In this Henpicked Lunch & Learn session, we explore how ethnicity shapes experiences of menstruation, menopause and access to healthcare — and why understanding these differences is essential for equity, wellbeing and support at work and in life. Sally Leach from Henpicked is joined by Dr Radhika Vohra, NHS and private GP, menopause specialist, and trustee and medical adviser at The Menopause Charity. Together, they unpack what the research tells us — and what it doesn't yet — about how menopause and menstrual health symptoms vary across ethnic groups, and how socioeconomic factors, culture, language and healthcare access intersect with biology. This conversation covers: How menstrual cycles and menopause symptoms can differ by ethnicity Why women from some ethnic backgrounds experience higher rates of fibroids, heavy bleeding and anemia Differences in menopause symptoms such as weight gain, joint pain, vasomotor symptoms and metabolic risk The role of socioeconomic status alongside ethnicity Cultural taboos, language barriers and why many women don't seek help Inequalities in access to HRT and specialist care Why education, representation and culturally inclusive resources matter Practical ways to advocate for yourself and support others This session highlights a crucial truth: menopause and menstrual health are not one-size-fits-all, and meaningful support requires awareness, inclusion and better conversations — in healthcare, communities and workplaces. 👉 You can also read Henpicked's accompanying article here: How Ethnicity Impacts Menopause and Menstrual Health www.henpicked.net/menopause-hub/how-ethnicity-impacts-menopause-and-menstrual-health/ ⏱️ Episode Timestamps / Chapters 00:00 – Welcome & why this conversation matters Introducing the session and why ethnicity must be part of menopause and menstrual health discussions 01:45 – How ethnicity affects menstruation Differences in cycle onset, pain, heaviness and complications such as fibroids 03:40 – Performance, pain and expectations How menstruation impacts sport, work and daily life — and why this has been overlooked 04:40 – What research tells us about menopause & ethnicity Key findings from large-scale studies and the role of socioeconomic status 05:55 – Symptom differences across ethnic groups Weight gain, metabolic risk, vasomotor symptoms and joint pain 06:55 – Inequality in access to care Why women from ethnic minority and lower socioeconomic backgrounds are less likely to receive HRT 07:45 – Overcoming barriers to support Education, representation, language and culturally inclusive information 08:50 – The 'sandwich generation' & self-care gap Why women struggle to prioritise their own health 10:00 – What is 'normal' — and why we need a new frame of reference Challenging the idea that pain and disruption should be tolerated 11:40 – Menstrual change across the life course Adolescence, contraception, pregnancy, perimenopause and menopause 12:50 – Using contraception to support menstrual health Beyond pregnancy prevention: reducing bleeding and improving quality of life 13:20 – Ethnicity and menstrual health conditions Fibroids, PMDD, endometriosis and fertility impacts 15:45 – Why early identification matters Preventing years of untreated pain and delayed diagnosis 16:30 – Cultural taboos & silence Why many women don't talk about symptoms — even when asked 18:10 – Diet, lifestyle and symptom variation How nutrition, alcohol and cultural eating patterns influence symptoms 19:30 – The importance of symptom tracking Empowerment through awareness and personalised care 20:15 – Where to find trusted information Research, charities, community voices and accessible resources 23:10 – Language, culture and reframing menopause Why some languages don't even have a word for menopause — and how to change that 25:10 – Supporting younger generations Education, advocacy and breaking intergenerational silence 26:20 – Menopause, ethnicity and weight gain Metabolic risk, stress, cortisol and movement 29:20 – Practical lifestyle strategies Exercise, stress reduction and culturally sensitive nutrition advice 30:35 – Community action & inclusion Why bite-size, community-led education works 32:00 – Closing reflections & next steps Follow Henpicked: Website: https://henpicked.net/menopause-hub/ Instagram: https://www.instagram.com/henpickednet/ LinkedIn: https://www.linkedin.com/company/henpicked Facebook: https://www.facebook.com/henpickedcommunity/ If this episode resonated with you, please consider sharing it — awareness changes lives.