Menopausal Symptoms: Support

Charlotte Nichols Excerpts

Wednesday 9th June 2021 Westminster Hall

[Charlotte Nichols (Warrington North) (Lab)]

It is a pleasure to serve under your chairship, Ms Ghani. I must begin by thanking my hon. Friend the Member for Swansea East (Carolyn Harris) for bringing forward this important topic for debate. She has done an excellent job in helping to raise awareness and to reveal the further changes we can make to ensure that our society is more supportive of menopausal and perimenopausal women.

The menopause is natural—indeed, normal—and is experienced by more than half of the population. It should not be embarrassing or taboo, yet nor should women be required to declare when they experience it. With around 5.1 million women in the UK currently aged between 45 and 55, the menopause affects a huge population at any given time. We should seek to be a society that understands and accommodates the symptoms that menopausal women experience as a standard part of our life cycles. We should recognise that every woman experiences menopause differently, and that 1% of women experience premature menopause, before the age of 40, sometimes induced by medical procedures such as surgery, radiotherapy or chemotherapy. As they have longer years of post-menopausal life, they are at increased risk of health problems such as the early onset of osteoporosis, as detailed by my hon. Friend the Member for Bradford South (Judith Cummins), and heart disease.

We should also recognise that the menopause also affects black, Asian and minority ethnic women, who are too often overlooked in awareness campaigns that do not feature women who look like them. They are disproportionately likely to be diagnosed with menopausal-related conditions such as heart disease, diabetes and depression. What plans does the Minister have to address that?

Nor should we forget that some menopause treatments are incompatible with medicines taken by some disabled women, putting them in a particularly difficult position and hampering their ability to live normal lives. Can the Minister offer anything on specific support for disabled women?

Similarly, LGBT people, including trans men, may have specific issues with being able to access support and appropriate healthcare services if they are experiencing the menopause. What measures will be taken to ensure access to everyone who needs those, regardless of gender or sexuality?

The cornerstone of normalising menopause is, of course, education in schools, including in relationship and sex education classes. I welcome that those were added to the curriculum in 2019 and would like to hear from the Minister details of how widespread that teaching now is. We heard from my hon. Friend the Member for Swansea East important details about alarming gaps in medical school training. Some 41% of medical schools do not teach about the menopause, and we can only imagine how many misdiagnoses that produces. I understand that a third of women do not even seek to discuss the menopause with their GP. Let us hope that better training will lead to increased confidence. This is clearly something that needs to be improved. Will the Minister set out what steps the Government will take to require such training for doctors?

It is similarly clear that we can do better to ensure that GPs fully appreciate the benefits and proper use of HRT. Women deserve to have clear and up-to-date facts when they make such important medical decisions about their bodies. They must not suffer a postcode lottery if some GPs have unhelpful prejudices. How will the Government ensure that?

We have also heard from my hon. Friends the Members for Swansea East, for Pontypridd (Alex Davies-Jones), for Newport West (Ruth Jones) and the hon. Member for East Renfrewshire (Kirsten Oswald) about how women in Wales and Scotland benefit from free prescriptions, including for HRT treatments. Will the Minister tell us the cost of making HRT available for free across the UK to address symptoms that come naturally for so many women? Is that something the Government are considering?

As retirement ages have risen, women are spending more years in the workplace during their menopausal and post-menopausal years. The average age for menopause is 51, but the retirement age for women is 60, so many women will work for at least a decade while experiencing symptoms of perimenopause and menopause. Workplaces now quite rightly have maternity policies, but too few focus on how to support and retain menopausal women. There are many reasonable adjustment that employers can make, as recommended by the National Institute for Health and Care Excellence, the Chartered Institute of Personnel and Development, and the Royal College of Obstetricians and Gynaecologists—for example, considering workplace temperatures, designing uniforms to limit the impact of hot flushes, and being flexible with working hours so that people experiencing these symptoms are not required to travel during rush hours. Those should all be common-sense considerations without being intrusive. They will be of benefit to individual women workers and will help us unlock productivity gains as our workplaces become safer and more equal, with the talent and experience of women able to be realised much more fully. Will the Minister commit to such measures?

I would like to end by asking the Minister what is being done to hear the voice of perimenopausal and menopausal women in the women’s health strategy, which closes next week. Can she guarantee that the strategy will address the discomfort faced by perimenopausal women at work?