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Employers say they want to have women in leadership positions, but they also go "AWOL" when women are affected by perimenopause or menopause, advocates say.

"The problem is women hit what we call the hormone glass ceiling. They've had all this investment in their 30s, only to hit that hormone glass ceiling five years later and come a cropper unexpectedly," says Dr Ginni Mansberg.

"They feel like, at that point, the workplace which was so supportive has gone AWOL and nobody gets them, and there's this silence, shame and stigma. We know that what women want is to talk about it and lift and bust through that hormone glass ceiling."

To do this there are "very simple changes" employers can make, and the key piece is education, says Mansberg...