Danielle, a former employee at a dental practice in Puyallup, Washington, experienced significant challenges at work after undergoing a hysterectomy at age 35, which led to early menopause. This transition caused her to suffer from mood swings and cognitive difficulties, impacting her job performance. Despite her requests for accommodations, she found that workplace laws regarding disability and medical leave did not adequately address menopause-related needs. In August, she provided her employer with a doctor's letter outlining necessary changes, but the lack of follow-through led to her taking medical leave in October.
Each year, approximately 1.3 million American women transition into menopause, with around 13 percent facing adverse employment outcomes. Unlike protections for pregnant workers established by the Pregnant Workers Fairness Act in 2023, there is no explicit federal protection for menopause, although Rhode Island has enacted laws to support such rights.
State Senator Lori Urso of Rhode Island, who experienced perimenopausal symptoms, advocated for workplace accommodations for menopause after being elected to the Statehouse in 2024. Her bill passed unanimously in June, prompting interest from lawmakers nationwide. Philadelphia also became the first city to pass similar legislation. Other states, including New York and Virginia, are considering or have proposed related bills. Experts note that while legal protections are evolving, stigma surrounding menopause may still deter workers from seeking necessary accommodations.
