Work loss due to menopause costs $1.8 billion a year in the US

I’m out here doing my best to make Old Broads Sexy Again and the medical community is really yucking my yum. While many of us are trying to make menopause an approachable subject, one that can be discussed without hushed tones or shame, the Mayo Clinic is putting out studies like this. They found that working women in the US between the ages of 45-60 may lose up to $1.8 billion due to menopause. Yes, billion, with a B. The loss is from symptoms being so unmanageable, that women in that age group are either being laid off or quitting. And some say that number is conservative, because this study factored in women who had access to company healthcare and there are plenty of women who don’t.

Working women in the United States may lose up to $1.8 billion each year due to menopause, according to a new study.

Menopause is the time that marks the end of a woman’s reproductive years, or twelve months without a menstrual period. It usually occurs when women are in their 40s and 50s, but the average age is 51 in the U.S. Symptoms include irregular periods, hot flashes, mood swings, sleep problems, vaginal and bladder problems, loss of bone density and higher cholesterol levels — some of which come on gradually.

The study, published this week by the Mayo Clinic, surveyed more than 4,000 women aged 45-60 and found that 15% had either missed work or cut back on work hours because of their menopause symptoms. The study notes that more than 15 million women in the workplace ages 45 to 60.

Researchers also found that over 1% of participants reported that their symptoms were so debilitating that they were either laid off or quit their jobs in the preceding six months.

Dr. Juliana Kling — study author and chair of the Women’s Health Internal Medicine division at Mayo Clinic in Scottsdale, Arizona — said that based on collected data, there’s an estimated annual loss of $1.8 billion in working time.

Kapoor added that the recorded $1.8 billion annual loss is likely an underestimate because the women surveyed had access to health insurance and possible treatments for menopause symptoms, which is not the case for all women in the U.S.

[From People]

I’m being flippant but I am genuinely distressed about this. We’ve discussed the symptoms before. Many of them would affect job performance. Brain fog is a particular challenge. What I’m having trouble with is that menopause is finite. Laying someone off or quitting for something that will end is scary. I know peri can last up to four years, but there has to be a way to manage being a woman in the workplace, this can’t be the answer. The article noted that the study found women also felt they couldn’t talk about menopause in the workplace and that’s probably why they aren’t getting help. Smart companies should give every 45 year old woman in their employ a personal fan with their company logo on it and soak up the free advertising every time that woman has to bring it out to deal with a hot flash.

Obviously, the biggest concern is women losing money due to a milestone they will all pass through if they’re lucky enough to live that long. Granted, not all will suffer debilitating symptoms, but clearly enough to lose a collective $1.8 billion. What I’m focusing on is the women being removed from the workplace. I worry that employers will use information like this to weed out women of a certain age as job candidates. Professional resume builders already tell women to hack their work experience so HR can’t guess their age prior to the interview. So newlyweds are filtered because of their potential for pregnancy and choosing to stay home after maternity and now capable middle aged women will get filtered because a study suggests they’ll vacate or be forced out of that position after the company has paid to train them. I just wish they’d stop finding new ways to stack the odds against us.

Add this to the University of Birmingham announcing that there’s a rise in throat cancer because of oral sex and it’s like the medical community is out for us.

Photo by Vlada Karpovich and RODNAE Productions via Pexels

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44 Responses to “Work loss due to menopause costs $1.8 billion a year in the US”

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  1. Shawna says:

    Studies like this should justify more research in menopause management and medicine. The US only cares about how productive you are, so if it’s understood as the entire *country* losing productivity, maybe the money interests will actually get some more scientific research started.

    • angrypineapple says:

      Yes! I can’t believe drug companies are not spending more on this research to find pills they can sell to big percentage of women. So much capitalism to exploit, Big Pharma! Quite missing out (but also get those pills into testing so they are ready when I need them in a couple of years!).

  2. Flowerlake says:

    I wonder how much male violence and criminality costs the USA.

    My guess is that it’s just a tiny bit* higher than this amount,

    *a lot

    • Blue Nails Betty says:

      I’d be willing to bet more women leave a workplace due to male harassment than menopause symptoms.

  3. Wendy says:

    Between studies like this and the overwhelming push from conservatives (private citizens and politicians alike) to revert back to a 1950s way of life, I share your concerns about this being used as an excuse to remove women from the workplace entirely.

    This is also why I can’t fathom how any cis woman is stupid enough to be anti-trans — babes, why would you make common cause with people who want gender essentialism to guide law and public policy? When they’re done eradicating trans women from public life, what do you think the next step will be from a group of people that truly believe women are defined by their ability to bear children? Think it allllll the way through.

    • julia8524 says:

      Yet many of these red states have no issues turning back child labor laws allowing very young kids to work in very dangerous situations.The whole thing is sickening to me a 50 year old woman is not old anymore

    • wait says:

      Wendy, this is exactly where my mind went. As much as I like to think data is hard and fast, I always notice that results support the message of whoever funded the study. I’m skeptical of the data here. However, I would be happy if the findings prompt more focus on supporting women through menopause instead of treating it like it’s something to be ashamed of and leaving us to manage through it alone. For me personally, perimenopause was miserable and dragged on for years, whereas menopause was a breeze and was over pretty fast.

  4. lanne says:

    I stayed home yesterday from sheer exhaustion. Granted, I have a 7 month old I’m fostering, plus I temp-fostered another 2 year old this weekend, plus my father passed away less than 2 months ago, and I’m helping my mom deal with all of the paperwork, and I’m supposed to be grading papers. I did start hormone therapy back in November and it has been effective–no more hot flashes (but night sweats are creeping back). I’m not moody. But it’s amazing to me how much we expect women to just suffer in silence. Why have I, as an educated middle-aged woman, learned practically nothing about peri/menopause before this year? Why hasn’t think phase of life that all women go through been studying thoroughly? We know a hell of a lot about erectile dysfunction for heaven’s sake. I’d like to know the amount of money spent studying ED in men vs peri and menopause in women. This privileging of men’s health over women’s needs to stop right now.

  5. Mensabarbie says:

    I had to have a hysterectomy at 47- sex following was so incredibly painful. My dr was able to prescribe something to help, which saved me mentally, physically, emotionally. This year, insurance no longer covers a medication “for sex”. Yet viagra remains untouched. It is disgusting how our country and companies treat women. Some look down on countries where women have limited rights- at least they know what they are getting up front.

  6. Mabs A'Mabbin says:

    I had to quit work. Now I’m applying, have been applying, to no avail. Guess I’m too old to be needed anymore lol.

    • HoofRat says:

      I’m guessing the “lol” is ironic. I was under threat of job loss a couple of years ago due to downsizing. Applying for jobs was a nightmare because it was so hard to hide my age, despite my best efforts to do so; applications I filled out wanted my specific University graduation dates, for example. Luckily, I retained my position, but it was so demoralizing to not get one callback. Once this job goes, that’s likely it for my professional career, and I’m not in a position to afford that. The ageism and sexism are real, and so detrimental to everyone.

      • Mabs A'Mabbin says:

        It is. I try to hold back tears, maintain some dignity under a blanket of rejection. Yeah, my lol is ironic because it’s all I can do lest I continually boo-hoo.

  7. Delphine says:

    You know what’s really messed up? The fact that menopause is being calculated at a dollar loss for the economy when we don’t get paid shit for all the unpaid labor we’re doing at the same goddamn time

  8. ClaireB says:

    I’m in this age range and considering trying to find a new job. I feel like they’re telling me I shouldn’t bother. Why don’t they actually bother studying menopause and really learn more about the process and the effects of the various treatments and non-treatment? I know American culture doesn’t value women, but I hate when I come up against it like this.
    It seems like they’re going back to the whole “women are hysterical and too emotional to do any real work” idea. Next they’ll be coming for our credit cards and property because we’re too “feminine” to handle them.

  9. Concern Fae says:

    This type of study is garbage. They are assuming that if someone calls in sick, the work they would have done that day never happens. Which is bullshit. It’s all just generated to justify bosses and HR departments to treat employees as disposable.

    The real issue is that people are so overworked and micromanaged that normal life stages become barriers to staying employed.

  10. Nicole says:

    This story is incredibly depressing. I am a 48 yo woman and I am peri and had hysterectomy 6 months ago. The struggle has been real and difficult. I definitely noticed a change in my body in the last 2 years. I got tired sooner, and almost always have to take a break mid afternoon due to general fatigue. There just doesn’t seem to be enough rest on the planet and at the same time, my quality of sleep sucks.

    I would love for this study to be the beginning on symptom management. (I can’t take hormones because of blood clots). But as someone mentioned above, America will use it to squeeze women out of the workforce (like ageism isn’t already a thing because of the general expense of the 55+ workforce) due to loss of productivity. In America, you only have value if you’re productive. I’m lucking in that I have a remote position with a lot of flexibility, but my job is increasingly becoming a unicorn post Covid.

    • TwinFalls says:

      It’s oral birth control that has the risk for blood clotting.

      Estrogen delivered at a lower dose via a patch or gel (both FDA approved) to treat perimenopausal symptoms does not have the blood clotting risk.

      There is not only a lack of information, there is so much misinformation as well. And coming from within the medical community. Your average obgyn is likely to be worthless for help re peri and menopause.

      This study can go pound sand.

  11. Torttu says:

    Agree with you all above, the “money loss” angle of this study is baffling. A better study would have been how to help women get through menopause and keep their careers going (if they want to – the whole idea of any kind of “career” has started to sound so crazy to me, I love that book Bullshit Jobs by David Graeber).
    I was not surprised by hot flashes, but losing my interest in everything was weird. And skin and hair rapidly changing makes me angry.

  12. EasternViolet says:

    Thank you so much, hecate for keeping this dialogue going! I am in menopause now. I also have a history of breast cancer so my doctors (onc and family) tell me that HRT is a no-go for me. Without HRT, there is NOTHING, no support, not even a suggestion. Its so frustrating. I have a cluster of symptoms: insomnia, severe brain fog, joint stiffness and skin itching. The last one is the absolute worst as there is nothing that really helps. Well… except for reactine, but I am very sensitive to it and it causes such severe derealization and depersonalization that I couldn’t even imagine taking it during the day. I’m not down on my doctors, as I have a wonderful and caring medical team, but the medical system itself completely ignores menopause and its symptoms. (I’m in Canada for context, I don’t have huge access to specialists unless ordered by the doctor and that’s usually if you are near dying to see a gyno). Keep up the dialogue! Thank you for letting me vent!

    • lanne says:

      Get a second opinion on HRT. My mom had breats cancer 3 times, and she was on a non-hormone replacement Evista, I think? I’m on a low-dose HRT right now (I tested negative for BRAC gene, even though my mom had her 1st bout of breast cancer at 29, and I have materal and paternal aunts who’ve died of BC). I’m on HRT right now. The HRT study in the 1990s was flawed, and didn’t account for differences in women’s ages. I’m getting monitored closely, but HRT isn’t necessarily a no-go.

      • EasternViolet says:

        Yeah… I am not sure how much I am willing to push on this issue. Again, Canada… and four doctors (ALL WOMEN) did not support it and advised against it … so I would have to literally take on the entire local medical profession. I have such a great working relationship with my team that I don’t want to rock that boat… plus I do not have the energy to put in the emotional labour to accomplish it. I hear this ALOT from American women BTW. There isn’t really a such thing as a second opinon here… but I have discussed with 3 Primary practitioners and my oncologist… all have the same take. Not much else I can do. But thank you for your response.

  13. K says:

    To all the comments..YES. this is a debilitating, lonely and terrifying time for me right now. All I can do is try to supplement, exercise and meditation. I have a script for Effexor but scared to try it. My anxiety has spiralled. Ugh.

    • EasternViolet says:

      I’m on effexor, and it made a huge difference for me… felt immediate relief. Its scary reading about it online, because some people do not respond to it well and it is not easy to wean off, but it made a massive difference for me. Good luck to you! (I was scared too)

      • K says:

        Thanks for sharing. If you don’t mind..did you have any bad side effects the first couple weeks? Like irritation, extra moodiness or weight gain?

      • EasternViolet says:

        I don’t mind at all. For the first week, I felt a little spaced out, but I had no anxiety, so I didn’t mind — it felt like my brain had a holiday. I went from the starting dose to my current dose in 3 weeks (double the starting) — and the first week was more dramatic. I don’t know if weight gain was an issue – as I am menopausal, so yes there is some, but probably nothing over and above what my body would have normally gained. Constipation was an issue, which is easily treatable with diet and such. Right now, (its been almost 2 years), I am “myself”. I recommend taking a couple of extra tablets and keeping at work or in your purse, as you will feel wonky/weird if you skip a dose. If you have any more questions, or would like to chat more you can find me at eastern_violet on IG. No pressure at all.

      • K says:

        @Easternviolet how absolutely lovely and kind of you. I truly appreciate the info and your compassion.

  14. Nicegirl says:

    Thank you for this post Hecate.

    Struck by Delphine’s comment about the economic calculations and our wages and how they factor into this shitshow as well.

    Thanks for the comments celebitches. I appreciate being able to learn so much from other women sharing information.

  15. Soni says:

    I’m 46 and peri menopause started 3 years ago for me. Although this study sucks, is definitely felt the real damage of menopausal symptoms when I started a new job two years ago and ended up quitting bc of brain fog, memory loss, fatigue, etc. my 10 year old also needed additional help after being diagnosed with dyslexia so I ended up quitting. I’m one of the few people lucky enough to be able to do so, although it does put pressure on our finances. Now I’m working part time at a tennis club where I don’t have as much stress as I had as an attorney. I holding off on HRT- I don’t really know why. I think it’s bc it’s hard to accept I’m in that age group. But eventually I’ll have to get on it. I just wish I knew ahead of time what was about to hit me before I left my previous cushier job. I have no idea what the future holds for me career wise which is scary.

  16. julia8524 says:

    OK Corporate already tries to push older women out of the work force and make it very difficult to re enter.This study will just give them ammunition.

  17. waitwhat says:

    Didn’t notice the byline, but when I read that first line of the article I knew it was Hecate. Love your writing, you sly fox!

  18. Pam says:

    You know, other illnesses and conditions ALSO affect the company bottom line as far as productivity is concerned (active alcoholism and drug addiction, diabetes, cancer, etc). Why are they concentrating on this? Oh, right…older women… I’m older, I’ve been through menopause, and while the brain fog somewhat hampered me, I was able to make allowances without affecting “the bottom line.” Companies should afford all their workers the opportunity to recover, or to make all the modifications they need to deal with their condition.

  19. AmB says:

    Oh, I’m so relieved! It’s not ageism + sexism, it’s … something something that isn’t science but maybe sounds sciency if you’re not paying attention!

    I’m being sarcastic. This is just more of the same old ageist, sexist garbage.

  20. K says:

    Thanks for sharing. If you don’t mind..did you have any bad side effects the first couple weeks? Like irritation, extra moodiness or weight gain?

  21. Emily says:

    The medical community ignores women and our hormones. As teens, we’re told to deal with painful periods by taking birth control. After we have kids, we’re given anti-depressants before looking at other factors like our hormones or thyroid. I imagine the pattern continues as we age. Half the population is ignored while billions is funneled into penis pills.

  22. Rackel says:

    I wish everyone could just be human about this. Some women need services. It’s not fair to ask us to find a man to take care of us. Maybe we don’t want to be beholden to someone like that.

    My solution is women have available 5 unpaid days a month to stay home. Im not asking to be paid. I know that would create a burden. But I know I would be able to work in more environments if I could simply take a few unpaid days off– IF need be. Possibly not even every month.

    How many teen girls have to graduate from alternative high schools due to illness? No one speaks about that.

  23. julia8524 says:

    Raise the age of Social Security to 70 but push women out of the workforce at age 50.Makes alot of sense to me

  24. Gelya says:

    I am Stay at Home. I don’t even know how to work right now. Hot flashes, joint pain, insomnia, brain fog. Right now I have one of the famous peri UTI’s.
    I saw this article a few days ago and it annoyed me. Now, we are a financial loss to privilege white men who can’t make a dollar off us anymore.
    I also read the pharmaceutical companies do not want to put money into Peri because it would be a financial loss and no profit gain.
    Peri women are truly the lost generation.