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HomeHealth & EnvironmentWhy so many women end up 'menopause masking' - but it can...

Why so many women end up ‘menopause masking’ – but it can have consequences, as I discovered

In a personal revelation that has resonated widely, BBC technology editor Zoe Kleinman shared her struggle with perimenopause-induced brain fog, sparking a national conversation about the hidden challenges many women face during menopause. Her experience highlights the pervasive issue of “menopause masking,” where women conceal symptoms due to stigma, often exacerbating stress and increasing the risk of burnout.

Kleinman’s LinkedIn post about relying on notes during live TV broadcasts due to brain fog drew hundreds of supportive responses, revealing a deep-seated shame associated with menopause symptoms. Despite affecting nearly half the population, many women feel compelled to hide their experiences, from memory lapses to physical discomforts like hot flushes and vaginal dryness.

The practice of masking can have serious consequences. According to experts like Dr. Fionnuala Barton, a GP and menopause specialist, the energy spent concealing symptoms depletes reserves and lowers thresholds for overwhelm, potentially leading to burnout. This is particularly concerning in the workplace, where an estimated four million women in the UK are in the common menopause age range of 45 to 55.

Workplace impacts are significant. A report by The Fawcett Society found that one in ten women aged 40 to 55 have left a job due to menopause symptoms. Others may avoid promotions, work longer hours to compensate, or shift to lower-status roles. Professor Jo Brewis notes that masking creates “intensive margin costs,” adding an extra burden that can affect career trajectories and mental health.

Culturally, attitudes toward menopause vary. In Japan, the term “konenki” means renewal and energy, often described as a “second spring.” Anthropologists point to indigenous communities where postmenopausal women gain respect and leadership roles. However, in many Western societies, menopause is framed negatively, focusing on symptoms rather than potential positive transitions.

In response, changes are underway. In the UK, menopause screening is being incorporated into NHS health checks, and new legislation requires large employers to have “menopause action plans” by 2027. These initiatives aim to reduce stigma and support women, though experts emphasize the need for sensitive management and training to ensure effective implementation.

The menopause market is booming, valued at over $17 billion in 2024, with projections to reach $24 billion by 2030. However, products alone are insufficient; a shift in societal perception is crucial. As anthropologist Margaret Mead coined, “post-menopausal zest” highlights the potential for this life stage to be empowering rather than debilitating.

Ultimately, Kleinman’s story underscores that while challenges exist, open dialogue and supportive measures can alleviate the burden. The outpouring of shared experiences shows that many women are not alone, and embracing a more positive outlook, as seen in other cultures, could transform how menopause is perceived and managed.

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