This is a nuanced conversation.
Of course, people with other debilitating conditions may also need exceptions and understanding — and we should also recognise that. Not one without the other.
For years, I lived with endometriosis and never took a day off teaching specifically for it.
What did that look like in reality?
It meant bleeding through my clothes regularly, passing clots so large that it felt like going through mild labour pains each time they came. I had to shuffle to the toilet every 45–60 minutes, always keeping spare clothes in my car boot, and sometimes needing to go home. Senior leaders eventually realised what was happening and, to help, would assign me to classrooms closest to the toilets in any year group. I also had to ask for protected breaks, because being on duty twice a week was unmanageable for someone like me.
At my worst, for years, I lived through a private nightmare — one I wouldn’t wish on anyone. I didn’t like talking about it; it was personal and embarrassing. But it wasn’t something I could completely hide. The senior leadership team knew, and they did what they could — but those who haven’t lived with that kind of pain and loss of dignity often find it easy to say, Harden up — we did it!!
It’s not just about pain; it’s about the lack of dignity and understanding that can come with living through a condition like endometriosis while trying to remain professional /reliable.
When policies or discussions about workplace adjustments come up — whether for menstrual pain, chronic illness, menopause, or neurodivergence — people often worry about fairness / exceptions.
But what my experience shows so clearly is that equity isn’t about exceptions — it’s about dignity and understanding.
I would have loved to have had some dignity — to know that understanding and compassion weren’t seen as weaknesses or special treatment, but as basic respect.
After many years, I had a hysterectomy, and it was life-changing. One of my managers, who has since become a good friend, told me years later that she used to feel so bad seeing me shuffle into work, grimacing, trying to still teach, lead, and be part of the team.
For some women, it really isn’t JUST periods. They are soldiers — showing up, performing, teaching, and giving their all while enduring something others cannot see. I didn’t take time off, but I would have loved it if there could have been some understanding and adjustments made.