The Menopause Manifesto
Leaders & Managers
DropRegion · Lessons from The Menopause Manifesto · Dr. Jen Gunter

What Leaders/Managers Can Learn from The Menopause Manifesto

Marcus noticed his most reliable operations director had started missing details she never used to miss, snapping in meetings she used to run smoothly, and losing her train of thought mid-sentence during a client call. He almost wrote a quiet note for her file. Instead, in a one-on-one, he asked what was going on, and she admitted, hesitantly, that she suspected perimenopause but had no idea what was normal, what wasn't, or how to bring it up at work. Marcus didn't have answers either, but he told her to take the time she needed for appointments, no explanation required, and he went home and finally read something plain and factual himself. The team's performance issue turned out to be a leadership blind spot, not a personnel problem.

01 · The Book in One Minute

The whole book, compressed

01Knowing The Terrain Before You
02Filtering The Wellness Pitch Deck
03Modeling Advocacy
04Leadership As A Longer Season

This edition works through 4 core lessons — take them one at a time, not all at once.

02 · Where Are You Now?

What's different for your conditions

Tap whichever ones sound like you. Nothing here is sent or saved — it's just for your own noticing.

Managers are often the first to notice a symptom's ripple effects, in missed deadlines or shorter tempers, long before anyone names the cause, which means literacy about the transition is now a management competency, not a personal curiosity.
Leaders set the norms that decide whether a team member feels safe naming what's happening, or feels she must hide it and burn out quietly instead, which makes a manager's own composure and language directly consequential.
Wellness-industry noise now reaches the workplace through wellness stipends, guest speakers, and office swag, so leaders can unintentionally endorse unproven claims simply by choosing a vendor.
Advocacy at the individual level scales differently for a leader, whose job includes building policies and flexibility that make advocacy possible for an entire team, not just modeling it personally.
The reframe from crisis to normal transition has organizational stakes: a workplace that treats this as decline will lose experienced people it cannot easily replace.

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03 · Core Lessons

The core lessons, applied to you

Knowing The Terrain Before You

Knowing the Terrain Before You Lead Through It

The idea

A leader does not need clinical training, but does need enough plain-language understanding of the transition to recognize it, respond with basic competence, and avoid the two failure modes of over-medicalizing every conversation or dismissing real struggle as unrelated performance drift.

What it looks like

A well-meaning manager sometimes overcorrects into unsolicited health commentary or assumptions about who is affected, which can feel invasive rather than supportive.

Try this

Before your next skip-level or one-on-one cycle, read one plain-language explainer on the transition so you can respond, if it comes up, without visible surprise or awkward silence.

Filtering The Wellness Pitch Deck

Filtering the Wellness Pitch Deck

The idea

Vendors pitching wellness perks move fast, and a leader approving benefits or speakers is effectively making a health-claims decision on behalf of the whole team, whether or not that is how it feels in the budget meeting.

What it looks like

A benefit chosen for good intentions and a slick pitch deck can quietly signal that unproven remedies are company-endorsed truth.

Try this

Before greenlighting a menopause-related benefit or speaker, ask one question of your HR partner: what is the actual evidence behind this, and who reviewed it.

Modeling Advocacy

Modeling Advocacy for Your Team

The idea

The book's push toward self-advocacy in a system that under-trains clinicians has a workplace parallel: leaders who advocate visibly for flexibility, whether that is meeting reschedules or quiet accommodations, make it far easier for others to ask.

What it looks like

Leaders sometimes assume that offering flexibility in policy is enough, without ever modeling that they themselves would use it.

Try this

Normalize one small, visible accommodation in your own schedule this month, so your team sees flexibility used, not just offered.

Leadership As A Longer Season

Leadership as a Longer Season

The idea

Framing this as a normal transition rather than a crisis changes how a leader plans succession, coverage, and support. It is not a temporary disability to route around quietly, nor a decline to manage someone out of. It is a stretch of a capable person's working life that, handled with basic literacy and reasonable flexibility, passes through without costing the organization its most experienced talent.

When the clusters compete

The instinct to protect a team member's privacy (advocacy) can pull against the instinct to build clear, visible workplace policy (evidence-based options), since policy usually requires some disclosure to function. Resolve this by building flexible, symptom-neutral policies, generous scheduling norms available to everyone, so no one has to disclose anything to access them.

04 · Choose Your Priority

Name one thing, honestly

What is one assumption you currently hold about a team member's performance that might actually be a health transition you have never asked about?


Good. Now look back at the "Try this" line under whichever lesson feels most connected to what you just wrote, and treat that as this week's actual assignment — not all 4 at once.

05 · Put It Into Practice

The practices from this edition

Before your next skip-level or one-on-one cycle, read one plain-language explainer on the transition so you can respond, if it comes up, without visible surprise or awkward silence.
Before greenlighting a menopause-related benefit or speaker, ask one question of your HR partner: what is the actual evidence behind this, and who reviewed it.
Normalize one small, visible accommodation in your own schedule this month, so your team sees flexibility used, not just offered.

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06 · Small Experiment

Run this for seven days

Normalize one small, visible accommodation in your own schedule this month, so your team sees flexibility used, not just offered.

07 · Remember This
If you remember only 4 things
01Knowing The Terrain Before You. A leader does not need clinical training, but does need enough plain-language understanding of the transition to recognize it, respond with basic competence, and avoid the two failure modes of over-medicalizing every conversation or dismissing real struggle as unrelated performance drift.
02Filtering The Wellness Pitch Deck. Vendors pitching wellness perks move fast, and a leader approving benefits or speakers is effectively making a health-claims decision on behalf of the whole team, whether or not that is how it feels in the budget meeting.
03Modeling Advocacy. The book's push toward self-advocacy in a system that under-trains clinicians has a workplace parallel: leaders who advocate visibly for flexibility, whether that is meeting reschedules or quiet accommodations, make it far easier for others to ask.
04Leadership As A Longer Season. Framing this as a normal transition rather than a crisis changes how a leader plans succession, coverage, and support.
08 · Your Next Step

What will you do differently because you read this?

For the deeper biological grounding behind these workplace applications, go back to The Menopause Manifesto by Dr. Jen Gunter. If a team member's situation moves toward real decisions about hormone therapy, medication, or treatment, that conversation belongs with a qualified doctor or licensed medical professional, not with a manager.