Intersectionality Between the Experiences and Perceptions of Middle-aged Female Government Employees on Pre-menopausal Symptoms and Societal-workplace Discrimination

Authors

  • Marietta S. Santos, PhD Bataan Peninsula State University, Philippines

DOI:

https://doi.org/10.47679/jopp.8314502026

Keywords:

pre-menopausal, middle-aged female, government employees, Physical fatigue, Workplace Discrimination Awareness, workplace empathy

Abstract

The pre-menopausal stage involves natural hormonal and physical changes in middle-aged women, affecting both their physical and mental health. Despite its medical basis, misconceptions often fuel discrimination. This bias can appear in healthcare, workplaces, and society, varying by culture and region. Employing a qualitative research method with a narrative analysis design, this study aims to attain the following: (i) explore how middle-aged female government employees see the impact of pre-menopausal symptoms on their daily lives, well-being, and work performance; and (ii) explore how the narratives of middle-aged female government employees reveal the intersectionality of societal and workplace factors in shaping experiences of discrimination during the pre-menopausal stage. The study concludes that middle-aged female government employees face challenges that severely impact their daily functioning and career sustainability, underscoring the urgent need for comprehensive workplace policies, cultural change, legal protections, and supportive programs. In response, recommendations include establishing flexible work accommodations, launching education and training initiatives to reduce stigma, and piloting comprehensive wellness programs through an extension project tailored to this population to improve health outcomes and workplace inclusion.

Author Biography

Marietta S. Santos, PhD, Bataan Peninsula State University

Marietta S. Santos, PhD is a registered nurse in the Philippines and an Associate Professor I at the Bataan Peninsula State University-Main Campus. She has two decades of experience in nursing education, either as a nursing educator and/or clinical instructor.

References

Ahuja, M. (2025). The effects of menopause in the workplace: Challenges and solutions for HCP and HR professionals. Journal of SAFOMS 9(1):32-34 https://doi.org/10.5005/jp-journals-10032-0127

Aspers, P., & Corte, U.. (2019). What is Qualitative in Qualitative Research. Qualitative Sociology, 42(2), 139–160. https://doi.org/10.1007/s11133-019-9413-7

Bamberg, M. (2012). Narrative Analysis. In H. Cooper (Ed.), APA Handbook of Research Methods in Psychology (3 Volumes). Washington DC: APA Press.

http://dx.doi.org/10.1037/13620-006

Beck, V., Brewis, J., & Davies, A. (2021). Women’s experiences of menopause at work and performance management. Organization, 28(3), 510-520. https://doi.org/10.1177/1350508419883386

Brewis, J., Beck, V., Davies, A., & Matheson, J. (2017, July). The effects of menopause transition on women’s economic participation in the UK. University of Leicester. https://menopauseintheworkplace.co.uk/wp-content/uploads/2020/04/menopause_report.pdf

Carter, S., Davis, S., & Black, K. I. (2021). Menopause workplace policy: The way forward or backward? Australian and New Zealand Journal of Obstetrics and Gynaecology, 61(6), 986–989. https://doi.org/10.1111/ajo.13445

Caulfield, J. (2022). How to do thematic analysis: Step-by-step guide & examples. https://www.scribbr.com/methodology/thematic-analysis/

Ciptaningtyas, R., & Hidayatullah Lubis, S. R. (2026). Navigating menopause in the workplace: Strategies for sustaining productivity and well-being. In K. Tennin, S. Kumar A. V., S. Ray, & A. Mishra (Eds.), Supporting women’s health and wellbeing in the workplace (pp. 215–244). IGI Global Scientific Publishing. https://doi.org/10.4018/979-8-3373-2970-3.ch009

Collins, H., Barry, S. H., & Grace. (2024). ‘Difficult to divulge’: The impact of organisational silence around the menopause. Work, Employment and Society, 38(5), 1445–1456. https://doi.org/10.1177/09500170231212127

Crawford, B. J., Waldman, E. G., & Cahn, N. R. (2022). Working through menopause. Washington University Law Review, 99. https://ssrn.com/abstract=3916860

Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). SAGE.

Cronin, C., Abbott, J., Asiamah, N., & Smyth, S. (2024). Menopause at work: An organisation-based case study. Nursing Open, 11, e2058. https://doi.org/10.1002/nop2.2058

D’Angelo, S., Bevilacqua, G., Hammond, J., Zaballa, E., Dennison, E. M., & Walker-Bone, K. (2023). Impact of menopausal symptoms on work: Findings from women in the health and employment after fifty (HEAF) study. International Journal of Environmental Research and Public Health, 20(1), 295. https://doi.org/10.3390/ijerph20010295

de Castro, A. B., Gee, G. C., & Takeuchi, D. T. (2008). Workplace discrimination and health among Filipinos in the United States. American Journal of Public Health, 98(3), 520–526. https://doi.org/10.2105/AJPH.2007.110163

Dillaway, H. E., Byrnes, M., & Miller, E. (2018). Stigma and women's health: A narrative review. Women’s Health Issues, 28(5), 396-402. https://doi.org/10.1016/j.whi.2018.03.004

Dudovskiy, J. (2021). Constructivism research philosophy - research methodology. Business Research Methodology. https://research-methodology.net/research-philosophy/epistomology/constructivism/

Elias, A. C. (2022, June 13). A woman’s curse: Menopause in the workplace. SSRN. https://doi.org/10.2139/ssrn.4347794

Faubion, S. S., Enders, F., Hedges, M. S., Chaudhry, R., Kling, J. M., Shufelt, C. L., Saadedine, M., Mara, K., Griffin, J. M., & Kapoor, E. (2023). Impact of Menopause Symptoms on Women in the Workplace. Mayo Clinic proceedings, 98(6), 833–845. https://doi.org/10.1016/j.mayocp.2023.02.025

Freeman, E. W., Sherif, K., & Prentice, R. (2011). Risk factors for hot flushes in midlife women: Results from a prospective cohort study. Menopause, 18(5), 505-515. https://doi.org/10.1097/gme.0b013e318201f648

Griffiths, A., MacLennan, S. J., & Hassard, J. (2013). Menopause and work: An electronic survey of employees’ attitudes in the UK. Maturitas, 76(2), 155–159. https://doi.org/10.1016/j.maturitas.2013.07.005

Guest, G., Bunce, A., & Johnson, L. (2006). How many interviews are enough? An experiment with data saturation and variability. Field Methods, 18(1), 59–82. https://doi.org/10.1177/1525822X05279903

Guthrie, J. R., Dennerstein, L., Taffe, J. R., Lehert, P., & Burger, H. G. (2004). The menopausal transition: a 9-year prospective population-based study. The Melbourne Women's Midlife Health Project. Climacteric : the journal of the International Menopause Society, 7(4), 375–389. https://doi.org/10.1080/13697130400012163

Harlow, S. D., & Paramsothy, P. (2011). Menstruation and the menopause transition. Obstetrics and Gynecology Clinics of North America, 38(3), 595–607. https://doi.org/10.1016/j.ogc.2011.05.010

Herman, D. (2000, September 18). Narratology as a cognitive science. Image and Narrative: Online Magazine of the Visual Narrative. https://www.imageandnarrative.be/inarchive/narratology/davidherman.htm

Holden, C., Corcoran, P., & Yates, J. (2026). “There’s no escape”: A qualitative analysis of the workplace experiences of menopausal women working in low-paid roles. Career Development International, 31(4), 393–407. https://doi.org/10.1108/CDI-11-2024-0486

Jack, G., Riach, K., Bariola, E., Pitts, M., Schapper, J., & Sarrel, P. (2016). Menopause in the workplace: What employers should be doing. Maturitas, 85, 88–95. https://www.maturitas.org/article/S0378-5122(15)30090-6/abstract

Kang, H. K., Kaur, A., & Dhiman, A. (2021). Menopause-specific quality of life of rural women. Indian Journal of Community Medicine, 46(2), 273–276. https://doi.org/10.4103/ijcm.IJCM_665_20

Kausto, J. (2025). Menopause in working life. Scandinavian Journal of Work, Environment & Health, 51(6), 455–457. https://doi.org/10.5271/sjweh.4258

Marnocha, S. K., Bergstrom, M., & Dempsey, L. F. (2011). The lived experience of perimenopause and menopause. Contemporary nurse, 37(2), 229–240. https://doi.org/10.5172/conu.2011.37.2.229

Nagaraj, D., Ramesh, N., Devraj, D., Umman, M., John, A. K., & Johnson, A. R. (2021a). Experience and perceptions regarding menopause among rural women: A cross-sectional hospital-based study in South Karnataka. Journal of Mid-Life Health, 12(3), 199–205. https://doi.org/10.4103/jmh.JMH_196_20

Noori, R. (2024, October 18). Menopause benefits at work: What are they and should you offer them? Benepass. https://getbenepass.com/blog/menopause-benefits-at-work

O’Neill, M. T., Jones, V., & Reid, A. (2023). Impact of menopausal symptoms on work and careers: A cross-sectional study. Occupational Medicine, 73(6), 332–338. https://doi.org/10.1093/occmed/kqad078

Orgad, S. (2025). Women who quit: Media and policy discourse about gender and work. LSE Public Policy Review, 3(4), 1–11. https://doi.org/10.31389/lseppr.121

Patton, M. Q. (2015). Qualitative research & evaluation methods: Integrating theory and practice (4th ed.). Sage Publications.

Riessman, C. K. (2008). Narrative methods for the human sciences. SAGE Publications.

Roshini, R. A., Meriton Stanly, A., & Samya, V. (2025). A study on the prevalence of menopausal symptoms and its impact on quality of life among women aged 41 to 60 years in a rural area. Journal of family medicine and primary care, 14(9), 3912–3919. https://doi.org/10.4103/jfmpc.jfmpc_2101_24

Rossouw, J. E., Manson, J. E., Kaunitz, A. M., & Anderson, G. L. (2013). Lessons learned from the Women's Health Initiative trials of menopausal hormone therapy. Obstetrics and gynecology, 121(1), 172–176. https://doi.org/10.1097/aog.0b013e31827a08c8

Santoro, N. (2016). Perimenopause: From research to practice. Journal of Women’s Health, 25(4), 332–339. https://doi.org/10.1089/jwh.2015.5556

Santoro, N., & Randolph Jr, J. F. (2011). Reproductive hormones and the menopause transition. Obstetrics and Gynecology Clinics, 38(3), 455-466. https://doi.org/10.1016/j.ogc.2011.05.004

Shifera, N., Yosef, T., Wondie, S. G., & Aydiko, A. (2025). Understanding menopause: Knowledge and influencing factors among postmenopausal women in Bench Sheko Zone, Southwest Ethiopia: Cross-sectional study design. Health Science Reports, 8(11), e71511. https://doi.org/10.1002/hsr2.71511

Shrout, M. R., Renna, M. E., Madison, A. A., Malarkey, W. B., & Kiecolt-Glaser, J. K. (2023). Marital negativity's festering wounds: The emotional, immunological, and relational toll of couples' negative communication patterns. Psychoneuroendocrinology, 149, 105989. https://doi.org/10.1016/j.psyneuen.2022.105989

Stuart, J. D. (2025). A change in climate: Inclusion and menopause experience at work [Industrial-Organizational Psychology Dissertation, Seattle Pacific University]. SPU Digital Commons. https://digitalcommons.spu.edu/iop_etd/53

Terzic, S., Bapayeva, G., Kadroldinova, N., Sarría-Santamera, A., Gusmanov, A., Sanchez-Anguiano, A., Aimagambetova, G., Laganà, A. S., Ukybassova, T., Kongrtay, K., Abdukassimova, M., & Terzic, M. (2024). Association between menopause and occupational burnout in healthcare workers: A cross-sectional study. Critical Public Health, 34(1), 1–16. https://doi.org/10.1080/09581596.2024.2382696

Trozo, S. M. P., & Lascuña, C. M. (2023). Knowledge, attitudes, and practices regarding menopause among female employees aged 45 years old and above in a tertiary government hospital. Philippine Journal of Rehabilitation Medicine, 20(1), 1-11.. https://pjrei.org/uploads/pdf/articles/knowledge--attitudes--and-practices-on-menopause-among-female-employees-aged-45-years-old-and-above-in-a-tertiary-government-hospital.pdf

Twamley, K., Briedis, I., & Phillips, T. (2025, July). Menopause in the workplace: Literature review. Department for Work and Pensions. https://assets.publishing.service.gov.uk/media/68775581cfc3756455bb6a99/menopause-in-the-workplace-literature-review.pdf

Walker-Bone, K., & Davis, S. (2025). Menopause, women and the workplace. Climacteric, 28(4), 423–430. https://doi.org/10.1080/13697137.2025.2480591

Whelan, É., Dempsey, M., & Voon Yi Chi, C. (2026). Cultural Differences in Women’s Experience of Menopause: A Qualitative Review. Journal of Cross-Cultural Psychology, 57(4), 652-674. https://doi.org/10.1177/00220221261418307

Woods, N. F., & Mitchell, E. S. (2005). Symptoms during the perimenopause: Prevalence, severity, trajectory, and significance in women’s lives. The American Journal of Medicine, 118(Suppl. 12B), 14–24. https://doi.org/10.1016/j.amjmed.2005.09.050

Yildirim, F., Duman, N. B., & Kulakaç, Ö. (2023). The effect of menopause on the sexual functions and marital adjustment of the spouses. Journal of Midlife Health, 14(3), 170–175. https://doi.org/10.4103/jmh.jmh_90_23

Yoeli, H., Macnaughton, J., & McLusky, S. (2021). Menopausal symptoms and work: A narrative review of women's experiences in casual, informal, or precarious jobs. Maturitas, 150, 14–21. https://doi.org/10.1016/j.maturitas.2021.05.007

Yoshitake, S., Nakamura, T., & Hirakawa, Y. (2026). Qualitative research on health issues and background factors of menopausal female workers: An examination from physical, psychological, and social perspectives. Journal of Rural Medicine, 21(2), 136–146. https://doi.org/10.2185/jrm.2025-042

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Published

2026-07-08

How to Cite

Santos, M. S. (2026). Intersectionality Between the Experiences and Perceptions of Middle-aged Female Government Employees on Pre-menopausal Symptoms and Societal-workplace Discrimination. Journal of Psychological Perspective, 8(3), 187–194. https://doi.org/10.47679/jopp.8314502026

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Empirical Research

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