Shameless Leadership

1006: 5 Ways Perimenopause and Menopause Can Affect How Women Lead | Leadership Stories

August 25, 2026·33 min
Episode Description from the Publisher

As I’ve talked about in past episodes about perimenopause and menopause (Episodes 924, 954, and 968), the transition from perimenopause to menopause took me down - HARD. Since navigating this journey myself, I’ve become hyperaware as clients start to share common difficulties at work that might also be connected to menopause (poor focus, forgetfulness, irritability, lack of patience, chronic fatigue, feeling “off,” feeling irrational (and maybe irate) for no particular reason, and more.  Perimenopause and menopause can affect far more than how you feel physically. Changes in sleep, focus, memory, anxiety, and energy can influence how you communicate, make decisions, handle pressure, and show up in high-visibility leadership moments. For women who have always been known as highly capable, these changes can be unsettling. I’ve noticed that it’s pretty common that we clock this as evidence that we are losing our competence, confidence, or leadership edge - which could not be farther from the truth.  It’s time to clear this up! In this episode, I’m exploring five specific ways perimenopause and menopause can affect how women lead. I’ll talk about changes in access to executive functioning skills, shaken confidence in high-stakes situations, a reduced tolerance for dysfunctional workplace norms, the invisible workload of privately managing a major physical transition, and the need to redefine sustainable leadership.  If you’re navigating this transition and questioning your confidence, capacity, or next chapter, individual executive coaching can help you distinguish between what may be changing physically and what remains true about your experience, expertise, and leadership. Together, we can strengthen your boundaries, communication, decision-making, and leadership practices so you can continue growing without sacrificing your well-being. Coaching can complement appropriate medical care, but it does not replace evaluation or treatment from a qualified Healthcare professional. If I can support you during this season, please reach out!  Links Mentioned: [2 Spots Left] Join my Aligned Leadership Incubator: saradean.com/aligned Hire Sara to speak: saradean.com/speaking Coach with Sara: https://saradean.com/executive-coaching-services Connect with Sara on LinkedIn: https://www.linkedin.com/in/saradeanspeaks Watch Shameless Leadership episodes on YouTube: https://www.youtube.com/@saradeanspeaks Thank you to our sponsor, Ironwall. Stop online threats before they become real-world attacks. Visit ironwall.com/SHAMELESS and request a free Risk Assessment to see exactly how exposed your executives are. Learn more about your ad choices. Visit podcastchoices.com/adchoices

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