Get Your Menopause & Menstrual Health Certificate
Menopause symptoms and hormonal health conditions can significantly affect work and daily life. A signed certificate from a registered UK GP provides the documentation needed to support workplace adjustments, treatment referrals, or personal health records.
Each certificate follows a clinical assessment by a licensed UK doctor, ensuring your employer or healthcare provider can rely on it.
✔ Issued by a registered UK GP following clinical assessment
✔ Suitable for workplace adjustments, HRT support, and health documentation
✔ Most requests reviewed same day, from £39
LET'S GET STARTED 
Dr Maria Knobel Medical Director · GMC 7495073 
Consistently voted 5 stars
How It Works
Complete a short online questionnaire
No appointment required. Complete a short medical questionnaire and upload any supporting evidence.
Doctor reviews your evidence
A GMC-registered doctor reviews your submission individually. No automated approvals.
✔ Full refund if the GP cannot issue.
Receive your certificate
Certificates arrive most same day, all by 9AM next morning, delivered as a signed PDF direct to your inbox.
Very happy, I ordered my Medical Certificate in the early morning hours and before noon time of same day I had it on my inbox. Speedy service and they present the health condition precisely, get to the point.
They meet the incredibly fast turnaround stated (certificate/letter sent before 9am the following morning if the doctor feels that a letter/certificate is appropriate) which is incredibly quick and I am really grateful for the help provided!
Very easy and quick to get my certificate. And the certificate was approved from the specific company to travel with my dog. I will use them again. Well done.
Second time using this company and they are fabulous! Always great, fast, friendly service. Highly recommend!
This was my second time using Medical Cert, and once again the service was exceptionally quick and professional. Everything was handled efficiently, with clear communication throughout.
I found the service very straight forward and quick. Exactly what I needed to get my Padi medical form signed before our holiday. Thank you very much.
Second year running where requested Sports Certificate has been produced promptly in advised timescales.
Process was easy and responses were quick. I would recommend their service.
Fast efficient service for medical certificates. I used the not fit to fly service and was provided with a certificate the next day, the price is very reasonable and enabled a flight credit refund with my airline. Would recommend and would use again if needed.
A fast and efficient service. It wasn't complicated and the Fit-to-fly note was accepted by the Airport without any further questions. Thank you.
Ideal for me, I am looking to get a certificate for some medical issues I have. So this is the perfect solution for me, uploading docs was easy and the forms very straightforward to fill in. Will definitely use them again. Many thanks.
Excellent service. Easy to use and certificate issued in less than 24 hours. £39 as opposed to the £150 my GP charges. Highly recommended.
Quick and reasonably pain-free. Received their standard certificate as well as my requested bespoke certificate, by email, by 9am the following morning. Both completed properly, signed and stamped as required. More expensive than my GP, but infinitely quicker and easier.
One of the best experiences. It's easy to get a GP note.
Excellent. My GP refuses to issue DWP MED 3 Fit Notes to students. MedicalCert were excellent and extremely helpful in providing a necessary certificate. Highly recommended.
You were amazing, you kept me updated and replied promptly to any queries I had. I thank you from the bottom of my heart.
They helped me, they were very professional and nice.
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Great service, pretty straight forward and easy to use the website.
I was recommended Medical Cert by a friend and was so impressed with the service received. I would recommend using a laptop rather than a phone. Overall a fantastic and fast service.
A menopause and menstrual health certificate is a doctor-signed document confirming that your symptoms — whether related to menopause, perimenopause, endometriosis, PMDD, or another reproductive health condition — have a clinically significant impact on your ability to work or fulfil other obligations. It supports requests for reasonable workplace adjustments, absence documentation, and other formal purposes. This guide explains the legal framework, when a certificate helps, and how to obtain one online, subject to clinical review.
Awareness of menopause as a workplace health issue has grown considerably following the Equality and Human Rights Commission (EHRC) guidance published in February 2024, which clarified employers’ legal obligations under the Equality Act 2010. A well-constructed medical certificate can be a practical tool in facilitating workplace conversations and securing the adjustments that are clinically recommended for managing symptoms.
The Legal Framework: Menopause, Equality Act 2010, and Employer Obligations
Key points from the EHRC guidance (February 2024) and Equality Act 2010
- Menopause is not a standalone protected characteristic, but symptoms can engage the protected characteristics of disability, age, and sex
- Where menopause symptoms have a long-term and substantial adverse impact on day-to-day activities, they may qualify as a disability under the Act
- If symptoms amount to a disability, employers have a legal duty to make reasonable adjustments
- Treating an employee less favourably because of menopause symptoms may constitute discrimination on grounds of disability, age, or sex
- Menopause-related absences should be recorded separately from other sickness absence
- One in 10 women report leaving their jobs due to menopause symptoms — the EHRC guidance aims to address this
A medical certificate confirming the nature, severity, and workplace impact of your symptoms provides clinically grounded evidence to support a reasonable adjustments conversation with your employer, an occupational health referral, or a formal accommodation request.
Conditions Covered by a Menopause & Menstrual Health Certificate
Menopausal Symptoms
- Hot flushes disrupting concentration, sleep, or professional appearance
- Night sweats causing fatigue and reduced cognitive function
- Brain fog — difficulty with memory, processing, and decision-making
- Mood changes, anxiety, and low mood
- Joint pain, headaches, and physical symptoms affecting work performance
- Irregular menstruation causing unpredictable absence
Reproductive Health Conditions
- Endometriosis — chronic pain significantly affecting attendance and performance
- Premenstrual dysphoric disorder (PMDD) — severe cyclical mood and physical symptoms
- Polycystic ovary syndrome (PCOS) with symptoms affecting work
- Adenomyosis — pain and heavy bleeding requiring absence or adjustments
- Fibroids — heavy menstrual bleeding and pelvic pain affecting daily function
What Reasonable Adjustments a Certificate Can Support
A menopause or menstrual health certificate can document the clinical basis for a range of workplace accommodations, including:
Physical Environment
- Temperature control — access to fans or cooler workspace
- Proximity to bathroom facilities
- Relaxation of uniform requirements where hot flushes are a factor
- Private space for symptom management
Working Arrangements
- Flexible start times or home working during severe symptom periods
- Adjusted shift patterns for cyclical symptom management
- Phased return after menopause-related absence
- Short breaks during the working day
Absence Management
- Recording menopause-related absences separately from general sickness
- Exclusion of hormone-related absences from absence trigger points
- Short-term absence for PMDD or endometriosis flare-ups
How to Get a Menopause or Menstrual Health Certificate Online
Identify the purpose of the certificate
Decide whether the letter is for a reasonable adjustments request, an absence management conversation, an occupational health referral, or another purpose. This helps the reviewing doctor tailor the letter appropriately.
Complete the online consultation form
Describe your symptoms, their frequency and severity, how they affect your work and daily activities, and any existing diagnosis or treatment. Upload any supporting documentation such as specialist letters or prescription records.
GMC-registered doctor review
A GMC-registered doctor reviews your submission. Where clinically appropriate, a certificate confirming your symptoms and their workplace impact is issued.
Receive your certificate by email
Your certificate is delivered as a PDF — same day or by 9AM the following morning. Present it to your HR department, line manager, or occupational health team.
Get a Menopause or Menstrual Health Certificate Online
GMC-registered doctors. No appointment needed. Supporting workplace adjustments, absence management, and occupational health referrals.
Apply for Your Certificate →Frequently Asked Questions
Can menopause be classified as a disability under UK law?
It can be, depending on the severity and duration of symptoms. Under the Equality Act 2010, a condition is a disability if it has a substantial and long-term adverse effect on the ability to carry out normal day-to-day activities. Where menopause symptoms are severe — for example, significant cognitive impairment, debilitating anxiety, or severe physical symptoms — and have lasted or are likely to last 12 months or more, they may qualify as a disability. This is assessed on a case-by-case basis; menopause does not automatically qualify.
Can I get a certificate for endometriosis or PMDD?
Yes. A medical certificate can be issued for any reproductive health condition that has a clinically significant impact on your ability to work, subject to clinical review of the information provided. Conditions such as endometriosis, PMDD, adenomyosis, and PCOS can all support a certificate where the symptoms are severe enough to affect daily functioning.
Does my employer have to make adjustments if I provide a medical certificate?
If your menopause or menstrual health symptoms qualify as a disability under the Equality Act 2010, your employer has a legal duty to make reasonable adjustments. Even where symptoms do not meet the disability threshold, providing a medical certificate facilitates an evidence-based conversation about support, and many employers will implement adjustments voluntarily. If your employer fails to engage, you may have grounds for a discrimination complaint.
Should menopause-related absences be recorded differently?
Yes, as a matter of best practice and legal risk management. The EHRC guidance (2024) recommends that employers record menopause-related absences separately from general sickness absence. Triggering disciplinary action for absences caused by menopause symptoms may amount to disability, age, or sex discrimination. A medical certificate helps establish the clinical cause of absence for this purpose.