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Feminism: Sex and gender discussions

Transwomen - pseudumenopausal symptoms due to hrt - asked to approve work policy

308 replies

GrimDamnFanjo · 15/03/2026 17:36

I have to comment on a paper that’s come for approval. It’s a policy regarding menopause at work.
theres detail regarding the experience of black women, women with disabilities, trans men and those who identify as non binary and a line that transwomen may experience pseudomenopausal symptoms due to taking hrt.
is this true?
is this any different to anyone having side effects for drugs they take or am I missing something?

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12
2021x · 16/03/2026 07:30

Hmmmmm... interesting

I would wonder if they did actually mean Transmen rather than Transwomen. I would clarify that with the author.

If it was intended, I would focus strongly on the definition of menopause. Specifically identify the function of menopause, how it relates the persons reproductive system. Really battle it out, and do not engage in any political discourse until menopause has been defined with surgical precision.

I have been practicing how to hold the line on the definition of woman in a way that cannot be interpreted as anything other than respectful. This involved saying things like "The definition of woman for me is based purely on biological sex. I respect your position is that it is a subjective feelingfor you, but for me subjective feelings do not cover the realties of living in the world with a female body". Something like that.

ArabellaScott · 16/03/2026 07:25

To onepost upthread's point about seeking a 'legal' answer - that is precisely what HR is for. To protect employers against legal claims, ETs, etc.

The SC judgment dealt explicitly with protections afforded because of situations or vonditions related to biological sex:

'177. As we shall demonstrate, a strong indicator that the words “sex”, “man” and “woman” in the EA 2010 have their biological meaning (and not a certificated sex meaning) is provided by sections 13(6), 17 and 18 (which relate to sex, pregnancy and maternity discrimination) and the related provisions. The protection afforded by these provisions is predicated on the fact of pregnancy or the fact of having given birth to a child and the taking of leave in consequence. Since as a matter of biology, only biological women can become pregnant, the protection is necessarily restricted to biological women.

  1. The repeated references in these sections, to a woman who has become pregnant or who is breast-feeding only make sense if sex has its biological meaning. These plain, unambiguous words can only be interpreted coherently as references to biological sex, biological females and biological males. Put another way, if the acquisition of a certificate pursuant to section 9(1) of the GRA 2004 applies to these words, so that biological women living as trans men (with a GRC in the male gender) are male, they would nonetheless be excluded from protection when pregnant notwithstanding a continued capacity to become pregnant, and duty-bearers would not be able to claim relevant exemptions in relation to their treatment.'

An employer with a trans identity is protected under seperate pc. Any policy should be related to that. It can't be covered under pregnancy, maternity, menopause, etc, as these are all related to the pc of sex - women.

WarriorN · 16/03/2026 07:19

Ah: Menopause Hormone therapy.

WarriorN · 16/03/2026 07:18

Some aren’t even calling HRT for menopausal women, HRT.

True HRTs are physically life saving hormones such as insulin and thyroxine. As in, don’t take it and you end up dying (the former much more quickly than the latter.) Hence free prescriptions if you’re on them.

(I can’t remember what they’re calling hrt though in its place. I’d have to go hunting.)

The covering pregnancy and maternity leave groups is an excellent point.

If he’s using some sort of hormone blocker it will be more akin to cancer medication. Which causes hot flushes and joint aches etc.

BlueAntelope · 16/03/2026 07:13

How "out" as GC are you at work?

If you're not comfortable saying "this is rubbish and here's why". Which is fine, btw, I wouldn't be able to say this at work without fearing repercussions.

I would personally ask for citations for what they have put in there, and then criticise their sources if they manage to provide any.

ArabellaScott · 16/03/2026 07:11

ParmaVioletTea · 15/03/2026 22:41

Use the correct term: cross-sex hormones or opposite sex hormones. HRT is “replacement “ whereas trans-identified men take opposite sex hormones. They’re not replacing anything.

More generally, I think you could say something along the lines of checking that the policy is legal and obeys the Supreme Court clarification of the Equality Act.

murmur something about ensuring that your business is not vulnerable to expensive litigation eg Darlington nurses or the Sandie Peggie case.

Also be specific about the Equslity Act. There is no hierarchy of protected characteristics. They are all protected and men undergoing gender reassignment have no more rights than women on the grounds of sex.

And the Supreme Court decision confirms that men using the PC of gender reassignment would be. Compared to the treatment of men not undergoing gender reassignment, not compared with women. The SC decision confirmed that men are not to be considered as women on the grounds of sex.

A key point is that women identifying as trans/transmen/females who say they are non binary should all be covered in a menopause policy.

I'd suggest HR may wish to consult lawyers on.this. Bridget Philipson is sitting on the guidance, so it hasnt been updated and ACAS and EHRC haven't updated.

The SC judgement clarifies the law, though.

RedToothBrush · 16/03/2026 07:09

DodoPatrol · 16/03/2026 07:02

Nice of OnePostWonder to come on here specifically to illustrate how the waters will be muddied by including male people in a very female-specific issue. Well done.

Indeed. How to show up exactly why men should have their own policies for their own problems rather than trying to make themselves women's problem and fucking the support and help women need but don't have because men dominate everything.

Why can't we even have menopause ourselves without men saying 'but what about meeeeeeeee?'

What about you? It's not your fucking problem.

DodoPatrol · 16/03/2026 07:02

Nice of OnePostWonder to come on here specifically to illustrate how the waters will be muddied by including male people in a very female-specific issue. Well done.

Allisnotlost1 · 16/03/2026 07:00

SpiritAdder · 15/03/2026 23:33

Does it? I have never heard a medical person or read a study that referred to chemically induced or surgically induced menopause as pseudo menopause.

Edited

I haven’t come across it often either, usually referred to as medical menopause, or induced menopause, but it does come up. Either way I’d avoid the term in relation to TW who don’t have experience anything analogous to menopause.

KnottyAuty · 16/03/2026 06:52

SpiritAdder · 15/03/2026 23:33

Does it? I have never heard a medical person or read a study that referred to chemically induced or surgically induced menopause as pseudo menopause.

Edited

I’ve heard it called “early” menopause (even if it will be reversible on completion of cancer related treatment)

Helleofabore · 16/03/2026 06:51

I do like Any Sousa’s line which is along the lines that it doesn’t matter how much a man invests in his feminisation, it doesn’t make him a woman. And women are not responsible for the decisions that those men make nor do we have any responsibility to support that decision in any way when it comes to acting as if that purchase (financial or not) has made that man a woman.

KnottyAuty · 16/03/2026 06:45

TempestTost · 15/03/2026 22:59

Actually I think it's all a massive red herring.

It doesn't matter what the cause of medical symptoms is, natural menopause, induced menopause, or something else. It matters that the symptoms affect the employee in a particular way.

The only thing I suppose would be an issue would be if the medical problem was self-induced - can you qualify for medical leave for a nose job, for example? I'd say no and that might affect men taking hormones to transition. But not women in menopause or taking drugs for serious medical issues.

In the NHS policies - yes - staff seemed to be offered extra time off for surgeries and medical treatments. It was very odd - as you say I thought other elective surgery might not be so well accommodated….

KnottyAuty · 16/03/2026 06:41

ChapmanFarm · 15/03/2026 21:30

You could also go the other way and say that if you are going to include other forms of hormone treatment, what about men with prostate cancer, or women going through IVF treatment, or those with thyroid conditions.

Because if it's just about hormones (and not menopause) why only cover one area.

That’s a great angle - if they want an “inclusive” policy then it should include all menopause “symptoms”… might allow OPto challenge this more broadly and avoid penalties due to accusations of transphobia?

There are other endocrine treatments for cancer eg tamoxifen which induce menopause after cancer treatment and which are stopped after 5 years and periods resume

Helleofabore · 16/03/2026 06:39

The question to be asked is also, how do female people benefit in any way from a male person’s subjective reality being treated as if it is material reality. It effectively commoditises female body functions by allowing the language unique to female people to be acquired for male people to repurpose for their own use.

There is no benefit to female people in that particular transaction, the commoditisation of our body processes, despite us constantly being told that it ‘enriches’ our experience as female people.

OpheliaWitchoftheWoods · 16/03/2026 06:38

This reply has been withdrawn

This has been withdrawn by MNHQ at the poster's request.

Helleofabore · 16/03/2026 06:28

borntobequiet · 16/03/2026 06:20

You’re male, though, aren’t you? So none of this is relevant.

Exactly.

Yet, the discussion on menopause then becomes about how any male can experience something that is impossible for them to experience. Yet through linguist manipulation, is seemingly made possible.

NotBadConsidering · 16/03/2026 06:27

onepostwonder · 16/03/2026 02:07

As a woman who has been on HRT for over 40 years now, I had one GP suggest I taper off oestrogen and progesterone in my late 40s. He explained this as needing to enter 'menopause' as I was entering the age. I've had other medical professionals convince me to stay on HRT until I die. I know I feel better with them, so this is the path I am taking.

In response to other responders, yes trans people use HRT to affect changes in their bodies. The exact changes are DNA specific for each individual and typical pubertal changes, as far as each body is capable of developing those changes, stop after some number of years of treatment. Absent gonads, trans bodies don't 'reverse back.' Permanent changes are permanent. The continued exposure of a body to HRT maintains the condition of tissues and bodily systems receptive to and controlled by those hormones. Stopping HRT affects tissues and bodily systems.

If you wish to provide a purely political answer to the topic, I'm certain you will find the words. If you are concerned about an accurate answer, please speak with a medical expert.

TL: DR version: men’s bodies are messed up by high levels of wrong sex hormones for decades.

Got it.

borntobequiet · 16/03/2026 06:20

onepostwonder · 16/03/2026 02:07

As a woman who has been on HRT for over 40 years now, I had one GP suggest I taper off oestrogen and progesterone in my late 40s. He explained this as needing to enter 'menopause' as I was entering the age. I've had other medical professionals convince me to stay on HRT until I die. I know I feel better with them, so this is the path I am taking.

In response to other responders, yes trans people use HRT to affect changes in their bodies. The exact changes are DNA specific for each individual and typical pubertal changes, as far as each body is capable of developing those changes, stop after some number of years of treatment. Absent gonads, trans bodies don't 'reverse back.' Permanent changes are permanent. The continued exposure of a body to HRT maintains the condition of tissues and bodily systems receptive to and controlled by those hormones. Stopping HRT affects tissues and bodily systems.

If you wish to provide a purely political answer to the topic, I'm certain you will find the words. If you are concerned about an accurate answer, please speak with a medical expert.

You’re male, though, aren’t you? So none of this is relevant.

Helleofabore · 16/03/2026 05:14

Perhaps OP, the approach to take is to discuss the negative impact of including people in a policy section that could lead to those people making changes to that policy that will make the policy less usable. Similar to when some male people become ‘women’s officers’ and start negatively influencing policies or organisational action so that those policies or actions don’t provide what female people specifically need. This makes the policy / action unfit for the purpose intended.

Helleofabore · 16/03/2026 04:29

There is no need to consult a medical expert in the development of a policy about menopause where someone seeks to include male people. Including the side effects that results from male people taking hormones for cosmetic purposes in a section specific menopause creates inaccuracy and distraction.

If a policy is required for male people specifically for the side effects of their choice to use these or other hormones, that is a different discussion. The organisation then has to consider what other elective hormone supplement decisions it wishes to support specifically in policies. Or does the impact of that decision get included in the general policy.

POWNewcastleEastWallsend · 16/03/2026 02:55

onepostwonder · 16/03/2026 02:07

As a woman who has been on HRT for over 40 years now, I had one GP suggest I taper off oestrogen and progesterone in my late 40s. He explained this as needing to enter 'menopause' as I was entering the age. I've had other medical professionals convince me to stay on HRT until I die. I know I feel better with them, so this is the path I am taking.

In response to other responders, yes trans people use HRT to affect changes in their bodies. The exact changes are DNA specific for each individual and typical pubertal changes, as far as each body is capable of developing those changes, stop after some number of years of treatment. Absent gonads, trans bodies don't 'reverse back.' Permanent changes are permanent. The continued exposure of a body to HRT maintains the condition of tissues and bodily systems receptive to and controlled by those hormones. Stopping HRT affects tissues and bodily systems.

If you wish to provide a purely political answer to the topic, I'm certain you will find the words. If you are concerned about an accurate answer, please speak with a medical expert.

Isn't the "accurate answer" simply that only women experience menopause because only women experience menstruation.

Whatever men experience, irrespective of whatever medication they are on, it is not menstruation and it is not menopause.

onepostwonder · 16/03/2026 02:07

GrimDamnFanjo · 15/03/2026 18:46

I need to sensibly comment on this at a meeting - so trans women don’t take hrt, they take other hormones? Which will give side effects in the same way that any medication can do?

As a woman who has been on HRT for over 40 years now, I had one GP suggest I taper off oestrogen and progesterone in my late 40s. He explained this as needing to enter 'menopause' as I was entering the age. I've had other medical professionals convince me to stay on HRT until I die. I know I feel better with them, so this is the path I am taking.

In response to other responders, yes trans people use HRT to affect changes in their bodies. The exact changes are DNA specific for each individual and typical pubertal changes, as far as each body is capable of developing those changes, stop after some number of years of treatment. Absent gonads, trans bodies don't 'reverse back.' Permanent changes are permanent. The continued exposure of a body to HRT maintains the condition of tissues and bodily systems receptive to and controlled by those hormones. Stopping HRT affects tissues and bodily systems.

If you wish to provide a purely political answer to the topic, I'm certain you will find the words. If you are concerned about an accurate answer, please speak with a medical expert.

RogueFemale · 16/03/2026 00:37

GrimDamnFanjo · 15/03/2026 17:36

I have to comment on a paper that’s come for approval. It’s a policy regarding menopause at work.
theres detail regarding the experience of black women, women with disabilities, trans men and those who identify as non binary and a line that transwomen may experience pseudomenopausal symptoms due to taking hrt.
is this true?
is this any different to anyone having side effects for drugs they take or am I missing something?

Only biological women experience menopause. Men who claim to be women do not experience menopause. Men who claim to be non-binary do not experience menopause.

catinateacup · 16/03/2026 00:06

SpiritAdder · 15/03/2026 23:31

@catinateacup
It’s not that simple. Menopausal symptoms are actually caused by an imbalance between hormones as the estrogen and progesterone don’t decline evenly. This is why some women suffer horribly- the decline of both is way out of balance- and why some women seem to sail through with no symptoms- the decline of both is relatively balanced.

The hormone blockers and hormones that transwomen take do cause the same hormone imbalance symptoms. But just because the symptoms are the same, the cause is not and cannot ever be menopause for a transwoman.

I agree it’s brain rot. The cause of any symptoms determines the diagnostic term used, not symptoms by itself. Imagine blurry vision being due to cataracts being called myopia. It’s nonsense.

Actually, “imbalances” between oestrogen and progesterone are not thought to be why menopause symptoms happen. In fact, it’s not actually precisely known why menopause symptoms are caused by declining oestrogen (one mechanism of action for hot flushes, for example, is thought to be that sudden drops in oestrogen trigger changes in the hypothalamus). But men on hormones are not getting any “imbalances”, because they are taking a steady dose of oestrogen. (Almost no trans women take progesterone.)

Just like the stuff about men on hormones getting “period” symptoms is also rubbish. PMS and period pains are caused by prostaglandins in the uterus and bowel rising when oestrogen and progesterone drop at the end of the cycle, largely triggered by the drop in progesterone. Whatever “period” symptoms trans women might think they are getting, they are categorically not experiencing uterine prostaglandins rising as a result of low progesterone.

WifeOfTiresias · 16/03/2026 00:04

LeftBoobGoneRogue · 15/03/2026 23:36

Some men with prostate cancer have to take tablets or have injections to block testosterone which the cancer feeds on. They can suffer many similar symptoms to menopause (called andropause I think).
I’m not sure if transwomen block their testosterone and take estrogen or take estrogen alone. It is very bad for their long term health.

Generally transwomen do take testosterone blockers along with the oestrogen.

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