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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?

OP posts:
Thread gallery
12
puffyisgood · 16/03/2026 08:59

I've no first hand experience of course but would be surprised whether any of the men who take synthetic female hormones in order to alter their appearance will plan to ever top taking them, certainly not until very late indeed in life.

2021x · 16/03/2026 08:46

ArabellaScott · 16/03/2026 08:33

Holding what line?

HR will be concerned to ensure an employer is not leaving itself liable to claims and tribunals. No sensible employer would weaken their legal position to try and appease employees.

So while they may wish to dress up policies to sound more user friendly, at root these are written with the law in mind.

The policy doesnt need to go into all this, but trying to write anything daft and counter to the law would be ill advised.

Policies on maternity, pregnancy, and menopause all relate to female employees only. There need be no mention of gender identity - trans identifying females would be covered, males wouldnt.

Company could have a separate policy related to GR if they want.

If that was they case, then they wouldn't be including it in the Menopause Policy.

What I am saying is rather than simply saying "this is not the law- what are you doing?" you put your point respectfully.

  1. Identify the reason that there is a menopause policy is because of the female reproductive system.
  2. Then define menopause as a function of the female reproductive system in the policy.
  3. Then identify the people that have a female reproductive system as women and transmen.

This way you don't engage with the idea that transwomen have menopauses and you haven't had to say no.

If the TG women at work kick up a fuss want to be represnted you can suggest they can write policy on Transitioning at work.

ConstanzeMozart · 16/03/2026 08:45

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.

I would wonder if they did actually mean Transmen rather than Transwomen. I would clarify that with the author.
The OP says, 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.
So no, they mean transwomen and their 'pseudomenopausal symptoms'.

thetinsoldier · 16/03/2026 08:44

Why have black women been mentioned specifically? Is their experience of menopause different to that of white women or brown women? I’d be asking that.

thanks2 · 16/03/2026 08:35

I think if it’s about coming off meds you need to be careful as to be fair to the whole workforce lots of drugs have side affects coming off them including anti depressants.

ArabellaScott · 16/03/2026 08:33

2021x · 16/03/2026 08:07

I agree, but the reality is that the type of people that are pushing for all of this are very difficult people to have in the workplace and have influence over the lead managment. Peoples jobs are at risk if they challenge this, and that isn't going to help anyone.

Their behaviour is intense and extrordinarly persistent. They have something to lose. Whether its because they have "black and white thinking" or are highly motivated by to either soothe a dysregulated nervous system or persue a sexual fetish.

Thats why holding the line rather than pushing a this point is the correct action. I am not based in the UK but the SCR just fed into their already extreme victim complex and if you want to the hold the line it has been done with being reasonable and with respect.

Holding what line?

HR will be concerned to ensure an employer is not leaving itself liable to claims and tribunals. No sensible employer would weaken their legal position to try and appease employees.

So while they may wish to dress up policies to sound more user friendly, at root these are written with the law in mind.

The policy doesnt need to go into all this, but trying to write anything daft and counter to the law would be ill advised.

Policies on maternity, pregnancy, and menopause all relate to female employees only. There need be no mention of gender identity - trans identifying females would be covered, males wouldnt.

Company could have a separate policy related to GR if they want.

PrettyDamnCosmic · 16/03/2026 08:30

Datun · 16/03/2026 08:06

Just to point out the hopeless ridiculousness of this whole ideology.

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 was going to say this can't possibly be true, but given the nature of some doctors, it probably is.

A doctor recommended that a man, who had taken female hormones all his life to try and look like a woman, stop doing that in order to pretend he's doing something that only women can do.

Jesus. It's all just so bloody pathetic.

Surely it's what the term 'get a life' was truly, truly invented for.

The reason the GP suggested stopping oestrogen is because taking exogenous oestrogen means that your chances of an ischaemic stroke are 10x those of a man who is not taking oestrogen. Likewise your chances of a Venous thromboembolism (VTE) like a Deep Vein Thrombosis (DVT)in the calf or a pulmonary embolus (PE) are 5x higher than those of other men who are not taking oestrogen. Either stroke or PE may lead to death.

PrettyDamnCosmic · 16/03/2026 08:27

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.

The reason your GP suggested tapering off oestrogen and progesterone is that taking exogenous oestrogen means that your chances of an ischaemic stroke are 10x those of a man who is not taking oestrogen. Likewise your chances of a Venous thromboembolism (VTE) like a Deep Vein Thrombosis (DVT)in the calf or a pulmonary embolus (PE) are 5x higher than those of other men who are not taking oestrogen.

ParmaVioletTea · 16/03/2026 08:16

Yes @RedToothBrush you've put it brilliantly! The SC decision confirmed that it is that simple.

I think that @GrimDamnFanjo could murmur something about "making us vulnerable to litigation..." if the company/workplace doesn't adhere to the SC clarification of the 2010 EA. She could phrase it as worried concern about leaving her employer open to lengthy and expensive legal cases, which will also hit the news and could do reputational damage, as well as expensive legal costs.

RedToothBrush · 16/03/2026 08:14

Datun · 16/03/2026 08:06

Just to point out the hopeless ridiculousness of this whole ideology.

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 was going to say this can't possibly be true, but given the nature of some doctors, it probably is.

A doctor recommended that a man, who had taken female hormones all his life to try and look like a woman, stop doing that in order to pretend he's doing something that only women can do.

Jesus. It's all just so bloody pathetic.

Surely it's what the term 'get a life' was truly, truly invented for.

Im on HRT in part for mental health reasons... I needed HRT rather than have a total breakdown. This doesn't stop me going through menopause.

Going through deliberate withdrawal to have all the symptoms that women are trying to avoid as a form of validation is precisely why women shouldn't have men in a menopause group because it actively undermines what they are dealing with.

It makes going through menopause a 'right of passage to being female'. It's sick fuck territory and right up there with shit like withholding pain relief during child birth for this female right of passage shit. Aka misogyny

RedToothBrush · 16/03/2026 08:08

ArabellaScott · 16/03/2026 07:57

Hmm. I'm considering it from the legal HR standpoint. Women are protected under the EA from diacrimination on basis of sex, and those protections related to sex (pregnancy, maternity) flow from that. This was the SC judgment. It'd be logical that menopause would have the same mechanism.

IANAL and wd be good to hear legal opinions on that.

Edited

If it's covered under sex based rights for women then adding a man to a group is not in line with that.

It's that simple.

Transmen will only be relevant if they haven't been taking cross sex hormones because although they are the correct sex the reason for their medication isnt related to reproduction it's related to gender reassignment and it may be inappropriate to include them (as per the SC ruling). Their protection will otherwise come under gender reassignment

ParmaVioletTea · 16/03/2026 08:08

ArabellaScott · 16/03/2026 07:57

Hmm. I'm considering it from the legal HR standpoint. Women are protected under the EA from diacrimination on basis of sex, and those protections related to sex (pregnancy, maternity) flow from that. This was the SC judgment. It'd be logical that menopause would have the same mechanism.

IANAL and wd be good to hear legal opinions on that.

Edited

Yes, @ArabellaScott that was what I was suggesting - viewed from the 210 EA, and the clarification of existing law by the Supreme Court, menopause would be related to sex, and limited to [biological] women.

(I hate having to use an adjective to indicate I mean women).

Trans-identified men are covered under the PC of "gender reassignment." Any claim or policy under the PC of sex (for trans-identified men) would relate to their treatment in comparison with non-trans-identified men, not women.

2021x · 16/03/2026 08:07

ArabellaScott · 16/03/2026 07:57

Hmm. I'm considering it from the legal HR standpoint. Women are protected under the EA from diacrimination on basis of sex, and those protections related to sex (pregnancy, maternity) flow from that. This was the SC judgment. It'd be logical that menopause would have the same mechanism.

IANAL and wd be good to hear legal opinions on that.

Edited

I agree, but the reality is that the type of people that are pushing for all of this are very difficult people to have in the workplace and have influence over the lead managment. Peoples jobs are at risk if they challenge this, and that isn't going to help anyone.

Their behaviour is intense and extrordinarly persistent. They have something to lose. Whether its because they have "black and white thinking" or are highly motivated by to either soothe a dysregulated nervous system or persue a sexual fetish.

Thats why holding the line rather than pushing a this point is the correct action. I am not based in the UK but the SCR just fed into their already extreme victim complex and if you want to the hold the line it has been done with being reasonable and with respect.

Datun · 16/03/2026 08:06

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.

Just to point out the hopeless ridiculousness of this whole ideology.

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 was going to say this can't possibly be true, but given the nature of some doctors, it probably is.

A doctor recommended that a man, who had taken female hormones all his life to try and look like a woman, stop doing that in order to pretend he's doing something that only women can do.

Jesus. It's all just so bloody pathetic.

Surely it's what the term 'get a life' was truly, truly invented for.

BerryTwister · 16/03/2026 07:58

Menopause symptoms don’t come from taking HRT. They come from ovarian failure, and can be prevented by taking HRT. Then they can recur when HRT is stopped. Presumably men who want to be women continue to take the hormones for ever, so not only do they never actually have a real menopause, they also never stop the hormones, so don’t have a hormone withdrawal either. So they shouldn’t be in your policy at all.

ArabellaScott · 16/03/2026 07:57

2021x · 16/03/2026 07:51

In the real world yes, but when you are balancing the not so sublte sexist politics of the current corporate environment a more tactful nature that stating the obvious is sometimes required.

Hmm. I'm considering it from the legal HR standpoint. Women are protected under the EA from diacrimination on basis of sex, and those protections related to sex (pregnancy, maternity) flow from that. This was the SC judgment. It'd be logical that menopause would have the same mechanism.

IANAL and wd be good to hear legal opinions on that.

2021x · 16/03/2026 07:51

ArabellaScott · 16/03/2026 07:50

I dont know thats necessary?

Edit: I mean this bit: focus strongly on the definition of menopause.

The protections related to menopause, as pregnancy and maternity, cover women. They do not cover men.

Edited

In the real world yes, but when you are balancing the not so sublte sexist politics of the current corporate environment a more tactful nature that stating the obvious is sometimes required.

Shortpoet · 16/03/2026 07:51

My previous workplace had a 3 page “menopause guidelines for managers” document.
Two thirds of one page was about the “male menopause” and how men experience declining testosterone as they age and how it affects them.
Couldn’t give women 3 pages in a document without “what about the men” popping up.

I agree with others that transwomen don’t experience a pseudo menopause. Any side effects are due to taking huge amounts of hormones not designed for their bodies. I read that they take 6 times the amount of oestrogen that a menopausal woman takes.(would have to fact check that though).

ArabellaScott · 16/03/2026 07:50

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.

I dont know thats necessary?

Edit: I mean this bit: focus strongly on the definition of menopause.

The protections related to menopause, as pregnancy and maternity, cover women. They do not cover men.

Datun · 16/03/2026 07:48

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.

A very important post.

If there is a policy designed for women who are menopausal, then no, a male perspective about something else is not in the slightest bit helpful. Why include it?

And the reason why it's an important question, is because it would not have fucking occurred to anyone to ask it.

Women's difficult biological functions are being repurposed to validate men. It's the whole point of the company including them in this policy.

So make them say it.

Ask how it helps women.

It doesn't.

Make them think it, and then be forced to say it.

WarriorN · 16/03/2026 07:45

There was a piece in the news last week about men who are taking medication for prostate cancer; they didn’t say menopausal symptoms. They said causes hot flushes, fatigue, joint pain etc. the piece was about research looking at taking half doses being as effective with less side effects.

if his medication is causing such side effects he perhaps needs to have a review and decide if it’s really worth it. His risks of cancer and heart attack are currently raised due to the medication.

ISpyNoPlumPie · 16/03/2026 07:44

I think there’s lots of useful advice here such as clearly defining what menopause means, clearly defining HRT, asking/checking your workplace trans policies, separating political arguments from biological facts and legal frameworks, and so on…

But this is why the working world is wild. You are being asked to comment on a policy that you have absolutely no clue about. What is your role? Where is the legal team? Who are the medical experts? What other policies have been reviewed to create this document? So so pointless.

Taytoface · 16/03/2026 07:43

I think the most important thing to establish is whether it not trans identified men are covered by the policy should they decide they are in menopause.

If your work for example allows additional flexibility for women experiencing debilitating symptoms, are these same accommodations open to men?

I would question this and suggest it would be clearer to have any accommodations for people who are taking cross sec hormones to be covered in the transitioning at work policy. Based on what you have described above, I would guess you have one of those (and I would also bet you don't have a detransitioning at work one)

Additup · 16/03/2026 07:35

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?

Obviously the concept of trans women experiencing menopause symptoms is nonsense because by definition to be a trans woman you have to be male. But why are black women, disabled women singled out in this policy?

They are women, not some sort of subset that experiences menopause in a different way.

Coatsoff42 · 16/03/2026 07:33

I think that as trans identifying men don’t go through menopause, obviously, they have a series of symptoms related to hormone use for other reasons, you could just move that line about pseudomenopause to the transitioning policy, and change pseudomenopause to hormonal side effects. Alternatively move it to the sick policy to cover all people affected by medical hormonal treatments for a variety of conditions.
it should be fine to keep the menopause policy for people who are have a mense to pause in the first place. It’s also ok to ask people who disagree to look into the mechanisms of menopause more throughly to understand the policy requirements better. You can take HRT for menopause, but not everyone does, it’s not about HRT.