World Menopause Day

Kerry McCarthy Excerpts

Thursday 18th October 2018 Commons Chamber

[Martin Whitfield]

Absolutely, and I am grateful for that intervention. I will come to the matter of the medical profession in just a moment.

The report that Michelle is promoting is intended to increase understanding of symptoms and, in particular, the age at which the menopause begins. Too frequently, it is considered a condition of a certain age, which is so far from the truth. Indeed, when the symptoms start to show, we need to educate not just the general population but health providers in particular so they understand what is being presented.

Just yesterday, a colleague from the Scottish Parliament, Monica Lennon MSP, lodged a motion requesting “equal access” to the menopause clinics that exist up there. I compliment her and the unions for their work up there. They raise the issue that employers have been slow to recognise that those experiencing menopausal symptoms may need special consideration. For too long it has been a private matter. As a result, it is rarely discussed. Many managers will have no awareness of the issues involved, which means that many workers feel they have to hide their symptoms and are less likely to ask for the adjustments they need in order to work. I agree with the motion when it says that this must change. The menopause is an occupational health issue that rests on the desks of managers—male as well as female managers, and managers who are frequently younger than the person who presents before them. There needs to be education about this so that it can be dealt with sensitively but positively, as it will affect 50% of our population at some stage.

Gender equality is not just a women’s issue, it is an issue for society as a whole. We should all wish to live in a society that is fair and equitable for all. There is nothing equitable about a large proportion of our workforce being forced to suffer these health issues in silence. Women are often not comfortable disclosing these difficulties to managers, particularly if they are younger and particularly if they are male. Women still sometimes require time off work to deal with the symptoms, and many are not comfortable with disclosing the real reason for their time off, so it goes unnoticed by employers.

The menopause should be recognised as, among other things, an occupational health issue. With all due respect, employers have been far, far too slow to take on board the requirement to recognise those who are experiencing symptoms. Today is World Menopause Day and a number of things are being asked for, all of which are based on the simple hashtag that has been adopted today: #makemenopausematter. It is a simple request, and it spans schools and education, the workplace and our health professionals, who have a duty and obligation to understand the symptoms presented to them by women who are finding the menopause frightening and challenging and who often find it difficult to discuss the matter within their own families. Today is an opportunity to look at that and address the educational needs that the whole of society requires.

I stand here introducing this debate as a man, and it has to be said that it is time for men to show their solidarity and to break a taboo about talking about the menopause. I ask every man in this place, every man who is watching on and every man in the UK—let me go further and just ask all men—to be brave enough to have the guts to say, “Can you tell me? Can you explain? Will you please share?” I ask them to do that while listening with sympathy and empathy. Sadly, I am all too convinced that if the menopause affected men, it perhaps would not be the problem it is today and we would not be having this debate—it would have certainly have been first raised in this House before July 2018.

[Kerry McCarthy (Bristol East) (Lab)]

My mother has six daughters, the eldest of whom turns 55 tomorrow—happy birthday, Claire. The youngest turns 44 at the end of the month—happy birthday Aimi. I am clearly intervening just so that I can say happy birthday to my sisters in the House. I get plenty of discussion about this issue at home, but I want to thank my hon. Friend for making the point that men need to talk about it, too. He has been brave in bringing this debate forward today.

[Martin Whitfield]

I am grateful for that intervention. It is true that men need to discuss this, but not dominate. It is also important that they listen. I have often stood here and been critical of social media, but if we examine social media today, we see that the support for World Menopause Day out there is very positive. A huge amount of work is being done; there is a huge amount of medical and academic research, and it is good to see people drawing attention to it. Today has also been an opportunity for women to share their experiences on television, radio and social media, which in itself is a huge step forward in breaking the taboo, and it is for men to listen.

--- Later in debate ---

[Rachel Maclean]

Yes, I completely agree. The hon. Gentleman must be psychic, because he has made a point that I was going to make. Before I do so, however, I want to speak about the workplace.

Let me pay tribute to some organisations that are doing an absolutely fantastic job in this regard. I have had quite a lot of contact with West Midlands police through various women who have championed this issue in the workplace. There is a lady called Lesley Byrne—Lesley, if you are watching, keep going! Yvonne Bruton has been running menopause awareness workshops for the police. Imagine the West Midlands police—a very male-dominated and, in many ways, traditional organisation. Female police officers are incredibly brave to say, “I have these experiences. I am not supported and I need adjustments to my working patterns.” They are working through the issues and finding ways to support their female colleagues. At the end of the day, we need good police officers and we need them to stay in the police force, to be motivated and to progress to higher levels.

That work is absolutely brilliant, and there is no reason why every single police force in the country could not talk to West Midlands police, find out what they are doing and disseminate the information among themselves. Indeed, there is no reason why other organisations cannot have a menopause policy, just as they have policies on childcare and maternity leave. It does not cost anything; it is a question of saying, “We’re here and we will listen to you if you need support.” That is my first ask.

My second ask is about education, which the hon. Member for East Lothian just spoke about so eloquently. We of course talk to young girls and boys—I presume this still happens; it is a long time since it happened to me—about puberty, periods, where babies come from and so on. We educate our young people about all those important issues to equip them for life and relationships; why can we not educate them about what happens at the end of their reproductive lives? It is very simple. I spoke to a male colleague earlier who said, “I have no personal experience of the menopause, so how can I talk about it?” I said, “Well, okay, your mother went through it,” but then we did not talk to our mothers about these sorts of things. This needs to come into the school curriculum and to be part of what schools are talking about. Let us look at how we can do that, because surely it is not that hard.

The third aspect of my campaign is around access to advice in GP surgeries. This is where we really do need to do more. I have been absolutely inundated with people contacting me. I have heard quite horrific stories from women who did not get the treatment that is medically proven to be effective, which is hormone replacement therapy. HRT is available on the NHS and actually advocated for women in the guidelines of the National Institute for Health and Care Excellence. However, it seems that there is—I don’t know—a lack of awareness, a lack of information and a lack of empathy among GPs who are not prescribing HRT for women when they need it. I have heard story after story from women who went to their GP, saying, “Look, I am suffering these symptoms.” Again, the reason might be that they are not having hot flushes or night sweats, but they have the other symptoms that are associated with the menopause, and they are just not getting that treatment. GPs are sending them away. Why do some women battle for years to get HRT?

I am delighted to say that the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Thurrock (Jackie Doyle-Price), has already met me to discuss this issue. We very much hope to move things forward with the all-party group on women’s health, which is led by the hon. Member for Dewsbury (Paula Sherriff), and obviously with any other Member who wishes to take part. We really need to do more.

If I may, I will draw my comments to a close by quickly paying tribute to a few campaigners who have given me so much support and information.

[Kerry McCarthy]

The hon. Lady has been very brave in speaking out. So far our focus has been on dealing with the symptoms and the problems. Has she had the opportunity to look into whether diet-related changes could help to alleviate some of those symptoms rather than just medical solutions? In Japan and China, for example, there seems to be much lower incidence of things such as hot flushes, and some suggest that that might be because of the consumption of soya, which has oestrogen in it, although I am not quite sure how it works. Has she looked at that at all?

[Rachel Maclean]

I thank the hon. Lady very much for her intervention. I am certainly aware that my research has only scratched the surface. She is absolutely right to say that diet has a strong connection with wellbeing and health at any point in life. In fact, I am seeking help from a nutritionist myself to try to tackle some of these issues, because they are all interlinked. Perhaps that illustrates some of the lack of understanding that we have generally.

In my list of people to whom I wish to pay tribute, I will, if I may, mention the menopause chef who came to my Menopause Café in Redditch. The Menopause Café is an amazing national organisation. It is about bringing women together to have conversations about the menopause. I held mine in Redditch a couple of weeks ago. I encourage anyone to host a Menopause Café in their constituency. The experience was really moving. Women said that they had learned more about the menopause in that time than they had learned over five years. The menopause chef works out diets that meet women’s dietary requirements.

Diane Danzebrink, a fantastic consultant, tutor and coach, is very active in this space and does a lot of work in the area—I believe that other Members have met her. Dr Louise Newson, a GP, set up the country’s first menopause-only clinic, which is a fantastic innovation. We would all like to see such clinics more widely spread. Lynda Bailey, the co-founder of Talking Menopause, is one of the pioneers in the West Midlands police. Then there is the incredible Hot Flush, which describes the menopause as a club that no one wants to join. It does a lot to demystify some of the symptoms of menopause and to talk about them frankly. Let us just be honest about some of the things that can happen at menopause. Let us just be comfortable talking about things such as vaginal dryness, loss of libido, incontinence and pelvic floor weakness. These are not easy things to put on record standing here in the House of Commons. If women experience these things, it can negatively impact on their ability to form a relationship, to have a relationship with their partner and a whole host of other things. All those things can be connected to the menopause. More importantly, they can be alleviated with the right information and support. Why should women not have the right to a happy, healthy later chapter of their life in all aspects, including in their intimate life? I believe in that very passionately and think that it is so important.

Very quickly, let me mention Detective Chief Inspector Yvonne Bruton, who has pioneered this work in the West Midlands police. Liz Earle, a health magazine and beauty product founder, is also a passionate champion of this issue. Obviously there are many more people involved, but I do not have the space to mention them. Needless to say it is a space that is well populated by passionate women who are just keen to share their knowledge with others.

I will draw my remarks to a close. I could probably talk for hours, but I am aware that I am detaining the House. Let me thank again the hon. Member for East Lothian. I am so delighted that he contacted me and that he applied for the debate. I very much look forward to the Minister’s closing remarks.