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There is a particular kind of woman who can be awake at 3am, lead a difficult meeting at 9am and still convince everybody, including herself, that she is functioning perfectly well. She has spent decades becoming exceptionally good at carrying complexity. Career pressure, family responsibility, financial decisions, caring, deadlines and the invisible work of remembering what everybody else has forgotten have all been absorbed into a life that still appears remarkably well ma

For years, the conversation around menopause has centred on symptoms. We have debated hot flushes, hormone replacement therapy (HRT), sleep disruption and brain fog, all of which deserve attention. Yet by focusing almost exclusively on biology, we may have overlooked a much bigger question. What if we have spent decades treating menopause as a women's health issue when it is also one of the greatest leadership, productivity and economic challenges hiding in plain sight?