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			 Employers need to be sensitive to shifts in physical and mental 
			health that women may experience during menopause, according to 
			recommendations from the European Menopause and Andropause Society (EMAS) 
			recently published in Maturitas. 
			 
			Symptoms like hot flashes, for example, may require cooler workplace 
			temperatures, while symptoms like insomnia may require flexible 
			schedules or efforts to reduce job-related stress. 
			 
			“Very few employers are talking about menopause in relation to their 
			occupational health and safety policies and procedures, and how they 
			might best support women, and those who manage them, with 
			transitioning through menopause,” said Gavin Jack of Monash 
			University in Australia, lead author of a separate research review 
			of workplace polices published in Maturitas. 
			  
			Women go through menopause when they stop menstruating, typically 
			between ages 45 and 55. As the ovaries curb production of the 
			hormones estrogen and progesterone in the years leading up to 
			menopause and beyond, women can experience symptoms ranging from 
			irregular periods and vaginal dryness to mood swings and insomnia. 
			 
			For working women, menopause can also negatively impact job 
			performance because it can impair concentration and memory. Many 
			women are unable or unwilling to request accommodations that might 
			make work easier, Jack and colleagues note in their review. 
			 
			At the same time, women who are overworked or stressed on the job 
			may experience worse menopause symptoms, the researchers note. 
			 
			High temperatures, poor ventilation, confined spaces, excessive 
			crowding, and insufficient spaces for rest or bathroom breaks can 
			all contribute to an environment that causes problems for menopausal 
			women, the researchers also note. 
			 
			While more studies are still needed to determine what specific 
			interventions or policies in the workplace might make remaining on 
			the job easiest for women during menopause, employers in the 
			meantime should move forward with creating a culture that makes 
			women feel comfortable disclosing symptoms or requesting 
			accommodations, the researchers conclude. 
			 
			In a Maturitas article outlining the EMAS recommendations, Amanda 
			Griffiths of the University of Nottingham Innovation Park in the 
			U.K. and colleagues note that managers might need training in how to 
			support menopausal women and deal with any symptoms in a sympathetic 
			manner. 
			
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			Among other things, employers can provide desk fans, air 
			conditioning and cold drinking water when women have hot flashes, 
			for example, or offer flexible work schedules for women with 
			insomnia and take steps to reduce stress that can exacerbate 
			symptoms, the recommendations also suggest. 
			Women may also need access to clean bathrooms and more frequent 
			toilet breaks if they experience particularly heavy menstrual 
			bleeding during the menopause transition or have urinary 
			incontinence. 
			 
			Even though the specific symptoms may vary from one woman to the 
			next, and the accommodations needed might differ based on the type 
			of work, all employers should make women feel comfortable on the job 
			during menopause, said Sagar Borker, a researcher at KVG Medical 
			College in India who wasn’t involved in the research review or the 
			EMAS recommendations. 
			 
			“Menopause symptoms can change work performance tremendously,” 
			Borker said by email. “If the lady gets symptoms treated then her 
			efficiency improves, but if symptoms are ignored, self-medicated or 
			left untreated then work performance will keep deteriorating.” 
			 
			SOURCES: http://bit.ly/1ZYWKTz and http://bit.ly/1UMXW9d Maturitas, 
			online December 16 and 29, 2015. 
			[© 2016 Thomson Reuters. All rights 
				reserved.] Copyright 2016 Reuters. All rights reserved. This material may not be published, 
			broadcast, rewritten or redistributed. 
			
			
			  
			
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