What we covered in our chat
In this episode, I sat down with Lisa Saunders to talk about perimenopause and menopause, a topic that remains under‑discussed in many workplaces, despite affecting a significant portion of the workforce. Lisa explained how perimenopause can begin as early as the mid‑30s or early 40s, long before menopause itself, and how fluctuating hormones can impact women physically, cognitively and emotionally.
For many, these changes appear gradually and without clear explanation, making the experience confusing and often isolating.
The impact on confidence, performance and wellbeing
Lisa shared how symptoms of perimenopause vary widely from person to person, including fatigue, brain fog, sleep disruption, mood changes and reduced confidence. One of the most striking insights was how many women internalise these changes, questioning their capability or resilience rather than recognising a biological transition.
In workplace settings, this can show up as self‑doubt, withdrawal from leadership opportunities or increased stress. From a wellbeing and safety perspective, this lack of awareness increases risk — both for individuals and for organisations that may misinterpret what’s happening.
The role of awareness, flexibility and allyship
A major focus of our conversation was what workplaces can do better. Lisa emphasised the importance of education, open conversations and flexibility which are practical supports that can make a meaningful difference.
Simple adjustments such as flexible hours, temperature control, workload conversations or access to private spaces can significantly ease the experience.
We also discussed the role of men as allies. When leaders of all genders understand menopause and feel confident talking about it, stigma reduces and psychological safety increases. Lisa strongly encouraged women to advocate for themselves and to track symptoms so they can have informed conversations with healthcare providers and managers.
Final thoughts
My biggest takeaway from this discussion is that menopause is a workplace issue, not a personal one. When organisations acknowledge it openly and respond with empathy and flexibility, they retain experience, capability and trust. Supporting women through this life stage is not just good wellbeing practice but it’s also good leadership.
Written by Tom Bosna
April 2026