World Menopause Day — House of Commons, 2018-10-18
Topic: Health
Carolyn Harris (Labour, Centre-left): I congratulate my hon. Friend the Member for East Lothian (Martin Whitfield) and the Minister on their bravery, and I say to every man in the Chamber today: welcome to the sisterhood Some 49.6% of the population worldwide are women, which equates to close to 3.8 billion of us, and with the vast majority of women—in the developed world at least—living way beyond menopausal age, it is about time this issue was taken seriously. For too long the menopause has been one of two things: a taboo subject that women do not dare to admit they are suffering from, or the punchline of a joke that is actually anything but funny Most women will experience the menopause at some time in their lives, and the severity of their suffering varies greatly. About 25% of women are lucky enough to barely notice any changes to their body or experience any of the well-documented symptoms, but for others the menopause can be an unbearable time—stressful, debilitating and completely life changing. Yet many women are completely unprepared for this phase of their lives, which is something that we desperately need to change for future generations. We need to be educating our children—boys as well as girls—so that they understand the impact the menopause could one day have on their lives and relationships The Government’s draft sex and relationships education guidance includes advice on teaching young people about menstruation, but it makes no mention of the menopause, which is just as important and often more difficult. Will the Minister ask the Department for Education, as part of its consultation, to consider extending the guidance to include teaching on the menopause? In doing this, we could help to educate the next generation and put an end to the lack of knowledge around the menopause, which is having a hugely detrimental effect on those suffering today Also having a detrimental effect is the limited training given to GPs on this subject. Too many women struggle when doctors either do not recognise their symptoms, do not prescribe hormone replacement therapy—because they are relying on inaccurate and outdated information—or incorrectly diagnose those symptoms as depression and subsequently offer the wrong medication. This needs to change, and the Department of Health and Social Care needs to play its role and work with patients, experts, the NHS, the Royal College of General Practitioners, medical schools and all health professionals to better educate them about the menopause The NICE guidelines on the menopause were first published almost three years ago, yet many doctors admit that they are either not aware of them or have not read them. Women are therefore relying on the chance that the GP they visit is one of those who has. Healthcare should not be a lottery. Every woman suffering the effects of the menopause is entitled to the same quality of care, but the quality of that care in the UK at the moment needs serious attention. Current treatment options for women are woefully poor. Referrals to NHS menopause clinics take up to six months because of the limited number of places—the result of the ongoing cuts to services. For many women unable to take HRT, particularly those who have had breast or gynaecological cancers, there is no support at all It is not just medical support we are here to talk about. In the UK, the average age women reach the menopause is 51, but about one woman in every 100 experiences early menopause owing to medical conditions, treatment or surgery. The loss of fertility as a result can be devastating for some women, and their psychological health is as affected as their physical health. These women need to be offered counselling as well as advice on how to maintain their long-term health, which can be affected by early oestrogen depletion I have heard cases of women going into debt to fund appointments with private doctors and gynaecologists because they cannot access the care that should be available to them on the NHS. Even more worryingly, the Samaritans’ 2017 report on suicide figures shows that the highest suicide rate for women is for those aged between 50 and 54. It cannot be coincidence that the age of menopause is 51. I find it deplorable that in this country something that affects so many people is so underfunded and misunderstood It is not just the treatment of the symptoms that needs serious attention. Life does not stop for women when they reach the menopause—I am testament to that—even if they are suffering from crippling side effects, and for many this means continuing to work. Women are working in greater numbers than ever, making up 47% of the UK workforce. About 4.3 million of these employed women are aged 50 or over, and this number is set to increase over the next few years. With studies showing that menopause symptoms can have a significant impact on attendance and performance in the workplace, employers need to start looking at what they can do to help these women and improve their own productivity.