Working and Endometriosis: A White Paper

Working and Endometriosis

Endometriosis is a chronic inflammatory condition that affects approximately 1 in 9 women and people assigned female at birth. It is characterised by the growth of endometrial-like tissue outside the uterus, leading to pain, fatigue, and fertility issues. Despite being a medical condition that primarily affects reproductive health, endometriosis can significantly impact workplace performance, attendance, and well-being.

At Phoenix Occupational Medicine, we frequently assist organisations in managing the challenges that arise when employees experience health conditions that, while not strictly work-related, can still affect their ability to perform their job safely and effectively. Endometriosis in the workplace is a prime example of this.

Safe Work Australia (SWA) provides resources on supporting workers with endometriosis, providing valuable insights for employers. Their guidance highlights that the symptoms of endometriosis vary significantly from person to person and can impact concentration, energy levels, and the ability to undertake physically demanding work.

Why Employers Should Care About Endometriosis at Work

Employers have a duty of care to provide a safe and supportive workplace. While not all employees with endometriosis require adjustments, some may need additional support to manage their condition while remaining productive.

Key challenges workers with endometriosis may face include:

  • Chronic pain and fatigue, which can impact focus, productivity, and physical job requirements.
  • Unpredictable symptoms, making it difficult to plan for absences or manage workloads.
  • Increased risk of workplace accidents, particularly in roles requiring manual handling or operating heavy machinery.
  • Emotional and psychological distress, affecting engagement and overall well-being.

Recognising these challenges allows organisations to take proactive steps in providing the necessary workplace adjustments, reducing absenteeism, and fostering an inclusive and supportive work environment.

Creating an Individualised Approach to Endometriosis at Work

Health Improvement Plans

At Phoenix Occupational Medicine, we offer Health Improvement Plans to help organisations support employees with endometriosis and other health conditions. These plans involve:

  • Working with the employee, their treating doctor, and the employer to create a tailored workplace support strategy.
  • Identifying any reasonable job modifications or accommodations.
  • Facilitating confidential communication between employees and management, ensuring privacy is maintained.

Not every worker will feel comfortable disclosing details about their condition, which is why professional facilitation of medical and workplace discussions can help ensure privacy, dignity, and appropriate accommodations.

Additional Strategies for Supporting Employees with Endometriosis

Beyond Health Improvement Plans, organisations can implement broader workplace strategies to create a more supportive environment for employees managing endometriosis.

1. Training Managers to Handle Sensitive Conversations

Frontline managers are often the first point of contact when employees seek support. Proper training ensures that they:

  • Recognise signs that an employee may be struggling with their health.
  • Approach conversations sensitively and without judgment.
  • Provide appropriate workplace accommodations in line with company policies.

A supportive workplace culture encourages employees to communicate openly, reducing the stigma around discussing conditions like endometriosis.

2. Flexible Work Arrangements

Since endometriosis symptoms can be unpredictable, employees may benefit from:

  • Adjustable work hours, allowing for medical appointments or symptom management.
  • Remote work options, particularly on days when pain or fatigue is heightened.
  • Job modifications, such as reducing physically strenuous tasks during flare-ups.

Flexibility allows employees to manage their symptoms without compromising job performance, leading to greater engagement and reduced absenteeism.

3. Implementing Workplace Policies on Chronic Conditions

Developing a clear, well-communicated policy on supporting employees with chronic conditions like endometriosis ensures:

  • Managers and HR personnel understand their role in accommodating affected employees.
  • Workplace expectations around disclosure, privacy, and adjustments are clear.
  • Awareness initiatives promote understanding among colleagues, reducing stigma.

A well-structured chronic illness policy fosters a culture of inclusivity and support, demonstrating an employer’s commitment to employee well-being.

Why Supporting Endometriosis at Work Matters

Providing effective workplace support for employees with endometriosis leads to:

  • Better employee retention – Employees who feel supported are more likely to stay with their employer.
  • Improved workplace productivity – Addressing symptoms through reasonable adjustments helps workers maintain performance.
  • Reduced absenteeism – Managing symptoms proactively prevents frequent and prolonged absences.
  • Legal and ethical compliance – Aligning with workplace health and safety obligations ensures a fair and inclusive work environment.

Taking the Next Step

Endometriosis may not be directly work-related, but its impact on employees and businesses is undeniable. Taking proactive steps to support affected employees fosters a more productive, engaged, and inclusive workforce.

If you want to explore Health Improvement Plans, manager training, or policy development for chronic conditions in your workplace, contact Phoenix Occupational Medicine today. Our team can provide expert guidance on workplace health management, helping you create a supportive environment for all employees.

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