The gender pay gap means women on average earn just 85 cents for every dollar made by men, with many cases made worse by differences in education, job type, and work experience. Now a new Stanford University study highlights another issue decimating women’s paychecks. Released in March 2025, this study found that women who seek medical care for their menopause symptoms see a 10 percent reduction in pay within the following four years. We spoke with experts—physicians specializing in hormonal health whose companies also provide innovative menopause benefits—to explore how to support women’s careers, retain top talent, and address this major pay equity issue.
Led by Petra Persson, an economist, professor, and faculty fellow at the Stanford Institute for Economic Policy Research (SIEPR), the study aimed to quantify the financial toll of entering perimenopause and menopause. The findings confirmed what many women already know: common menopause symptoms like hot flashes, brain fog, and fatigue translate directly into economic loss as women cut back on their work hours or quit altogether.
“For decades, social scientists have analyzed the ‘motherhood penalty,’ but until now, we haven’t known what the financial consequences are for women at the other end of the reproductive spectrum, when they enter menopause,” Persson told the Stanford Report. “We have parental leave policies, and we have policies that support workers when their productivity dips for health reasons, so it makes sense to also have policies that help women during the menopause transition,” she added, noting that 20 percent of working women have reached that life stage.
According to The 2025 Bonafide State of Menopause Survey, menopause benefits — a combination of medical, mental health, and professional support — offset the impact of menopause and enable women to extend their careers. Though 71 percent of all women surveyed reported that they were unprepared for how disruptive menopause symptoms can be — an 8-percentage point rise since 2023 — just 12 percent of employed respondents reported that their employers offer accommodations for their symptoms.
It’s a costly disconnect. In 2023, a Mayo Clinic study including over 4,400 employed women as subjects identified that menopause symptoms result in $1.8 billion of missed work time annually in the U.S.
“Menopause support is not a ‘perk’ — it’s a productivity, retention, and equity strategy,” says Dr. Cristina Del Toro Badessa, a physician and hormone health specialist currently working with Artisan Beaute. “Women at midlife often hold senior, high-impact roles. Supporting them through this transition is both the right thing to do and a smart business decision that directly impacts the bottom line,” she said.
Because menopause’s effects and symptoms vary widely among individual women, experts recommend offering a menu of benefit options for employees.
“When I think about what makes menopause and perimenopause benefits effective, the most important aspect is that they are comprehensive,” says Asima Ahmad, obstetrician, reproductive endocrinologist, and obesity medicine specialist. Ahmad also serves as the co-founder and chief medical officer of Carrot Fertility, she says her own company offers telemedicine consultations for hormone replacement therapy, non-hormonal treatment options, mental and emotional support, clinically supervised education, access to nutritionists, expert-led group sessions, office menopause break rooms, and access to other holistic care options.
A flexible, hybrid work schedule can also be a “game-changer for managing symptoms,” she says. “In our 2023 Menopause in the Workplace survey, 72 percent of respondents reported having to deal with feeling self-conscious or uncomfortable after experiencing a menopause symptom at work,” says Ahmad. “Many of these women also reported having to use the restroom for privacy during the workday or take time off of work, with the majority of respondents concealing the real reason for their time off. Providing flexible work hours or the ability to work from home means that women don’t have to take time off to manage their symptoms or feel embarrassed.”
Though many women report “not feeling like themselves” and consider making major life changes during menopause, Ahmad emphasizes that many symptoms, like memory lapses and mood swings, are often temporary and transitional. “While these symptoms may be highly interruptive for a period of time, most women we see eventually recover,” Ahmad says, suggesting that employees shouldn’t necessarily make permanent career changes.
According to the Cleveland Clinic, symptoms tend to begin in one’s mid-40s during perimenopause and last for an average of seven years.
Ahmad adds that addressing a long-standing stigma around menopause in the workplace could help alleviate feelings of isolation. Menopause benefits send a strong message to women that they are valued in the workplace at all stages of their reproductive cycles, from fertility and pregnancy, to postpartum recovery, through the menopause transition, and beyond.
As for the pace of progress, the Bonafide Health survey suggests that the workplace has become more welcoming in “baby steps,” but has a long way to go.
“Companies that act now will be ahead of the curve,” Ahmad tells Inc.
The opinions expressed here by Inc.com columnists are their own, not those of Inc.com.
Lauren Gray
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