

[Carolyn Harris]

I would say, “Take the example of the hon. Gentleman, who has become a menopause warrior: be there for the women in your lives and make sure you provide listening ears and thoughtful words on how you can support your loved ones and the women in your workplaces.”

I understand that women have found it difficult to talk, because across society we have been encouraged not to. A funny story, but a very true story, is that I remember my mum ushering me out of a room when her and my aunts were discussing a “rather difficult sensitive issue”. One of my aunts will probably be absolutely horrified that I am talking about this now. They were discussing her menopause. I hasten to add that I was 36 years of age at the time—[Laughter.]—but that just goes to show the taboo around talking about this subject. There will be some people out there who will be absolutely astounded that I used the expression “vaginal dryness” in the Chamber of the House of Commons, but it is a fact of life.

The stories that women are sharing with me are often really distressing: from women who have struggled for years with no support and feel it has ruined their lives, to women who have experienced early menopause due to medication or surgery and feel that they are literally on their own; and from women who have experienced some of the most extreme physical symptoms and those whose mental health has really suffered, struggling in silence because that is what they thought they had to do and did not know what was happening to them.

In the public engagement survey earlier this year, Helen shared her story. She told us:

“My perimenopause symptoms started at 41....by the time I was 42, I had developed palpitations and anxiety attacks. I suddenly couldn’t leave the house or meet people and was scared all the time that something was seriously wrong with my heart. I was a shell of the woman I used to be.”

Then there are those who have taken the next step and visited their GP to ask for help, only to be turned away or sent packing with a prescription for antidepressants. I am not pointing the finger at GPs because I know how hard they work, but there is a woeful lack in their training and understanding of the menopause. Many are not able to join up the dots and women go undiagnosed.

In our survey, Catherine explained how she had experienced that exact problem. She said:

“With my own research I’ve had to work hard to convince my GP that constant increases and changes in antidepressants weren’t working and my difficulties were hormonal. I nearly lost my job and my husband...it’s taken 6 months to finally receive the HRT I need. Within 2 months of taking HRT I have successfully weaned off antidepressants, been able to start exercising and my home, work and personal life is”

completely “transformed”.

It does feel like we are starting to turn a corner. If we can just bring all the pieces of the jigsaw together, we can change the future for ourselves, our daughters, for our daughters’ daughters and for women who follow on behind us forever more. We can stop menopause being something people are afraid to talk about. We can help to ensure that everyone understands the symptoms so that women know what is happening to them and family and friends are able to support them. We can make sure that women get the right diagnosis and the right treatment plan for them to help to alleviate their symptoms, and we can ensure that every workplace is a menopause-friendly workplace so that women can continue to succeed in their careers. It is time for change. It is time for the menopause revolution. Women want it, women need it, and women deserve it.