On World Menopause Day, we shine a light on a global issue affecting over 450 million women. Menopause, once shrouded in silence, is now a priority for public health, equity, and economic growth. It's time to transform scattered efforts into a coordinated plan, accessible in clinics, workplaces, and national policies. The impact of menopause is profound, with potential gains of 2.4 million disability-adjusted life years and 120 billion dollars in annual GDP. This translates to fewer missed workdays, steadier household income, and less strain on health systems, all while improving women's quality of life. However, the challenge lies in the lack of preparation across systems, leading to delayed or inaccessible diagnosis and care. Only 60% of women with significant menopause symptoms seek treatment, and training gaps persist among healthcare professionals. This results in women considering leaving work (25%) or actually leaving jobs (10%) due to symptoms. The solution requires a multi-faceted approach, starting with healthcare. Menopause should be integrated into routine primary care, with screening and counseling during routine visits for women in their forties and fifties. Evidence-based options include lifestyle approaches, non-hormonal treatments, and hormonal therapies guided by informed choice. Mental health and cardiometabolic risk must be considered, as sleep disruption, mood changes, and metabolic shifts often coexist. Workplace adjustments are crucial, such as flexibility, paid time off for symptom flare-ups, and practical measures like temperature control and quiet rest areas. Research and product design should address the data gap and raise the bar for solutions, reflecting the diversity of real women and using comparable endpoints. Policy and financing play a vital role in turning best practices into the baseline, ensuring essential menopause services are covered by national health packages and insurance. Public information campaigns can dispel stigma and provide practical knowledge to women, partners, managers, and clinicians. By prioritizing women's health, we improve family and economic functioning, reduce absenteeism, and support experienced talent in the workforce. Effective advocacy combines public leadership, technical expertise, and coordinated action, with public figures, researchers, and clinicians driving change. Platforms like the Global Alliance for Women's Health and the International Menopause Society facilitate collaboration and accountability. Now, let's take action. Health systems should add brief screening and counseling to routine care, strengthen medical school training, and employers should publish menopause policies, train managers, and update benefits. Cultural change is essential, with partners, friends, and community leaders sharing knowledge and support. World Menopause Day should be an annual accountability moment, ensuring women can access accurate information, timely care, and practical support. Let's make a difference today for a brighter tomorrow.
