Study: Women Lose Up to 10% of Earnings After Menopause

Study: Women Lose Up to 10% of Earnings After Menopause

The motherhood penalty on women's earnings is well-documented, but what happens at the other end of the reproductive spectrum? It turns out that during menopause, women take another financial hit. 

A new study sheds light on an often-overlooked consequence of menopause — its impact on women’s financial stability. International researchers have found that women experience a significant decline in earnings after being diagnosed with menopause, with income losses reaching up to 10% within four years.

“All women go through the menopause, but each woman’s experience is unique," says Lead author Professor Gabriella Conti (UCL Economics). "We looked at women with a medical menopause diagnosis, so these women may have experienced more severe symptoms than the general population. Our study shows how the negative impacts of the menopause penalty vary greatly between women."

The study by University College London, the University of Bergen, Stanford University and the University of Delaware examined the connection between menopause, employment patterns and healthcare use.

By analyzing medical records from Sweden and Norway, researchers focused on women diagnosed between the ages of 45 and 55 who were born between 1961 and 1968.

 

The Financial Toll of Menopause

According to the findings, women’s earnings drop by an average of 4.3% in the first four years after a menopause diagnosis, increasing to a 10% reduction by year four. The primary cause? A shift in working hours. Many women move from full-time to part-time employment, while others leave the workforce entirely, leading to long-term financial insecurity.

The study also found that the financial impact varies based on education level. Women without a university degree experience greater income losses than those with higher education. Additionally, workplace size and sector play a role — women employed by smaller, private-sector businesses face a steeper decline in earnings compared to those working for larger, public-sector organizations.

"Graduate women tend on average to be better informed of menopause symptoms and more aware of their treatment options," says Professor Conti. "This may mean they are better equipped to adapt and continue working throughout their menopause.   

"Our findings suggest that better information and improved access to menopause-related care are crucial to eliminating the menopause penalty and ensuring that workplaces can better support women during this transition."

 

Healthcare Costs and Workplace Support

Menopause’s financial strain extends beyond lost wages. The study found an increase in doctor visits and long-term medication use, particularly for treatments addressing menopause-related physical and mental health symptoms. These additional healthcare costs add to the economic burden faced by women navigating this stage of life.

And the likelihood of claiming disability insurance benefits increased by 4.8% in the four years following a menopause diagnosis, suggesting that menopause symptoms significantly impact women’s work patterns, the team said.  

Better workplace accommodations and greater awareness are critical and employers need to offer support to women navigating menopause.

"We were surprised to find so few studies looking at the economic effects of menopause, something that more than half of the world’s adults will experience," says co-author Professor Rita Ginja of the University of Bergen. "We hope that our work can help shed more light on how menopause affects the careers and economic well-being of women.”  

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Frequently Asked Questions About Perimenopause and Sleep

What causes perimenopause insomnia?

Perimenopause insomnia is caused by four overlapping hormonal changes: declining progesterone (which reduces GABA activity, the brain's natural calming mechanism), fluctuating estrogen (which disrupts serotonin, melatonin, and temperature regulation), elevated cortisol at night (causing the classic 3 am wake-up), and age-related melatonin decline.

These changes often happen at the same time, making perimenopause insomnia more complex and harder to treat than general insomnia.

Why do I keep waking up at 3 am in perimenopause?

The 3 am wake-up during perimenopause is typically caused by a cortisol spike. In a healthy sleep cycle, cortisol is at its lowest point in the early morning hours. Perimenopause disrupts this pattern, and cortisol can rise sharply in the middle of the night instead. Declining progesterone also reduces GABA activity, making it much harder to fall back to sleep once you are awake. This is a physiological event, not a psychological one.

How long does perimenopause insomnia last?

Perimenopause can last between 4 and 10 years, and sleep problems may come and go throughout this time. However, many women find significant improvement with targeted support that addresses the hormonal root causes. Sleep problems often come in waves that correspond to hormonal fluctuation rather than a steady linear decline.

Is melatonin effective for perimenopause sleep problems?

Melatonin is often the first thing women try, but it is usually not the right tool for perimenopause specifically. The main sleep problems in perimenopause are driven by progesterone decline, cortisol dysregulation, and estrogen-related temperature and inflammation changes, not primarily by low melatonin. Melatonin may help some women fall asleep faster, but it is unlikely to stop nighttime waking or night sweats. Natural approaches that target multiple hormonal pathways tend to work better.

What natural remedies actually work for perimenopause sleep?

Evidence-backed natural remedies for perimenopause sleep include CBN and CBD (which support the endocannabinoid system involved in sleep regulation and inflammation), ashwagandha (studied for cortisol reduction and improved sleep quality), passionflower (supports GABA activity), reishi (supports healthy stress response and sleep-wake rhythm), and linalool, a botanical terpene studied for nervous system calming. The most effective approach combines several of these to address the multi-root nature of hormonal sleep disruption.

Can perimenopause cause anxiety and sleep problems at the same time?

Yes, and they are usually directly linked. Declining progesterone reduces GABA activity in the brain, which increases anxiety and restlessness while also disrupting sleep. The relationship goes both ways: poor sleep worsens anxiety, and anxiety worsens sleep. Addressing the hormonal root cause rather than treating sleep and anxiety as separate problems is the more effective approach.

When should I see a doctor about perimenopause sleep problems?

You should speak to a doctor if your sleep problems are affecting your daytime functioning, mood, or work performance. Look for a provider who specialises in perimenopause or menopause medicine, as 80% of OB/GYNs have no formal menopause training. Be specific about when symptoms started and how they relate to changes in your menstrual cycle. You should not have to simply live with perimenopause insomnia.