OccuMeno
Perimenopause and Menopause at Work
Evidence-based support for every stage of the menopause journey at work.
Where OccuMeno Is Today
In short
- A separate product in the OccuHer family, alongside OccuFertility
- In development. This page is a preview
- Today you can read the five stages below
The Five Stages
- 1
Perimenopause
The transitional phase leading up to the final menstrual period, typically lasting 2-10 years.
More About This Stage
Defined by irregular cycles and fluctuating ovarian hormone output.
Diagnosis is clinical: serum FSH is unreliable in this window.
Common symptoms
- Irregular periods
- Vasomotor symptoms (hot flushes, night sweats)
- Sleep disturbance
- 2
Early Menopause
The 12 months following the final menstrual period, or within 5 years of the final period (broadly).
More About This Stage
Vasomotor symptoms are typically at peak intensity.
HRT initiation or optimisation is common in this window.
Common symptoms
- Hot flushes (often most severe at this stage)
- Night sweats
- Sleep disruption
- 3
Established Menopause
More than 5 years post final menstrual period, typically with stabilised or improving vasomotor symptoms.
More About This Stage
Long-term HRT users or those who have completed HRT are in this group.
Bone health and cardiovascular risk become the primary clinical focus.
Common symptoms
- Urogenital atrophy (often under-reported)
- Ongoing fatigue (if sleep still disrupted)
- Joint stiffness
- 4
Premature Ovarian Insufficiency (POI)
Ovarian insufficiency occurring before age 40, affecting approximately 1 in 100 women.
More About This Stage
May be idiopathic, autoimmune, genetic (e.g.
Turner mosaic, FMR1 premutation), or iatrogenic.
Distinct from natural menopause with significant additional health implications and often profound psychological impact.
Common symptoms
- Irregular or absent periods before age 40
- Vasomotor symptoms
- Fertility loss (if not yet completed family)
- 5
Surgical Menopause
Menopause induced by bilateral oophorectomy, typically as part of total hysterectomy or risk-reducing surgery (e.g.
More About This Stage
BRCA-related).
Onset is abrupt rather than gradual, producing immediate and often severe vasomotor and hormonal symptoms without the transitional period of natural menopause.
Common symptoms
- Severe and immediate hot flushes (often more intense than natural menopause)
- Night sweats
- Acute mood change
Who Is This For?
- EmployeesKnowledge, language, and tools to navigate perimenopause and menopause at work.
- Employers and HREvidence-based tools to support your workforce through menopause and perimenopause at work.
- OH CliniciansStage-specific functional capacity frameworks, NICE NG23-aligned assessment, and workplace adjustment tools.
Why it matters
The Numbers
- 67%of working women aged 40 to 60 with menopause symptoms say they have a mostly negative effect on their workCIPD, Menopause in the workplace, 2023
- 1 in 3women experience menopause symptoms severe enough to affect their work performanceFaculty of Occupational Medicine, 2023
- 10 yearsaverage duration of menopausal transition for many womenNICE NG23 (updated 2024)