The menopause is when women鈥檚 periods stop, their oestrogen levels drop and they鈥檙e no longer able to get pregnant naturally.听It鈥檚 a natural part of aging but can also be brought on by some medical treatments such as surgery to remove the ovaries or womb, or chemotherapy or radiotherapy to treat cancer.

The NHS says that menopause usually occurs between 45 and 55, with the average age in the UK 51. But symptoms can begin earlier as your body starts to make the transition - known as the perimenopause - and carry on after.

What are symptoms of menopause?

Menopause affects every woman differently. Some women have no problems or just brief effects, but for others symptoms can last several years and even have an impact on day-to-day activities.

Common symptoms can include hot flushes, night sweats, reduced sex drive, anxiety and depression. But our member Emma Cullinan, of , says the menopause is a very personal journey for each woman and therapy needs to reflect this.

"Not all women have hot flushes and the majority don't suffer from depression," she says.听鈥淭here are still unknowns regarding the mental effects of menopause. For instance, research has found no link between poor concentration and menopause, yet some women report one.鈥�

is an executive coach working in the corporate environment.听She says: 鈥淚t鈥檚 frightening to realise you鈥檝e become forgetful, distracted and unable to concentrate; that your emotions are unpredictable, your body is changing and you鈥檙e tired all the time.

鈥淔or some women, your sleep is affected, night sweats leave you drenched and your waking hours regularly involve catastrophising thoughts and high levels of anxiety. Sweats during the day are uncomfortable and public with embarrassing facial flushing you can do nothing about.

鈥淵ou may crave food, gain weight more easily than before and find it extremely difficult to lose it. Your sense of your physical self changes with increases in weight, together with fear of never being the self you'd always been before, and the worry that to complain about it sounds superficial and ridiculous.鈥�

How can counselling help?

Emma says there鈥檚 a danger of attributing all mental health issues in women over 40 to the menopause. Counselling allows women a safe space to explore a range of issues affecting their mental health, of which the menopause may be one.

鈥淲omen鈥檚 mental health is perceived to be at the mercy of their reproductive systems," she explains. "Menopause does affect feelings and its symptoms can contribute to feelings of sadness, anxiety and low self-esteem. But at this age women are juggling many things.

"They may be facing the end of a relationship, children could be leaving or returning home, or they may have an ill partner or parent. They may be challenged at work and face replacement by younger people or perhaps be in a dead-end job with nowhere to go."

Emma adds: 鈥淭herapy needs to explore what is at the root of any issues. It can offer tailored and wide-ranging help by addressing concerns in the context of culture, a person鈥檚 history and present, their family, relationships and how society regards ageing woman 鈥� as well as menopausal symptoms.鈥澨�

How can coaching help menopausal women in the workplace?

Mich猫le says 'knowledge is power' and women understanding what they鈥檙e going through is key to coping with the menopause and thriving beyond it.

鈥淭he normal working environment seldom takes menopause into account and sadly, there鈥檚 little talk about it," she says. "Women often don鈥檛 realise what they鈥檙e going through and they don鈥檛 want anyone else to know.

"Women choose to stay silent and suffer. Who but the very bold will announce they鈥檙e menopausal and may need this taken into account?"

She says this is where an experienced therapeutic coach can make a huge difference.

鈥淲hat鈥檚 so wonderful about coaching professional women in their 40s and 50s is that I can make a difference precisely at this time.

"I鈥檓 there when they begin to describe these changes, usually because they鈥檙e worried they鈥檙e suddenly becoming less effective, more tired, less resilient and have no understanding why this is happening. But they have physiological reasons for these apparently intellectual and emotional symptoms.鈥�

Mich猫le works with clients to develop strategies to cope with issues such as working hours, juggling family and work life and body image.

鈥淎 coach who understands what鈥檚 happening can make a huge difference,鈥� she says. 鈥淔or women in key positions, being better able to cope during menopause will have a positive impact not only on them, but on their teams and beyond.

鈥淎nd they, in turn, will be able to pass on their knowledge and experience to younger women approaching menopause, to provide a supportive environment at work and normalise the effects of this often challenging metabolic process.鈥�

If you have any comments or would like to share your story, please get in touch with us.听

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