What is Menopause and Perimenopause?
Menopause is a normal life stage. For many freelancers it arrives in the middle of rehearsals, touring schedules, deadlines, and caring responsibilities. Experiences vary a lot. Some people notice mild changes, others find sleep, concentration, and mood are affected in ways that make work feel harder. All of these experiences are valid.
Perimenopause
The lead in phase when hormones fluctuate and symptoms begin. Periods may change. This stage can last for years.
Menopause reached
When you have had 12 months without a period. The average age in the UK is around 51.
Post menopause
Everything after the 12 month menopause reached point. Symptoms can continue, ease, or change.
Hot flushes, night sweats, sleep changes, brain fog, difficulty focusing, anxiety, mood shifts, headaches, joint or muscle pain, skin changes, heart palpitations, and more. You may not have all of these. You may have others.
Periods can change in perimenopause. Flow may be heavier or lighter, cycles may be shorter or longer. If bleeding is very heavy, very painful, or worries you, speak to a doctor.
How this can show up at work
- Forgetting lines, cues, or small tasks you would usually remember
- Feeling over-warm under lights or in crowded rooms
- Tiredness after late finishes or long travel days
- Needing short breaks, water, cool air or a nearby toilet
Some people experience menopause earlier, including through surgery or cancer treatment. If periods change before 45, or stop before 40, speak to a clinician about early menopause or Primary Ovarian Insufficiency.
Menopause is not a single story. Experiences vary by race, gender identity, disability, class, faith, and caring roles. Explore our Inclusive Resources here.
There are medical and non-medical options that can help, including HRT, non hormonal medicines, and practical adjustments to daily life. This hub focuses on lived experience and workplace ideas. For medical guidance, speak to a GP or trusted clinician, and see our Resources section for NHS information, the British Menopause Society, and the Balance app.
When to talk to someone
If symptoms are affecting your daily life or your ability to work, or if you notice unexpected bleeding, chest pain, severe low mood, or anything that worries you, contact your GP. You deserve support.
Menopause can overlap with disability, chronic illness, neurodivergence, or long COVID. Some people experience fibroids or other medical conditions at the same time. If symptoms affect daily life or work, ask for support. See Freelancing and Menopause for practical ideas and Self-advocacy and your rights for legal signposting.