Equality Act 2010 Guidance: Gynaecological Conditions

Debate between Christine Jardine and Alec Shelbrooke

Tuesday 3rd November 2026 Westminster Hall

[Sir Alec Shelbrooke (Wetherby and Easingwold) (Con)]

It is a pleasure to serve under your chairmanship, Ms Jardine. I congratulate the hon. Member for Hampstead and Highgate (Tulip Siddiq) on an excellent opening speech, which has covered so many of the aspects that we have spoken about for so many years.

I started to raise the issues of endometriosis about a decade ago in this very room. Again, like the hon. Lady, it came to my attention through someone coming to see me in a constituency surgery. I then realised I had a close friend whose wife had suffered from endometriosis since her teen years. What is striking straightaway is how many people do not know about the condition. Therein lies one of the great problems. I remember when I first started doing this, I got lots of comments about why I was bringing this up as a man. I always found that comment particularly strange—surely we are elected to represent all our constituents, and well over 50% of my constituents are women—but it spoke to a greater problem: people do not understand women’s health needs.

Women’s health needs are exceptionally different from those of men. The reality is that men can sympathise, but cannot empathise, because they are unlikely to suffer from chronic diseases throughout their lives, from teenage years through to old age. Women can have endometriosis long after the menopause—it is not to do with being of a fertile age. Also, the growth of the endometrium is not linked just to having a uterus, as it can spread to other parts of the body.

The hon. Member for Hampstead and Highgate outlined some of the problems, but—I am sorry for this, Ms Jardine—I will get a little more graphic and try to paint a picture of what some gynaecological conditions can mean. If a person who has stage 3 or stage 4 endometriosis, there is a real chance that it has invaded their digestive system—indeed, that can be when problems start to become apparent, but by that time, it can have progressed a long way down the line. I am sure that everybody in this room will have suffered from food poisoning or an upset stomach, when—I do not want to be too graphic—they could not get off the toilet. We all know what is like, and it is horrific, but we stay at home, take our salts and fluids, and work our way through it for 24 hours. What happens is that we feel a bit rotten for a couple of days, but then we go back work.

For people who have reached such a stage of the disease, that happens all the time. They will be sitting at work and will suddenly have to rush to the bathroom. One thing that people recognise is that endometriosis can cause heavy bleeding, and how embarrassing that can be for a teenage girl. The very fact that people may soil themselves without realising is a great problem, which needs sympathetic employers to arrange an office space and position things so that they are able to go to the toilet quickly. There needs to be understanding from fellow employees, and we need to make sure that employers recognise the issues.

I will not dwell on this point, because many other hon. Members want to speak, but education plays an important role. I worked with some girls born in the 21st century who did not know about the condition, which shocked me. If it is taught to all sexes in schools, understanding will come through. If people do not know what a disease is, it is easy to try to dismiss it and say, “This person just takes time off work. Women get heavy periods. They’re just a malingerer—they’re not doing anything.” As I have spoken about for so long, such conditions need to be protected under the Equality Act. I am proud to chair the board of The Endometriosis Foundation, and that our brilliant chief executive officer, Carla Cressy, who has stage 4 endometriosis, has done so much to support people. Research shows that around 90% of affected people experience a mental health impact, and 50% think about taking their lives—unfortunately, about 30 women a year do take their lives. That is how serious the subject is.

If I can leave people with just one message, it is just to think about it. As an employer or a man, think about if you had to go to work every day, not knowing whether you will suddenly soil yourself while sitting at your desk. Think about that, and about how we should be dealing with people who suffer from this terrible disease.

[Christine Jardine (in the Chair)]

I ask Members to stick to an informal time limit of three minutes.