“My Brain Really Turned on Me”: A Reflexive Thematic Analysis Exploring the Impact of Cognitive Symptoms of the Menopause in the Workplace

Background: The menopausal transition has gained visibility within academic and societal discourse in recent years, reflecting the complex interplay of psychological, sociocultural and economic factors intrinsic to this phase of life. It has also become an increasingly important workplace issue, with evidence indicating that associated cognitive symptoms are particularly impactful in this context. Aim: This research aims to qualitatively address the paucity of research exploring contextual factors influencing experiences of menopausal cognitive symptoms in the workplace. Methodology: Semi-structured interviews were carried out with fifteen participants, who were in employment and experiencing cognitive symptoms associated with the menopausal transition. These were analysed using reflexive thematic analysis. Results: Four overarching themes were constructed: “Navigation and Adaptation of the Workplace”, “Perceptions and Career Projections”, “Understanding and Feeling Understood” and “Stigma and Strength”. Additionally, thirteen sub-themes were generated and discussed. Conclusions: This research highlights how interpersonal and systemic factors are interwoven with cognitive symptoms during the menopausal transition, and how these impact experiences within the workplace. It illustrates the importance of education and awareness, connection and reducing stigma in enhancing staff wellbeing and retention.