Real People, Real Evolution

Short reflections from clients, teams, and partners who chose a new rhythm that feels right.

Mara D. Individual Coaching Client

I felt off track and exhausted. AVA helped me understand what was changing and build habits that give me energy again.

Elena M. Vital Circles Member

The group gave me a calm place to think and breathe. I left with clarity and a plan that fits my life.

Priya S. HR Leader, Health System

Our managers learned practical ways to support midlife wellbeing. Morale improved and conversations opened up.

Jordan K. Clinician & Workshop Participant

Evidence, empathy, and tools I can use with patients and for myself. It made menopause feel manageable.

Ana L. Group Program Participant

I stopped trying to do more and started doing what matters. The shift felt kind and sustainable.

Simone T. Senior Director, Operations

I did not need a total reset. I needed alignment. AVA helped me design work around the way I actually function best.

Renee C. Partnership Collaborator

The collaboration was seamless. Clear structure, thoughtful facilitation, and measurable outcomes for our team.

Fatima H. Entrepreneur & Coaching Client

I found language for what I was feeling and a roadmap that respects my pace. I feel steady and motivated.

Nora B. Chief People Officer

AVA gave our leaders confidence and our teams language. The change felt practical, respectful, and lasting.

Leah C. Midlife Strategy Retreat Attendee

It was the first space that truly saw midlife as potential, not limitation. I left feeling refueled and seen.

Leaving space for your testimony — because your story could inspire the next chapter for someone else.

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Global Declaration for Menopause

Equity and Dignity in Health and Work

We, the undersigned, affirm that menopause is a normal life stage and a critical public health, economic, and human rights issue. Around the world, millions of women in their 40s, 50s, and 60s sustain families, workplaces, economies, and communities while navigating menopausal transition with inadequate recognition, support, or protection.

Global estimates suggest that over one billion people will be postmenopausal by 2025, representing a significant share of the global workforce and caregiving labor. Yet menopause-inclusive care, data, and workplace policies remain inconsistent and, in many countries, absent.

We believe this is not a “women’s wellness perk.” It is an overdue requirement of modern health systems, labor standards, and gender equity.

Our Principles

Dignity as a baseline

Every person experiencing menopause has the right to be treated with respect in clinical settings, workplaces, and public institutions, without ridicule, dismissal, or career penalty.

Recognition in global health agendas

Menopause and midlife hormonal health must be explicitly integrated into global health strategies, noncommunicable disease frameworks, universal health coverage planning, and healthy aging agendas, reflecting WHO’s acknowledgement that support in this phase is essential to long-term health.

World Health Organization

Evidence-based care for all

People in menopause are entitled to access accurate information, trained providers, and safe, evidence-based options, including non-hormonal and hormonal therapies, without discrimination based on age, race, income, geography, disability, or gender identity.

Workplaces that match reality

As global consensus statements already recommend, employers should integrate menopause into occupational health, equity, and inclusion frameworks. Menopause-responsive policies are a driver of retention, productivity, leadership continuity, and economic resilience.

PubMed +2

Australasian Menopause Society +2

No penalty for telling the truth

No one should be pushed out of work, passed over, or shamed for requesting reasonable adjustments or medical support related to menopausal symptoms.

Intersectional and lived-experience informed

Policy and practice must reflect how menopause interacts with race, class, disability, migrant status, precarious work, and unpaid care. Those most affected must have a seat at the table as experts of their own experience.

Data, research, and accountability

Governments, employers, and health systems must collect better data on menopause-related outcomes, invest in research beyond the most privileged populations, and publicly report progress.

Our Calls to Action

Global Health Leadership

We call on the World Health Organization and global health partners to:

Establish clear, practical guidance for integrating menopause into primary care, occupational health, and healthy aging policies in all regions.
Encourage member states to include menopause services, counseling, and medications in universal health coverage benefits.
Promote research and surveillance that capture menopause’s impact on health, employment, and economic security, with disaggregated data.

National Governments & Parliaments

We call on national governments and parliaments to:

Recognize menopause as a key life stage within health, labor, and equality legislation.
Embed protection from discrimination on the grounds of menopause-related symptoms or treatment.
Incentivize or require employers to adopt menopause-supportive policies, including flexible work options, access to occupational health advice, and training for managers.

Employers, Unions & Professional Bodies

We call on employers, unions, and professional bodies to:

Adopt written menopause policies developed with input from affected staff.
Provide training so leaders can respond with competence, not stigma.
Ensure health benefits, sick leave structures, and performance processes do not punish workers managing menopausal symptoms.
Recognize that retaining experienced midlife workers is a strategic advantage, not a concession.

Healthcare, Education & Regulators

We call on healthcare systems, educators, and regulators to:

Integrate comprehensive menopause education into medical, nursing, and allied health curricula.
Expand access to specialized menopause care and culturally competent services in urban and rural settings.
Address misinformation and commercial exploitation with clear public education.

Our Commitment

By signing this Declaration, we:

Affirm that menopause equity is a measurable, achievable standard of modern societies.
Support AVA and aligned organizations in presenting this Declaration and its signatures to WHO, UN agencies, governments, employers, unions, and health systems.
Commit, within our own spheres of influence, to ending the silence, redesigning systems, and honoring the expertise and labor of those in midlife and beyond.

ADVOCACY FOR VITAL AGING

Testimonials