For the first time, menopause-related questions will be incorporated into routine NHS health checks, marking a landmark development in women’s healthcare. This update, introduced by the UK government, is expected to benefit nearly five million women in England who experience symptoms such as hot flushes, mood swings, joint pain, and sleep disturbances. The aim is to give these women greater visibility and support by ensuring menopause is included in mainstream healthcare conversations.

Health Secretary Wes Streeting emphasised that women have endured menopause in silence for far too long, often having to “grit their teeth and get on with it” without adequate support. The inclusion of menopause in NHS health checks, which are offered every five years to adults aged 40 to 74, aims to raise awareness so more women recognise the signs and have the confidence to discuss their symptoms with healthcare professionals. According to the Department of Health and Social Care, specific questions focusing on menopause will be developed with input from health experts over the coming months.

This move has been welcomed as a major victory for campaigners and media outlets like the Daily Mail, which has campaigned since 2022 to improve awareness and support for menopausal women. The Daily Mail’s ‘Fix the HRT crisis’ campaign previously highlighted the difficulties many women faced obtaining hormone replacement therapy (HRT) due to supply shortages and secured early successes, including enabling pharmacists to prescribe alternatives and making certain HRT treatments available over the counter.

Menopause affects approximately three-quarters of women, typically occurring between ages 45 and 55, with symptoms lasting an average of seven years. These symptoms, ranging from physical effects like weight gain and joint pain to cognitive challenges such as memory issues and brain fog, can significantly disrupt daily life. Yet fewer than one in ten women feel well-informed about managing these changes, leading to feelings of isolation and distress.

Dr Sue Mann, National Clinical Director for Women’s Health at NHS England, acknowledged that many women feel their symptoms are often dismissed or inadequately supported. She expressed hope that tailoring NHS health checks to address menopause will encourage women to seek help and access appropriate care. Campaigners agree, describing the update as a “major leap forward” in breaking down long-standing taboos and stigma surrounding menopause.

This initiative aligns with wider government efforts to enhance women’s health and workplace inclusion during menopause. Mariella Frostrup, the Menopause Employment Ambassador, has spearheaded partnerships with industry leaders to establish an independent Menopause Advisory Group, aiming to support women in the workforce and reduce absenteeism and early retirement linked to menopausal symptoms. Additionally, government reports have underscored ongoing efforts to encourage workplaces to recognise and accommodate menopause through dedicated policies and support measures.

Access to affordable treatment has also improved recently. Since April 2023, half a million women have benefited from cheaper HRT prescriptions via prescription prepayment certificates, saving over £11 million collectively. The surge in HRT prescriptions in recent years has been partially credited to increased public awareness driven by campaigns and high-profile figures such as TV presenter Davina McCall, whose documentaries have brought menopause into the public eye.

However, experts caution that not all women currently benefit equally from NHS health checks. Janet Lindsay, chief executive of Wellbeing of Women, highlighted that women from marginalised communities are less likely to attend these appointments, raising concerns that progress on menopause support must be inclusive. She urged healthcare professionals to collaborate with grassroots organisations to ensure those facing barriers receive tailored care suited to their needs.

The updated NHS health check guidelines aim to help healthcare staff manage these appointments more effectively, with a focus on reaching high-risk and underserved groups. By embedding menopause within this framework, the healthcare system is taking a critical step toward addressing a historically overlooked aspect of women's health, providing a more comprehensive and supportive approach for millions of women navigating this natural life transition.

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Source: Noah Wire Services