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Menopause and the Workplace: Why 41 Million Women Can No Longer Be an Afterthought
She is leading the meeting. Managing the budget. Mentoring younger employees. Caring for aging parents. Texting a college-aged child between presentations. And trying to remember why she walked into the conference room in the first place.
If this feels familiar, you are not alone.
More than 41 million women over the age of 40 are currently in the U.S. workforce. We are not talking about a niche population. We are talking about a significant portion of the talent, leadership, expertise, and institutional knowledge that keeps organizations running.
And here is the part that should make every employer pay attention:
The average age for a woman to assume her first executive leadership role is approximately 54.
The average age of menopause is 51.
Many women will spend 15 years or more of their working lives in the menopausal stage.
Jennifer’s Story
Jennifer sat across from me, tears filling her eyes.
"I don't recognize myself anymore," she said.
She wasn't talking about a major life crisis. She wasn't talking about losing herself in the way we often imagine. She was talking about looking in the mirror and not seeing the woman she remembered.
Her body had changed.
Her clothes fit differently. Her waistline had shifted. Her skin felt different. Her hair no longer behaved the way it once did. She noticed her eyelashes were thinner, her eyebrows less full, and her face looked older to her. She found herself searching for the younger version of herself, wondering where she had gone.
"I feel like I am disappearing," she told me.
But what Jennifer was experiencing was not disappearance.
It was transformation.
And yet, for many women, the physical changes of midlife bring an enormous amount of shame. The changes themselves are difficult enough, but the stories we attach to them can be even more painful.
For decades, women have received the message that beauty is tied to youth. We are surrounded by advertisements, media, and cultural expectations telling us that aging is something to fight. Wrinkles should be erased. Gray hair should be covered. A changing body should be corrected. A woman's value often feels connected to whether she still looks young, desirable, and effortless.
The message is clear:
Do not age.
Do not change.
Do not become different.
Nothing Fits Anymore
Not my jeans. Not my emotions. Not my schedule. Not even the life that used to feel so familiar.
For many women, midlife arrives quietly. At first, it's just a pair of pants that suddenly won't button. A favorite blazer that feels snug across the shoulders. Leggings that dig into your waist. Bras that pinch. The zipper that refuses to cooperate. You catch a glimpse of yourself in the mirror and wonder, When did this happen?
Then you pull at the waistband trying to smooth the muffin top spilling over your once-favorite jeans. You tug at your shirt, trying to disguise the fullness around your middle. You feel squeezed, compressed, constrained, swollen, puffy, uncomfortable, and somehow like a stranger in your own body.
You don't recognize yourself.
It isn't simply about gaining weight. It feels as though your body has started following a new set of rules without giving you the instruction manual.
One of the biggest reasons is estrogen.
Invisible
There is a particular kind of grief that comes from slowly disappearing.
Not physically, but psychologically, emotionally, and relationally.
For many women, invisibility does not happen overnight. It happens gradually through years of messages, expectations, and roles that teach them to become smaller.
Be agreeable.
Don't be too ambitious.
Don't be too emotional.
Don't be too loud.
Take care of everyone else first.
Don't make people uncomfortable.
By the time many women reach midlife, they realize they have spent decades becoming exactly what everyone else needed them to be. They have been the caregivers, the supporters, the problem-solvers, the emotional anchors, and the ones who hold everything together. Somewhere along the way, many women stop asking, "What do I want? What do I believe? Who am I becoming?"
This is what I call The Invisible Woman Syndrome.
Why You Still Don't Feel Like Yourself: Midlife and Your Nervous System
I am a big believer in and user of Hormone Replacement Therapy (HRT). I love my estrogen patch so much!
In fact, I wish someone had introduced it to me during perimenopause.
During my prime days of perimenopause, I woke up in the recovery room after shoulder surgery, sat straight up on the gurney and yelled, “I’ve got to get up. I’ve got to get out of here. I need to make sandwiches.” To which my kind nurse, Mary (I was in Boston, so all the nurses were named Mary), said, “You aren’t getting up, you aren’t getting out of here and you AIN’T making nobody no sandwich.”
My cortisol cup was overflowing. I had obligations. Responsibilities. I NEVER rested.
Looking back, I am certain HRT would not have magically solved the difficult circumstances I was navigating. It wouldn't have erased stress, changed relationships, or removed the emotional weight I was carrying. But it could have offered my body meaningful support during one of the biggest physiological, psychological, emotional, and relational transitions of my life.
The unfortunate reality is that many women were never given that opportunity.
The Midlife Parking Lot
I don't pay much attention to my dreams.
Most mornings they disappear before my feet hit the ground. But every once in a while, a dream lingers. It follows me into my first cup of coffee, tapping me on the shoulder and refusing to be ignored.
This dream did exactly that.
I found myself driving an oversized SUV. It was comfortable. Familiar. Easy to drive. I felt capable behind the wheel.
Yet I spent the entire dream trying to park it.
Over and over again.
I wasn't crashing. I wasn't lost. I wasn't even anxious about driving. I simply could not seem to find the right place to stop. I wanted to park the car, get out, and move on with my day. I had somewhere to be. Things to do. A life waiting for me.
But something kept preventing me from settling into a parking spot.
As I reflected on the dream, another detail stood out.
There was a bright blue van nearby, a smaller European-style vehicle with an incredible turn radius. It could maneuver effortlessly. It seemed agile, adaptable, and capable of changing direction without getting stuck.
What I Wish I Had Know in 2008
I turned 40 in 2008. (I see you doing the math!)
The timing could not have been more interesting.
The country was navigating the worst financial crisis since the Great Depression. Retirement accounts were shrinking. Home values were falling. The news cycle felt relentless. At the same time, I packed up my life and moved north to New England with five children in tow.
I suddenly found myself learning an entirely new culture.
I had to understand an accent. (Cue Dunkin')
I had to learn how to heat a home with oil and radiant heat.
I had to navigate private schools, public transportation, Nor'easters, humidity that transformed my hair into a science experiment, and a daily obsession in the Boston media with Tom Brady and Gisele Bundchen.
I learned that people were fiercely loyal to the Red Sox, that weather was a legitimate conversation topic, that "wicked" could be used as an adjective for almost anything, and that eating a lobster roll incorrectly might reveal I wasn't from around there.
Most confusingly, I often couldn't tell whether someone was talking about their car keys or their khakis.
I had moved several times throughout my life and had developed a simple rule: give yourself six months to settle in.
This move was different.
There were external stressors everywhere. We lived in a neighborhood where sirens were common. I watched my children closely. I spent my days racing between schools, activities, sports, playdates, and trying to help everyone establish a new sense of home.
At the same time, there were internal stressors I couldn't see.
Why Midlife Women Are So Exhausted: The Untold Story of Sleep, Motherhood, Hormones, and Hypervigilance
I was unaware of the impact midlife would have on my body and, more specifically, my sleep.
Once I finally drifted off and knew the children were safely tucked into their beds, I began waking wide-eyed at 2:37 a.m., unaware that my body was changing and that sleep would remain as elusive as a Costco receipt when you actually need to return something.
Apparently, motherhood was not the final boss of exhaustion.
Midlife said, "Hold my chamomile tea."
The frustrating part is that for years many women blamed themselves. We thought maybe we weren't disciplined enough. Maybe we drank too much caffeine. Maybe we needed a better routine, less stress, more yoga, fewer screens, more magnesium, colder rooms, warmer socks, blackout curtains, white noise, meditation apps, breathing exercises, tart cherry juice, less wine, more wine... honestly, the list became exhausting in itself.
I knew sleep mattered, and I tried almost everything:
a glass of wine (or two), gummies, melatonin, magnesium, strict sleep schedules, calming tea, sleep meditations, avoiding screens, reading before bed.
Sometimes it worked.
Sometimes it absolutely did not.
And when it didn't, I became increasingly frustrated. I quietly wondered what was wrong with me that I couldn't seem to do this very basic human thing correctly anymore.
Sleep.
The Hidden Grief of Midlife
There is a moment many women experience in midlife that feels impossible to explain unless you've lived it yourself.
A quiet panic.
A heaviness.
A feeling that somehow life is... ending.
You look around and suddenly become aware of time in a way you never have before. Your body changes. Your children grow up. Your parents age. Your marriage may feel unfamiliar. Your career may no longer fit. You begin taking inventory of your life and asking questions you once avoided:
Is this all there is?
Did I become who I wanted to become?
Do I still have time?
What happens now?
For many women, midlife feels like standing at the edge of the unknown. And the unknown is terrifying.
We are confronted by aging, mortality, shifting identities, and the uncomfortable awareness that life is finite. We begin organizing paperwork, worrying about health, thinking about retirement, or feeling urgency around unfinished dreams. We become acutely aware that death will eventually knock on our door.
And yet, strangely, almost no one prepared us for this season.
We educate girls thoroughly about puberty. We prepare women extensively for childbirth and motherhood. Entire industries, bookshelves, and medical systems are devoted to those transitions.
But when it comes to midlife, menopause, and "the change," many women are handed silence.
Little information.
Little research.
Little guidance.
Little regard.
And if you have XX chromosomes, this transition will happen to you.
Midlife: The Winds Are Changing
"Winds in the east, mist coming in. Like something is brewing, and 'bout to begin..."
— Bert, Mary Poppins
I am reminded of one of the scenes from Walt Disney's Mary Poppins, where the children ask how long their beloved nanny will stay with the family. Mary Poppins lovingly responds, "I'll stay until the wind changes."
The wind is changing as we head into midlife.
I believe it is time to call this season Midlife Reimagined.
Because we are not the same women we once were.
For decades many of us stayed in motion with the same goals, the same hustle, the same pace, the same striving, the same desire to hold everything and everyone together. We became caregivers, partners, mothers, professionals, volunteers, helpers, emotional support systems, planners, peacekeepers, and performers.
And then one day we wake up and barely recognize ourselves.
Midlife "Wreckoning": When You Wake Up and Wonder, "What Happened to Me?"
Some women call it burnout.
Some call it hormones.
Some whisper about it quietly to trusted friends because they fear sounding ungrateful, dramatic, or unstable.
But for many people, midlife can feel like a wreckoning.
Not just a reckoning with age, but with identity, exhaustion, expectations, relationships, grief, stress, and the body itself.
You wake up one day feeling unfamiliar to yourself.
The weight has shifted. Your patience is thinner. Your sleep is broken. Your emotions feel closer to the surface. Your career no longer fits the way it once did. The roles that once defined you begin changing.
And somewhere inside is a haunting question:
"When did I lose myself?"
How Your Relationship with Yourself Affects Your Relationship with Others
Our current patterns didn’t appear out of nowhere. They are shaped by past experiences, especially those where safety, belonging, or approval felt conditional.
Take the example of growing up as a “Pollyanna.”
Maybe you were the child who stayed positive no matter what. You smoothed things over. You avoided conflict. You learned to focus on the good, even when something didn’t feel right. You may have been praised for being easy, resilient, or mature.
But what happens when that pattern follows you into adulthood?
It can look like:
Deferring to others’ opinions, even when something feels off
Avoiding difficult conversations to keep the peace
Prioritizing others’ comfort over your own truth
Minimizing your needs or feelings
Looking for authority figures to tell you what’s “right”
Moral Injury: Standing Up for Yourself
It started simply.
Two strangers, one bench.
The kind of moment that feels almost cinematic - sun warming your skin, a shared appreciation for the view, condensation sliding down a glass of iced tea. Small talk unfolded naturally. The weather. The light. The ease of a quiet, human connection.
And then something shifted.
It wasn’t abrupt. It rarely is.
Opinions started being tossed into the air like a frisbee - casual at first, almost playful. But then they lingered a little longer. Held a little more weight. The tone subtly changed. What had felt light began to feel… humid. Heavy. Thick.
I noticed it in my body before I named it in my mind.
A slight sheen of sweat.
A tightening in my chest.
A subtle urge to retreat, paired with a strange pull to stay.
Because the conversation had moved into territory that mattered.
Values. Beliefs. The invisible frameworks that shape how we see the world.
And suddenly, we weren’t just talking anymore. We were colliding.
The Physiological Sigh: How to Flip the Script on Anxiety
A small notification in my car. Tire pressure low.
At first, it did not seem like a big deal. I glanced at the tires, nothing looked flat, so I kept driving. For a week. But every time I started the car, there it was. A beep. A message. A reminder that something needed my attention, something extra I had not planned for.
And that word, extra, is often where the sigh lives.
Black and White Thinking and the Threat of not Belonging
I have visited the principal’s office more times than I can remember.
The welcoming fish tank. The glass paperweights with swirled colors of blue and red. The strange comfort of watching bubbles rise while your stomach dropped. All of it contrasted with the paddles hung neatly on the wall—one with holes drilled through it so it would whistle on its way to your bum. A sound you never actually heard, but somehow always imagined.
The bookcases were a distraction if you let them be. Rubik’s cubes half-solved. Snow globes from faraway places. Miniature landmarks. Polished rocks. A brass compass. Souvenirs from travels that felt worlds away from your current reality. Proof that this looming authority figure had a life beyond discipline.
And then there was the desk.
An Invitation to Rethink Power on International Women's Day
I am not here to condemn.
I am here to educate.
To ease the burden of silence.
To invite reflection.
To remind us that human beings were not designed for hierarchy, division, or systems that elevate some while diminishing others. Patriarchy, rigid hierarchies, and power structures that rely on inequality do not lead to flourishing. They lead to harm.
Despite my negative experience with religion, I still claim to be a woman of faith.
And faith, for me, is not a destination. It is a journey.
Journeys are messy. They are rarely direct. They include quicksand and terrifying forests that take the shape of monsters. But they also include sunlight, open fields, and the unexpected beauty of discovering something new about the world and about ourselves.
On my journey, I was taught one particular way of understanding the world. Later, I discovered that some of those teachings hurt more than they helped. That realization required me to do something deeply uncomfortable.
Change my mind.
Is it “Persecution” or a Cult
"Isn't it great? This is exactly what the apostle Paul said would happen. We would be persecuted because we are the true church."
At first glance, that statement can sound faithful or courageous. But when you step back, something more complicated is happening.
Plugging the Dam: Emotional Suppression
In the story from "Hans Brinker, or The Silver Skates" by Mary Mapes Dodge, a boy sees a tiny leak in a massive dam and instinctively plugs it with his finger. He stands there all night, terrified that if he lets go, everything will collapse. The town is safe because he never moves.
Now imagine that dam as your emotional system.
The small crack is the first sign of grief, anger, fear, shame, or doubt. Maybe it was not safe to feel those emotions. Maybe expressing them led to conflict, rejection, punishment, or chaos. So you learned to plug the leak.
You held it together.
You stayed strong.
You did not cry.
You did not rage.
You did not need.
You did not fall apart.
“How Come He Doesn’t Want Me, Man?” — A Teen’s Story of Attachment, Abandonment, and the Patterns That Follow
When Jayden was thirteen, his world didn’t turn upside down all at once. It shifted gradually, small bit by small bit, like a slow erosion. His mom was rarely angry with him, but she was distant in ways he could never name. She didn’t yell. She didn’t hit. Most days she simply wasn’t there in the ways a parent needed to be — emotionally unavailable during his wins, indifferent when he was hurt, and always ready with a gentle dismissal when he tried to talk about anything that mattered. At first Jayden thought that was normal. He thought maybe she was tired, or that kids just didn’t get to be that close to their parents.
When he was five, his father left. There were a few visits — long car rides and promises of “we’ll do fun stuff this summer” — only for dad to cancel at the last minute each time. “Something came up,” he’d say. “You understand.” Jayden learned to nod and say yes because it hurt less to pretend he understood than to watch the car pull out of the driveway and disappear again. Weeks later he would catch himself whispering into his pillow, Why doesn’t he want me?
Making Crumbs Feel Like Care
She was fourteen when she realized she could rewrite the story.
Not on paper. In her head.
In her version, her parent was tired, not distant. Overwhelmed, not uninterested. Doing the best they could with what they had. In her version, the apology that never came had simply happened offstage, quietly, like a scene that mattered but did not need an audience.
When her parent forgot to come to the school event, she told herself they were working late. When the phone stayed silent for weeks, she said, They are not good at this stuff, but they love me. When a rushed conversation happened once every few months, she stretched it, replayed it, added warmth that was not quite there. She made it mean care. She made it mean effort.
This was not lying. It was surviving.