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Breaking the Silence, Ending the Global Neglect 

Menopause is one of the most universal yet systematically overlooked realities in women’s lives with enormous societal consequences. Every woman—everywhere—deserves better science, care and support.

Join us to build a world where menopause is met with understanding, treatment, and power, not pain. 

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Declaration Co-Leads

  • Graça Machel

    Founder, Graça Machel Trust

    Mozambique

  • Jill Sheffield

    Founder & Past President, Women Deliver

    United States

  • Joy Phumaphi

    Executive Secretary, African Leaders Malaria Alliance

    Botswana

  • Theo Sowa

    Interim CEO, Graça Machel Trust;

    Former CEO, African Women's Development Fund

    Ghana

  • Dr. Nozer Sheriar

    Physician, Author and Chair, Medical Advisory Panel, Family Planning Association of India

    India

  • Magdalena Robert*

    Deputy Director, Program Advocacy and Communications, Gates Foundation

    Mexico

  • Carole Presern*

    Professor of the Practice of Global Health, London School of Hygiene & Tropical Medicine

    United Kingdom

  • Dr. Núria Casamitjana Badia

    Profesora Titular, University of Barcelona

    Spain

  • Katja Iversen

    Women’s Health Advocate CEO, Museum for the United Nations - UN Live

    Denmark

  • * Signing the declaration in their personal capacities; their views do not represent those of their employers. 

Menopause is not just a health issue—it's a life-changing transition that affects women’s careers, relationships, and well-being.  

We have the power to change this.   

The world can no longer tolerate the quiet suffering of half of the world’s population. No one should face menopause alone, uninformed, or untreated. 

Together, we will break the silence, end the neglect, and demand global action on menopause. 

Menopause is one of the most universal yet systematically overlooked realities in women’s lives.  

Menopause is not a disease. It is a decade-long transition that half of the world’s population will experience during their lifetimes. (i) By 2030, 1.2 billion women around the world will be menopausal or post-menopausal. (ii) 

And while everyone experiences menopause differently, four out of every five women experience profound physical, emotional, and cognitive symptoms that impact their health, lives, and livelihoods. (iii) Too many of these women are forced to tolerate symptoms and discomfort in silence or without treatment.  

We are here to change this. The Power in Menopause campaign is a new global movement  demanding action on menopause.  

Menopause: A Global Health Crisis Hiding in Plain Sight 

Menopause symptoms can impact every dimension of women’s health. Hot flashes can impact women’s sleep cycles, trigger mood swings, and leave women more vulnerable to depression. (iv) While the hormonal changes that accompany menopause can drastically alter women’s metabolism and bone density, increasing women’s risk of long-term disability and heart disease. (v,vi,vii)  

Menopause symptoms can be so debilitating that every year, they rob the world’s women of 2.4 million healthy years of life. (iix) 

 Yet, despite its pervasiveness, millions of menopausal women suffer in silence due to lack of information, misdiagnosis, or stigma. In many cases, its celebrities, not health systems, who are encouraging women to openly discuss their experiences and seek support.   

A central challenge is that most health professionals are not specifically or adequately trained on menopause, so they may not know how to spot symptoms or counsel women experiencing menopause. (ix) As a result, women are exposed to misinformation and companies pushing unverified advice and products on the internet and social media.  

 Even Hormone Replacement Therapy (HRT) — a proven menopause treatment— remains under-prescribed, misunderstood, or inaccessible in many parts of the world. The result: millions of menopausal women continue to experience unnecessary discomfort that medicine can manage. (x,xi,xii)

Much about menopause remains unknown because it remains grossly under-invested and under-researched, particularly in low- and middle-income countries, and among Indigenous and marginalized groups. (xiii) 

Menopause Policies are Beginning to Emerge — but Remain Exceedingly Rare.  

Despite its widespread impact, most countries still don’t treat menopause as a public health priority. 

Robust national frameworks are urgently needed to increase research funding, improve access to care and education, and expand workplace accommodations. 

A few countries are leading the way and offer a blueprint forward, including the UK, Spain, and Kenya, which have brought menopause onto the national stage through conferences, country guidelines, and workplace initiatives. Without coordinated investment and leadership, millions of women will continue to navigate menopause unsupported and underserved. 

Menopause is an Economic Imperative and a $120 Billion USD Opportunity  

Menopause is not just a health issue; it’s an economic one too. Perimenopausal women are the fastest growing portion of the workforce, so menopause symptoms have huge implications for companies and economies. (xiv)

Menopause symptoms can make work difficult, and disrupt women’s careers and economic productivity. (xv, xvi) Research shows that nearly one in four working women have quit or considered quitting their jobs due to menopause symptoms. (xvii)  

 But we have the power to change this. Helping women to better manage their menopause symptoms is not just a moral imperative, it’s also a smart financial decision that could add $120 billion USD to the global economy, every year. (xviii) 

The Power in Menopause Campaign Issues a Global Call to Action.  

The Power in Menopause campaign is a new movement to demand global action on menopause.  

We believe that: 

  • No one should face menopause alone, uninformed, or untreated. 

  • We can no longer tolerate the quiet suffering of half the world’s population. 

  • The neglect of menopause in medicine, policy, and public discourse is a global failure. 

  • Every woman—everywhere—deserves better science, support, and care. 

Power in Menopause
A Global Declaration  

We all have a role to play to demand global action on menopause.

Together, we will break the silence, end the neglect, and demand global action on menopause


Together, we will build a world where menopause is met with power—not pain.  


Together, we will make menopause a global priority

Join Us.

The Power in Menopause campaign urges the World Health Organization, governments, health institutions, and corporations take action on menopause, so our health systems and workplaces can better support the billions of women and gender diverse persons who will experience menopause.  

The World Health Organization (WHO)

To treat menopause as a life-course approach and create clear, evidence-based menopause guidelines to equip health providers and guide policymakers.

Countries

To formulate national menopause guidelines, to invest in menopause research, and to ensure that available treatments are covered by national health insurance schemes so they can be accessible to all who need them. 

Health Training Institutions & Professional Associations

To expand menopause curricula to reflect the latest menopause science and treatments, and for health providers to proactively discuss menopause symptoms and available treatments with their patients, so women can be the drivers of their own menopause journeys. 

Corporations

To reflect menopause in corporate health policies, management training, and work environments, so women experiencing menopause can continue to thrive in their careers. 

Sign the Declaration

Please fill out the form below to have your name listed as a signatory of the Global Power in Menopause Declaration. 

Endnotes

i WHO. (2024). Menopause Factsheet. https://www.who.int/news-room/fact-sheets/detail/menopause 

ii Hill, K. (1996). The demography of menopause. Maturitas, 23. 113-127. https://doi.org/10.1016/0378-5122(95)00968-X. 

iii Santoro, N., Roeca, C., Peters, B. A., & Neal-Perry, G. (2021). The Menopause Transition: Signs, Symptoms, and Management Options. The Journal of Clinical Endocrinology & Metabolism, 106(1), 1–15. https://doi.org/10.1210/clinem/dgaa764 

iv Jia, Y., Zhou, Z., Xiang, F., Hu, W., & Cao, X. (2024). Global prevalence of depression in menopausal women: A systematic review and meta-analysis. Journal of affective disorders, 358, 474-482. 

v El Khoudary, S. R., Aggarwal, B., Beckie, T. M., Hodis, H. N., Johnson, A. E., Langer, R. D., Limacher, M. C., Manson, J. E., Stefanick, M. L., & Allison, M. A. (2020). Menopause Transition and Cardiovascular Disease Risk: Implications for Timing of Early Prevention: A Scientific Statement From the American Heart Association. Circulation, 142(25). https://doi.org/10.1161/CIR.0000000000000912 

vi Erdélyi, A., Pálfi, E., Tűű, L., Nas, K., Szűcs, Z., Török, M., Jakab, A., & Várbíró, S. (2023). The Importance of Nutrition in Menopause and Perimenopause—A Review. Nutrients, 16(1), 27. https://doi.org/10.3390/nu16010027 

vii Tella, S. H., & Gallagher, J. C. (2014). Prevention and treatment of postmenopausal osteoporosis. The Journal of Steroid Biochemistry and Molecular Biology, 142, 155–170. https://doi.org/10.1016/j.jsbmb.2013.09.008 

viii,  viiii  World Economic Forum. (2025). Blueprint to Close the Women’s Health Gap: How to Improve Lives and Economies for All

ix Armeni, E., Mili, N., Siliogka, E., Goulis, D. G., & Lambrinoudaki, I. (2022). Menopause medical education around the world: The way forward to serve women’s health. Current Opinion in Endocrine and Metabolic Research, 26, 100387. https://doi.org/10.1016/j.coemr.2022.100387 

x Barber, K., & Charles, A. (2023). Barriers to Accessing Effective Treatment and Support for Menopausal Symptoms: A Qualitative Study Capturing the Behaviours, Beliefs and Experiences of Key Stakeholders. Patient Preference and Adherence, Volume 17, 2971–2980. https://doi.org/10.2147/PPA.S430203 

xi Fistonic, I. (2004). Menopause in Croatia. Socio-demographic characteristics, women’s attitudes and source of information, compliance with HRT. Maturitas, 47(2), 91–98. https://doi.org/10.1016/S0378-5122(03)00251-2 

xii Peeples, L. (2025). The new science of menopause: these emerging therapies could change women’s health. Nature, 637(8047), 782–784. https://doi.org/10.1038/d41586-025-00069-4 

xiii Delanerolle, G., Phiri, P., Elneil, S., Talaulikar, V., Eleje, G. U., Kareem, R., Shetty, A., Saraswath, L., Kurmi, O., Benetti-Pinto, C. L., Muhammad, I., Rathnayake, N., Toh, T.-H., Aggarwal, I. M., Shi, J. Q., Taylor, J., Riach, K., Potocnik, K., Litchfield, I., … Lee, J. Y.-S. (2025). Menopause: a global health and wellbeing issue that needs urgent attention. The Lancet Global Health, 13(2), e196–e198. https://doi.org/10.1016/S2214-109X(24)00528-X 

xiv O'Neill MT, Jones V, Reid A. Impact of menopausal symptoms on work and careers: a cross-sectional study. Occup Med (Lond). 2023 Sep 29;73(6):332-338. doi: 10.1093/occmed/kqad078. PMID: 37542726; PMCID: PMC10540666. 

xv Peacock, K., Carlson, K., & Ketvertis, K. M. (2023). Menopause. Treasure Island (FL): StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK507826/ 

xvi CIPD. (2023). Menopause in the workplace: Employee experiences in 2023. 

xvii CIPD. Health and wellbeing at work. 2023. https://www.cipd.org/globalassets/media/knowledge/knowledge-hub/reports/2023-pdfs/8436-health-and-wellbeing-report-2023.pdf