A large share of the nursing workforce is going through perimenopause or menopause. Symptoms can make long, hot, busy shifts much harder, but support can help.
Imagine a hot flush during a busy drug round in a warm ward, while wearing a polyester uniform and a mask. You feel exhausted, foggy and embarrassed.
Symptoms that affect work
- Hot flushes and night sweats
- Poor sleep and fatigue
- Brain fog and poor concentration
- Mood changes and anxiety
- Joint aches
Practical tips on shift
- Wear breathable layers and ask about lighter uniforms
- Keep water with you
- Take regular breaks, even short ones
- Use lists and checklists for brain fog
- Plan rotas with fewer consecutive nights if possible
Workplace support
- Menopause policies and trained managers
- Access to cool rest areas and fans
- Flexible working and rota adjustments
- Occupational health referral
- Peer support groups
Getting medical help
Talk to your healthcare provider about treatment options, including hormone replacement therapy (HRT) and non-hormonal treatments. Many nurses delay seeking help for themselves.
Frequently asked questions
Should I tell my manager?
You don’t have to, but sharing can help you get adjustments.
But it’s just part of getting older
It is a natural stage, but symptoms can be significant. Support helps nurses stay healthy and stay in work.
Your next step: Check whether your employer has a menopause policy and what adjustments it offers.
Related: Menopause symptoms and HRT
Sources: NHS England menopause guidance, Royal College of Nursing menopause resources, National Institute for Health and Care Excellence, World Health Organization.



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