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Article · 2 min read

Your hormones are showing up to work whether you talk about them or not.

By Dr. Jessica D. Johnson, PharmD, BCACP · Reset With Dr. Jess™

We plan around deadlines, meetings, and PTO, but we rarely plan around the hormonal shifts happening underneath all of it, even though the research suggests we probably should.

Estrogen and progesterone don't just regulate the menstrual cycle. They shape how the brain processes emotion. Neuroimaging studies have consistently found increased amygdala reactivity in the luteal phase, the window right before a period, which is linked to heightened emotional sensitivity and stronger emotional memory. In other words, what gets written off as someone being "too sensitive" often has a real neurobiological driver behind it.

And this doesn't stop once the menstrual years end. A Mayo Clinic study of over 4,400 working women found that menopause symptoms were significantly associated with worse work outcomes, and estimated the related productivity losses at roughly $1.8 billion, a figure that lines up with The Menopause Society's own consensus data on employer costs from missed workdays. Separate survey research found that nearly 4 in 10 women report menopause symptoms interfering with their work performance on a weekly basis, and two out of five have actually considered leaving a job because of it.

What's striking is that most of these women are still showing up and still getting the work done, all while managing a brain and body running through a hormonal environment that hardly anyone, including their own managers or sometimes their doctors, has been trained to recognize.

If you're an employee, it might help to know that what you're feeling has a physiological basis behind it, and naming that to yourself isn't a weakness, it's useful information.

If you're an employer, supporting hormonal health isn't just a nice-to-have benefit. It's backed by real cost and retention data.

We've gotten more comfortable talking about mental health, sleep, and stress at work. Hormones deserve to be part of that same conversation.

Want to bring this conversation to your team?

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