It certainly impacts your working life.
Menopause affected my memory - whereas I used to just remember everything, I now have to write things down or put them in my calendar. When I was in the office, I was always far too hot - sometimes actually dripping with sweat - and having to make shame-faced trips to the loo to wash my armpits and put anti-perspirants on. Not allowed desk fans for 'safety' reasons. I WFH at the moment, thank goodness.
My menopause followed a hysterectomy so at least I didn't have to cope with erratic menopausal periods. My "normal" periods were bad enough, when I had them - the awful feeling of flooding when you're stuck in a meeting, the dread of standing up in case you have leaked onto your chair. It must be awful if you can't even predict when you're going to be menstruating, as in menopause.