{"id":78626,"date":"2025-10-01T00:00:25","date_gmt":"2025-10-01T04:00:25","guid":{"rendered":"https:\/\/todaysveterinarybusiness.com\/?p=78626"},"modified":"2025-09-24T16:03:43","modified_gmt":"2025-09-24T20:03:43","slug":"menopause-in-vet-med-viewpoint-1025","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/menopause-in-vet-med-viewpoint-1025\/","title":{"rendered":"The Biggest Silent Health Crisis in Vet Med"},"content":{"rendered":"<p>What if I told you our profession was largely ignoring an insidious disease among 50% of the pet population? What if I went on to say the symptoms were preventable, yet due to a lack of awareness and understanding, the condition largely went untreated? If I expanded to say it caused increased morbidity and mortality from middle age onward in otherwise healthy animals \u2014 through increasing risk of cardiovascular disease, urogenital disease, musculoskeletal weakening, changes to coat and skin health, brain aging, behavioral shifts and sleep disturbance \u2014 would you feel deeply concerned that we weren\u2019t doing more? How about the fact that the owners were devastated, as they no longer recognized their beloved pet, which had changed beyond recognition and sadly lost its joie de vivre? And then, I dropped the bombshell that the condition is highly treatable and that the majority of animals aren\u2019t being helped, as either their owners aren\u2019t seeking advice or when they do, veterinarians don\u2019t have all the needed information, so they provide only partial treatment or write off the symptoms as \u201cold age.\u201d<\/p>\n<p>In such a world, I have no doubt we\u2019d be highly motivated as a profession to research the heck out of the condition, find the best treatments, launch awareness campaigns and provide comprehensive CE.<\/p>\n<p>And yet, we essentially ignore it in our wonderful veterinary colleagues.<\/p>\n<p>I am talking about menopause and am on a mission to make sure we do better for anyone with ovaries who crosses our path, whether that person is a friend, a colleague, a partner, a family member or even a client.<\/p>\n<h3>A Brief Overview<\/h3>\n<p>Menopause is the day 12 months after a person with ovaries has had her last menstrual cycle. (I will refer to women\/females through this article for consistency with the literature, but I recognize that all genders with these hormonal changes might be impacted.) The average age for menopause is 51.<\/p>\n<p>Perimenopause is the period leading up to and following menopause, where fluctuations in sex hormones (predominantly estrogens but also progesterone and testosterone) can cause physical and psychological symptoms. As sex hormone receptors exist in most organs, the symptoms vary widely both within and between individuals. Nearly three dozen symptoms are recognized, but over 100 have been described. Most women (80% to 96% in the literature) experience some symptoms, which can vary from hot flashes and itchy ears to sleeplessness and anxiety to muscle weakness and joint pain, with no predictable pattern or consistency. Perimenopause lasts, on average, for eight years but can persist for decades.<\/p>\n<p>Even among women who experience no symptoms \u2014 some find this stage of life liberating \u2014 there are still significant underlying changes to organ structure and function. If the changes are not addressed through the perimenopause period, the likelihood of serious health conditions increases later in life and includes stroke, urinary tract infections and incontinence, pathological fractures and dementia.<\/p>\n<p>So, I urge all individuals with ovaries to take proactive preventive action through lifestyle adjustments that can boost health and longevity in their older age.<\/p>\n<h3>The Workplace Crisis<\/h3>\n<p>Here\u2019s some stark data for you:<\/p>\n<ul>\n<li>1 in 10 women who worked during menopause have left a job due to their symptoms.<\/li>\n<li>26% took time off work.<\/li>\n<li>The Mayo Clinic estimates an annual workday loss of $1.8 billion in the United States.<\/li>\n<li>Around 1 in 6 people consider leaving work due to a lack of symptom support.<\/li>\n<\/ul>\n<p>Money talks is a simple fact. I urge readers to consider the enormous potential in improving retention, performance and career progression in women through this stage of life. Doing so can bolster your practice revenue and staff and client satisfaction, leading to significant cumulative gains.<\/p>\n<p>Though I\u2019m talking money, I believe the facts that follow are far more compelling. I urge you to do the right thing for your teams, more for the sake of our humanity than the financial benefits.<\/p>\n<h3>The Mental Health Crisis<\/h3>\n<p>The peak age for women to die by suicide is 45 to 54 years old (compared to 75 years and over for men, according to Statista). We also know that veterinary professionals are two to four times more likely than any other profession or the general population to die by suicide. Those sad statistics are a huge wake-up call for our industry. While the impact of perimenopause on mental health is well documented (with links to depression, anxiety, mood changes and suicidal ideation), I cannot find any published research exploring potential links between death by suicide and perimenopause. It\u2019s a yawning gap in knowledge and remains an association only by correlation.<\/p>\n<p>We must do more for those women and their devastated and bereaved loved ones. A nationwide campaign, GenM, aimed at raising awareness among men in the United Kingdom, began in 2022 following the story of David Salmon, whose wife died by suicide during perimenopause.<\/p>\n<p>We can and should do more.<\/p>\n<h3>The Identity Crisis<\/h3>\n<p>Thanks to the multiplicity and variety of symptoms, menopausal women can lose our very sense of self. Changes to our integument result in hair loss, brittle nails and wrinkled skin as our keratin and collagen production go into retirement. We don\u2019t recognize ourselves in the mirror. While we may want to age gracefully, it\u2019s challenging for a gender that is too often judged by appearance (whether intentionally or subconsciously). Add to that the fact that we fatigue more quickly, losing muscle mass and experiencing joint pains, so we feel weaker and unable to exercise, lift or move in the same way. It can be incredibly frustrating.<\/p>\n<p>Meanwhile, our formerly reliable super brain suffers unpredictable blackouts as our frontal lobe, which has the highest concentration of estrogen receptors of any organ, is deprived of the hormone. And it\u2019s no respecter of circumstance, choosing to clock out without notice amid sentences, whether during high-power meetings or challenging client conversations. The words just disappear. We don\u2019t recognize our forgetful, unpredictable brain and begin to question our reliability, which can be a huge knock to our confidence.<\/p>\n<p>Then there\u2019s the emotional dragon that emerges inside \u2014 an intolerant, unpredictable, anxious, detached, fire-breathing beast that takes over our person at the most unexpected of times. The anger, fear, frustration and sheer force of emotion it unleashes are qualities we often fail to recognize in ourselves, and they take those around us by surprise.<\/p>\n<p>To sum it up:<\/p>\n<ul>\n<li>We don\u2019t recognize the changes in our body, brain and emotions.<\/li>\n<li>We can lose confidence in how we look, think and behave.<\/li>\n<li>We don\u2019t want to inhibit our new self, especially when we have just built up the confidence, experience and self-awareness to start accepting even liking the old one.<\/li>\n<\/ul>\n<h3>The Working Life Crisis<\/h3>\n<p>All these changes affect how we think, feel and perform at home and in the workplace. At a time when we have accumulated a wealth of life and work experience (and should be peaking in our careers), perimenopause lurks around the corner like a tiger ready to pounce and shake our very foundation.<\/p>\n<p>If workplaces don\u2019t make allowances to manage symptoms and provide support, many women reduce their hours, step away from senior roles or leave work altogether. They are less likely to apply for promotions and, thanks to gendered ageism, are less likely to succeed when they do. Relationships with colleagues and at home suffer.<\/p>\n<h3>From Crisis to Opportunity<\/h3>\n<p>I initially posed this article\u2019s title as a question. However, as I began writing, I convinced myself that \u201cThe Biggest Silent Health Crisis in Vet Med\u201d is a statement of fact rather than a ponderable.<\/p>\n<p>I encourage all readers, regardless of gender, to empower themselves with knowledge to support themselves or others during this significant life phase. By extension, we can then understand and help those with other symptoms of hormonal fluctuations throughout all stages of life. There\u2019s a lot of intersectionality with premenstrual syndrome, premenstrual dysphoric disorder, endometriosis, and medically or surgically induced hormonal changes.<\/p>\n<p>We have a tremendous opportunity to change the taboo, stigma and culture of acceptance of women\u2019s suffering and turn menopause into Me.No.Pause. Women who receive support in their workplaces report significantly less impact of symptoms on their working life. Our majority female industry should be leading the way for other industries and helping so many people live happier, healthier, longer lives in the workplace and beyond.<\/p>\n<h3>A Call to Action<\/h3>\n<p>I urge you to access free bite-sized veterinary-specific resources through sponsor-supported WellVet at <a href=\"http:\/\/bit.ly\/45WRVEs\">bit.ly\/45WRVEs<\/a>. You will find expert-provided information ranging from the neuropsychology of hormones and how they impact personalities to lifestyle changes, hormone therapies and practical symptom management to preventive self-care and how to have conversations with your team and men. There\u2019s even a three-minute animation to give you a quick overview of the most important points to start a conversation.<\/p>\n<p>I encourage readers to go a step further and share the resources with others. Also, request CE on menopause through webinars and at conferences. And join the peer Facebook group Veterinary Menopause Chats at <a href=\"http:\/\/bit.ly\/4ltFp3P\">bit.ly\/4ltFp3P<\/a>.<\/p>\n<p>Finally, please email me at <a href=\"liz@wellvet.co.uk\">liz@wellvet.co.uk<\/a> if you\u2019re a veterinary leader or budget holder and would like to support the continuation of this work.<\/p>\n<hr \/>\n<h3><span style=\"color: #008000;\">TIPS FOR EMPLOYERS<\/span><\/h3>\n<p>According to the U.S. Centers for Disease Control and Prevention, \u201cWorkplaces can support women who may be experiencing menopause by offering flexible working arrangements, adjustable room temperatures, nonrestrictive and breathable uniforms, and adequate access to restrooms.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I am on a mission to ensure we do better for anyone with ovaries who crosses our path, whether that person is a friend, colleague or client.<\/p>\n","protected":false},"author":23,"featured_media":78627,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":0,"footnotes":""},"categories":[533],"tags":[],"class_list":["post-78626","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-october-november-2025","column-viewpoints","clinical_topics-letters-to-the-editor","clinical_topics-personal-wellness"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.7 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>The Biggest Silent Health Crisis in Vet Med | Today&#039;s Veterinary Business<\/title>\n<meta name=\"description\" content=\"I am on a mission to ensure we do better for anyone with ovaries who crosses our path, whether that person is a friend, 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