A public coalition advancing menopause-inclusive leave and workplace accommodations.

Menopause is the most predictable workforce health event in women's lives, with well-documented symptoms that impact performance and earnings. Yet most workplaces lack programs to support women through it.

MTO exists to close the gap by providing tools and resources for employees and employers alike, and providing grants to help women take time off to recuperate from menopause symptoms.

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The MTO Fund is informed by proprietary survey data from 1,028 working women ages 30-60, focused on productivity, focus, participation, and stigma, providing directional evidence of unmet need.

Nearly 90% of women say menopause symptoms impact their work, but 62% have avoided taking time off because menopause is not recognized in workplace policy.

0%

of women say menopause symptoms impact their work

0%

of women have avoided taking time off because menopause is not recognized in workplace policy

Around 40% of women said they've had to take time off due to symptoms and another 40% have worked while feeling unwell.

Yet over 65% have never discussed their symptoms at work because they fear being perceived differently or facing age - or gender - based bias.

0%

of women said they've had to take time off due to symptoms

0%

of women have worked while feeling unwell

0%

of women have never discussed their symptoms at work

Nearly 80% say having defined menopause time off would improve productivity and reduce stress, but only 32% say their workplace offers anything comparable.

Only 32% say their workplace offers anything comparable.

A 2025 RAND report estimates the annual economic cost of menopause symptoms at $5.4billion in lost productivity.

68% of women lose up to 10 hours of productivity per week — more than a full workday — because of symptoms

68%

of women lose up to 10 hours of productivity per week

Ways to Join The MTO Movement

01

Sign the MTO Declaration

Be a supporter!

02

Enter to win a $1000 Microgrant

And access other employee resources

03

Download the Employer Toolkit

Launch MTO in your workplace

Menopause Time Off

Open Declaration

The MTO Open Declaration is a public statement endorsed by leaders across healthcare, business, and policy who agree menopause-inclusive workplace frameworks are overdue.

Signatories support

  • Recognizing menopause as a legitimate workplace health consideration
  • Providing clear, stigma-free pathways for time off and accommodations
  • Aligning workplace policy with modern healthspan science
454 signatures
  • Lexington, KY Anastasia Jandes, MD, PharmD
  • Covington, LA Candice LeDuff Knight, MD, MPH
  • Sarasota, FL Shelly Chvotzkin, M.D.
  • Los Angeles, CA Brooke Burke
  • New York, NY Hannah Bronfman
  • Coral Springs, Florida Dr. Cathy Swain-Jones, MD
  • CA Denise Martinez
  • Lyles, TN Zachary Rollins
  • Toronto lisa wray
  • United States Corrina Collins-Vanek
  • NJ Stephanie Schroedl
  • bend oregon Miranda R Holloway
  • Georgia Yvette Daniels
  • Union City, GA Yvette Daniels
  • Modesto, Ca USA Robin Woods
  • FL Joyce Allen
  • New York, NY Mislay Christians
  • Miami,Florida Valiencia Allen
  • MA Sara Blackerby
  • Maryland Stephanie Loller
  • Canada Katie Fradette
  • Mableton Ga Netta Barret
  • North Carolina Tracey Highfill
  • GA Julie Thomas
  • GA Julie Thomas
  • GA Julie Thomas
  • Columbus Ohio USA Gail stewart
  • Sacramento Elanda Jimenez
  • Somerton, AZ Jamie Hadley
  • OR Jolene Wagoner
  • OR Jolene Wagoner
  • Shawano, Wisconsin Leah Hetzer
  • Salem, Oregon Brandy Bell
  • Show Low Kathy Graef
  • United States Katie Guernsey
  • Florida Elizabeth Prunier
  • CA Jennifer Ziegler
  • United States Amanda Rockinson
  • United States Regina Giacosa
  • Charlotte, NC Kate Heacox
  • CA Christina Ames-Cotto
  • Belleville, MI Wendy Leland
  • Burbank, CA Tara Hickman
  • Oklahoma Meena Olomi
  • Cornelius Tempi Wilkinson
  • Reseda, California Lupe Avalos
  • West Covina, California Hilary Arredondo
  • Los angeles Luisa Bolanos
  • Rancho Cucamonga, Ca Erica Anderson
  • North Las Vegas, NV Dawn Douglas
  • Toronto, Canada Sumaiya Noor
  • Watertown, MA Kellie Ryan
  • OH Christine Broschak
  • MI Melissa Seddon
  • Palmdale, Ca Tracey Haskin
  • San Diego CA Melinda Griffis
  • Austin, TX Kelly Belt
  • OR Delana Brown
  • Houston, Tx Renee Ricci
  • California Claudia Collazo
  • Sacramento, CA Elanda Jimenez
  • TX Kelli Fabela
  • Ukiah, California Eileen Bark
  • West Jordan, UT Kellee McKinney
  • CA SHAUNTEL HAYES
  • Albuquerque, NM Carolyn Molina
  • Rock Island, Illinois Brandie Carden
  • Austin, TX Amy Hunter
  • Minnesota Debra Szumylo
  • Texas Jessica Grimes
  • TX Lynette M Tucker
  • USA Cheri Marshall
  • Dearborn, MI Mel Liggins
  • Westhampton NY 11977 Yajaira Pittelli
  • Tennessee Destiny Atkins
  • Virginia Kelly Belew
  • OR SAMANTHA SHIELDS
  • OK Bridget Williams
  • NY Sherri Kowalski
  • New York Laurie LeClaire
  • United States Layla Tovar
  • Lexington, Kentucky Stacy Battles
  • USA Christine Cardona
  • United States Michelle Johnson
  • Bay shore NY Shameka Forbes
  • Medford, Oregon Miriam Rider
  • Florida Dawne Waite
  • Fairfield, California Franceen Rea
  • Greenwood, IN Emily Montgomery, CIH, CSP
  • Manzini Eswatini Jabu M. Dlamini
  • Roseville, MI Carina Britney
  • Ypsilanti, MI Carletta Patmon
  • Harrison Township, MI Dale Parson
  • Eastpointe, MI Sherry Johnson
  • USA Ashley Baker
  • Fort myers Mary Love
  • New York C Wilson
  • TX Charlotte Howard
  • Chicago Amy Santos
  • IN Kathryn Driscoll
  • De pere Laura Debaere
  • Wisconsin Lori Schmitz
  • Chicago, Illinois Kayla Martin
  • Kingsland Brindusa Catalui
  • Honolulu, Hi Jennifer Murchison
  • Tampa Florida Shannon Vickers
  • New york Shireen Tull
  • San Antonio, TX Samantha Domingo
  • Dallas, TX Yulya Reynoso
  • Maryland Robin Lincoln
  • United States Bridget Williams
  • Sonya Lee
  • Westbury Jennifer Baik
  • San Francisco Lindsey DeBruler
  • NY Jordan Schneider
  • Vermont USA Mary Kelly
  • New Orleans Andrea Brown
  • Long Beach, ca Marcelo Duran
  • Oceanside, Ca Melissa Cabrera
  • Virginia Scarlet Nardo
  • US Natacha MacArthur
  • New Zealand Auckland Alicia Leolahi
  • USA Meghan Smith
  • USA Tracy Porter
  • New York,NY CARRIE FURLONG
  • California Jessica Ramirez
  • CA Claudia Pryor
  • Carson, CA Gris diaz
  • Puerto Rico Michael Berrios
  • Chicago, Illinois Susana V
  • Miami Becky Bello
  • New York Jessica Lee
  • Solana Beach CA Karen Bieganousky
  • Barre, VT, USA Brooke Weston
  • CA Michelle Ng
  • Dallas, TX Renae Bales
  • Brooklyn Rachel Quigley
  • Iowa Jessica Williams
  • New York Jim Awad
  • New York Pamela Awad
  • Sunshine Coast, Australia Peta Fraser
  • San Diego, CA Natori Moore
  • New York City Sara Morrison
  • ME Stephanie McCort
  • Louisiana Tiffany Rideaux
  • United States Kristen Digwood
  • Tucson, Az Nicole Helton
  • OH Michelle McCue
  • Lewisville tx Tyrice Tryon
  • Wilmington, CA Elizabeth Contreras
  • California Buffy Gordon
  • Montana Kendra Mattox
  • Oxford Toni Polk
  • TN Lenka Kooch
  • MO Alicia Reeves
  • Milford Michigan Victoria Precopio
  • FL Gwendolyn Lee
  • Michigan Tammy Norman
  • NC Latrille Wright
  • California Mimi Ison
  • United States Carolina Lomelli
  • Grass Valley Eve Hamilton
  • United States Lindsey Sinclair
  • Berlin Iga Powaska
  • Grand Island, Nebraska USA Terry Schieno Felton
  • Indiana Kristi Wade
  • KY Kayla Robinson
  • MD Carrie DuBord-Atkins
  • WI Carrie Hesse
  • Roseville, CA Oyuna Moreno
  • Chicago Christine Dzoga
  • NY Pia Padukone
  • Mckinney Delorie Prevost
  • VA CARINA Dotson
  • IL Suzanne Maso
  • KS Cassie McNabb
  • Niota Rebecca Boswell
  • Texas Amber Lee
  • OH ANNE RIGGS
  • FL Heather Durston
  • Rhode Island Sabrina Azevedo
  • United States Brandie Carden
  • Chicago, IL Anya Kompare
  • United States sophia fernandez
  • Houston, Texas Madelyn Gee
  • CA Teri Kipnis
  • Los Angeles, ca Shammara Abdul-khaaliq
  • Dallas, TX Madison Antweil
  • Boston ALEXIS OBRIEN
  • usa Diana Burbano
  • Altadena CA Jenine Wood
  • IL Vivian Kowalski
  • Nashville, Tennessee Nicole Robertson
  • Tallahassee, Florida Leah Avant
  • VA Courtney Thompson
  • Danville, California Lisa Haley
  • CA Mareya Ibrahim-Jones
  • Rio Rancho, NM Angela Tinker
  • Maryland Caitlin Christ
  • Victorville Ca Miriham Carrillo
  • Cary, NC Jessica Silverstein
  • Illinois Dana Ostergard
  • CA Bridgette Bledsoe
  • Clearwater, FL Sarah Roehm
  • Huntington Beach, California Sally Garcia
  • CA Natalie Reardon
  • French Lick, IN Patricia Crew
  • Austin, TX Brandee Camp
  • CA ADELINE YU
  • NV Christina Silva
  • Los Angeles CA Alba Zelaya
  • Sacramento Tequila Houston
  • Kalamazoo Staci Summerer
  • Colorado Springs Christine Thais
  • GA GEORGETTE BREWSTER
  • Holland, MI kimberly bouchard
  • Ohio Rebecca Witzel
  • Edinburg, Texas Lesbia Arechiga
  • jacksonville, FL kim aldred
  • NY Michael Moise
  • Chicago Erin Wallace
  • NM Tammy Parker
  • Maryland Nikia Harrison
  • United States Andrea Bowlin
  • Jefferson city, Mo Kimberly Kesterson
  • Kentucky Beverly Benedix
  • Pasadena Tx Sabrina Hatfield
  • San Diego,CA.92154 Maria Boersma
  • San Diego, CA rosario rodriguez
  • San Diego, CA Alexis Ruiz
  • New York, NY L Raphael
  • VA Katie Simpson
  • Colorado Rene Martinez
  • Texas Lydia Balaceanu
  • indiana Erin Bell
  • Massachusetts Solange Alves
  • Florida Amy Thompson
  • Troy, Ohio Bridgett Clark
  • OR Samantha Niko
  • Pennsylvania Karen Lake
  • Los Angeles, CA Stephanie Wong
  • Washington DC Kashe Mowatt
  • Washington state Jessee Bednarik
  • Austin-TX Yenis Schicht
  • Chicago, IL Dana Farber
  • Wisconsin Jaime Albright
  • Virginia Pamela Bird
  • Del Rio, TX Melba Garcia
  • Manchester, VT Lisa Holland
  • Washington State Holly Bruckner
  • Parrish Florida Roberta Lockhart
  • Dallas/Fort Worth Jane Hernandez
  • Illinois Lee Jenner
  • Baltimore, MD Tim Sibiski
  • Brooklyn, NY Nicholas Del Prince
  • Silver Spring, MD Jenifer Mosko
  • Arizona Michelle Huebner
  • New York Dawn Gallagher
  • California Brandon Frankel
  • Austin, TX Charles Flanagan
  • SLC, UT Ashley Stilson
  • Illinois Silvella Strain
  • New York, NY Socorro Marxuach
  • New York Leticia Arroyo
  • United States Nancy Phillips
  • Missouri Leslie Holliday
  • Saint Louis City, MO Meredith Nalick
  • Tampa Samantha Delarosa
  • Texas Tiffany Scheid
  • Fayetteville, Ga Laurel Camery
  • Kissimmee FL Eliane Araujo
  • Fort Worth, TX Tiffany Carroll
  • ky susanne baldwin
  • Bern Janet Michel
  • Richland WA Patty Arias
  • Virginia CARINA DOTSON
  • Winton CA Christine Lotz
  • Morrow, Ohio Kasey Cole
  • Ohio Angela Morales
  • New York Jair Neverson
  • Maryland Catherine Crocchiola
  • Florida Mallory Cave-Lundy
  • Marion, Iowa Megan Hart-Fernandez
  • Phoenix, AZ Shawn Dunham
  • New York, NY Andrew Abbott
  • Florida Katrina Perez
  • CA Tracy Woodham
  • Pacifica, CA Christina Loeffler
  • Texas Danielle De Lorenzo
  • Ohio Heather Ryan
  • Portland OR Shannon Page
  • California Christie Ann Mercado
  • Tustin, CA Karin Bassford
  • Florida Nora Huicochea
  • Belleville, il Allyson Lewis
  • Illinois Liliana Martinez
  • Sacramento, Ca Danielle Dass
  • Nashville Rebecca Kain
  • New Mexico Anikki Fitzsimmons
  • Clermont, FL Tanya Penman
  • 92011 Elisa Pacheco
  • Chico, Ca Jennifer Webb
  • California Christina Flores
  • Los Angeles Diana Burbano
  • North Carolina Gillian Morgan
  • Denver, CO Erin Lepe
  • Alabama John Skaggs
  • Alabama Angel Zirkelbach
  • Lake Elsinore, CA Wendy Sanchez
  • Alyssa Adamson
  • Illinois Lori PorterJones
  • Montana Ginny Abbott
  • Montana JaLina Collins
  • North Carolina Laveina Neal Dash
  • Titusville, FL Cassandra Schmigotzki
  • California Melinda Redublo
  • Providence, RI Brittany Turcotte
  • Charlotte NC Cheryl Turner
  • Orlando Florida Jennifer Carrero
  • CA Michelle Gallagher
  • Texas Ricadonna Jones
  • Redondo beach Circe Thompson
  • MA Melinda Boulay
  • Georgia Jaime Holmes
  • Tennessee TRACEE WETZEL
  • Clarksville Tn KRYSTAL WALLS
  • California Emily Wong
  • Renton, WA Sara Sison
  • Wisconsin Jen Burrow-Niemeyer
  • Franksville, Wi Karen Burrow-Niemeyer
  • Arizona Rhonda Fawley
  • Illinois Mary Jones
  • Neenah,WI Elizabeth Figueroa
  • Florida Andrea de la Riva
  • Arizona Jk Sharp
  • Orlando Yuly Velasquez
  • Texas Cynthia Kokosz
  • Tiffany Weidt
  • jaclsonville, Florida jamie beidler
  • Pittsburgh Lisa Ermi
  • Anaheim, CA Eric W.
  • Anaheim Eric Wong
  • San Francisco, CA Bethany Ramos
  • USA Yesmin Baldwin
  • Baltimore John Marhefka
  • Miami, FL, USA Ana Rodriguez
  • Maryland Theodore Noah
  • Texas Donna Tryba
  • California Marco DelVecchio
  • Ca Allison Oconnor
  • Brooklyn, NY Teddy Davidson
  • New York, NY JD Awad
  • New York Andrew Awad
  • New York, NY Mariana Awad
  • Nyc Olivia Awad
  • Cleveland, OH Andy Nyquist
  • Massachusetts Sherri Smith
  • VA Anthony Malocu
  • New York Nick Benton
  • Boston, MA Alex Treco
  • New York Dan Ward
  • Philadelphia, PA Stuart Blitz
  • Lisa Williamson
  • Chicago Dorothy Diehl
  • Chicago Dorothy Diehl
  • Little Rock, Arkansas Kyrstal Kesterson
  • Los Angeles Laura Meraz
  • Sacramento, CA Elanda Jimenez
  • Chandler, Az Valerie Gradillas
  • Las Vegas Nikki Serrano
  • Texas Karla Goleman
  • Los Angeles Lesley Kantor
  • Wentzville, MO Blondina Polazzo
  • San Antonio Tamara Nelson
  • Florida Sandra Schwartz
  • Wesson, Mississippi Brittni Janes
  • New York Rick Schwartz
  • Philippines Maybelle Zapanta
  • Austin, TX, USA Tobin Abraham
  • San Francisco Lorelei Fara
  • New York, NY Alex Kirshbaum
  • NY Lauren Tetenbaum, LCSW, MSCP
  • Pittsburgh, PA Timothy Sutton
  • Upstate NY Mike Steyer
  • Marietta GA Licia Martin
  • Florida Trina Wright
  • Harrison Township, MI Carla Parson Parson
  • Washington dc Maida Valencic
  • Austin, TX Amy Hunter
  • Boulder Lucinda Ciciora
  • Palm Harbor, FL Candace Dyches
  • TEXAS jessica grimes
  • Cincinnati Ohio Holly Foucht-Kovalick
  • Georgetown, TX Melissa Fields
  • New York Autumn Martin
  • Dothan, Alabama Jennifer Russ
  • Colorado Harmony Huskinson
  • Nashville, TN Nick Salazar
  • Bel Air, MD Tim Sibiski
  • Baltimore, MD Seth Franz
  • Virginia Brienna Malocu
  • Oregon Monet Tyler
  • Austin, TX Elizabeth Simion
  • New York, NY Wesley Weisenberger
  • Knoxville, TN Megan .
  • Denver, CO Lauren Edmonds
  • Perkinston, MS Brenna Ladner
  • San Diego Jason C
  • New Jersey Ayush Soni
  • Florida Kristi Soto
  • Minnesota Kelsey Keys
  • Philadelphia Rebecca Cesa
  • Philadelphia Chris Elliott
  • Panama City, FL Sandra Harrington
  • Millbrook, AL Shanna .
  • Hasbrouck Heights, NJ Nuria De La Rosa
  • Benton, AR Emily Torres
  • Indianapolis, IN Ryan C.
  • San Antonio, TX Pablo Gladwish
  • San Diego, CA Rachael Carroll
  • NJ Marcela Wilckens
  • New Jersey Yasmina Madeira
  • Usa Marcela James
  • Austin, TX Donna Tryba
  • Macon, GA Edith Winfrey
  • Encinitas, CA Anna-Elyse Schwabacher
  • Palm Harbor, FL Candace Dyches
  • Tuolumne, CA Christian Mulkey
  • San Diego, CA Rachel Pitzel
  • Los Angeles, CA Brandon Frankel
  • Chandler, AZ Charles Flanagan
  • New York, NY Julie Cartwright
  • Los Angeles, CA Marco DelVecchio
  • New York, NY Ashley Camerini
  • Denver, CO Ken V.
  • Jersey City, NJ Saad Alam
  • New York, NY Alba M.
  • Brooklyn, NY Sarah Koehler
  • Emory Parker
  • Los Angeles, CA Ksenia .
  • Scottdale, PA Evan Ketchum
  • New York, NY Dawn Gallagher
  • New York, NY Rebecca Biancofiore
  • Brooklyn, NY Neika Vrooman
  • Duluth, GA Jim Staheli
  • Chicago, IL Jen Holm
  • NYC Aviva Patz
  • Bluffton, SC Olivia O'Connor
  • New York, NY Amanda Awad
  • Chicago, IL Mikayla Gotsky
  • Flowery Branch, GA Aarika D
  • Allentown, PA Tracy M
  • Long Beach, CA Sophia Alexander
  • New York, NY Jair Neverson
  • mywowfit
  • wtnh
  • pvolve
  • Mission Fit
  • Wishi
  • Nue
  • Jackie Giannelli
  • Tone House
  • BodySpec
  • Womaness
  • Hit House
  • Higher Dose
  • Barre 3
  • Genova Diagnostics

MTO Microgrants

While workplace policies evolve, some individuals are navigating menopause without access to paid time off or formal accommodations.

To help bridge this gap, Hone Health is offering MTO Microgrants — $1,000 grants for eligible individuals whose workplaces do not currently offer menopause-inclusive paid leave.

These grants are intended as temporary support, not a replacement for employer responsibility or policy reform.

MTO Microgrants

For Employees

Employees Panel

Request Support — Clearly and Professionally. If you're navigating menopause at work, you shouldn't have to overshare or self-advocate without guidance.

The Employee Email Template helps you request menopause-related accommodations or time off in a professional, policy-aligned way, without requiring personal medical disclosure. Email your company and encourage them to adopt MTO accommodations.

For Employers & HR Leaders

MTO Employer Toolkit

The MTO Employer Toolkit

Employers play a critical role in retaining experienced talent and supporting long-term workforce health.

The MTO Employer Toolkit offers practical, implementable guidance to support employees navigating menopause, without introducing legal complexity or stigma.

Includes:

  • Sample menopause-inclusive HR policy
  • Manager conversation guidance
  • HR implementation checklist