Get Your Menopause & Menstrual Health Certificate
Menopause symptoms and hormonal health conditions can significantly affect work and daily life. A certificate signed by a GMC-registered UK doctor sets out your symptoms and how they affect you, which you can use to support a request for workplace adjustments, an occupational health referral, or your own health records.
Each certificate follows a remote clinical review by a GMC-registered UK doctor. Employers and other organisations decide for themselves what evidence they accept, so acceptance cannot be guaranteed.
✔ Issued by a GMC-registered UK doctor following a remote clinical review
✔ Supports a reasonable adjustments request, absence records, or an occupational health referral
✔ Most requests reviewed same day
LET'S GET STARTED 
Accepted by most UK employers, universities and insurers, subject to their own policies. All consultations are subject to clinical assessment and certificates are issued only where clinically appropriate.
Consistently voted 5 stars
How It Works
Complete short online consult
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.
✔ Full refund if a certificate cannot be issued.
Receive your certificate
Most certificates are issued same day, almost all by 9AM the next morning. Delivered as a signed PDF. A doctor will email you if more evidence is needed.
Certificate security
Every MedicalCert certificate can be checked as genuine
Each certificate is issued with anti-tampering protection and its own verification reference. If your employer, university, airline or insurer wants to confirm the document came from a GMC-registered doctor, they can check it against MedicalCert records. Altered or copied documents do not pass that check.
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.
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.
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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 since the Equality and Human Rights Commission published guidance for employers on menopause in the workplace in February 2024. The law itself is the Equality Act 2010, and Acas sets out how it applies at work. A medical certificate is not an entitlement to any particular adjustment. What it does is give a workplace conversation an evidence base, so an employer can decide what is appropriate.
The Legal Framework: Menopause, Equality Act 2010, and Employer Obligations
Key points under the Equality Act 2010
- Menopause is not a protected characteristic in itself. Acas states that menopause is not a specific protected characteristic under the Equality Act 2010. A claim normally runs through disability, age or 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, the duty to make reasonable adjustments applies to the employer under section 39(5) of, and Schedule 8 to, the Equality Act 2010. Section 20 only defines the three requirements
- That duty does not apply where the employer does not know, and could not reasonably be expected to know, that the worker is disabled and likely to be put at a substantial disadvantage. That is Schedule 8, paragraph 20, which is why telling your employer in writing matters
- Treating an employee less favourably because of menopause symptoms may constitute discrimination on grounds of disability, age, or sex
- Acas advises employers to record menopause-related sickness absence separately from other absence, because counting it in an overall attendance record could be unfair or discriminatory
- Fawcett Society research from 2022, cited by GOV.UK, found that one in ten women who work during the menopause leave their jobs because of their symptoms
A medical certificate confirming the nature, severity and workplace impact of your symptoms gives a reasonable adjustments conversation, an occupational health referral or a formal request for adjustments something clinical to work from. It does not decide whether the disability threshold in the Act is met. That is a question for the employer and, where it is disputed, for an employment tribunal.
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 adjustments. Whether any particular adjustment is reasonable depends on your job and your employer, who makes that assessment. The examples below are drawn from Acas guidance and the GOV.UK guidance for employers:
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
- Menopause-related absence kept out of attendance trigger points, where the employer agrees to it
- 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. The review is based on the information you provide. It is not a face-to-face examination, and it does not replace diagnosis or specialist menopause care from your own GP or a menopause clinic.
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 case by case, and menopause does not automatically qualify. A certificate from this service records your symptoms and their impact. It does not decide, and cannot decide, that you are disabled in law.
Can I get a certificate for endometriosis or PMDD?
Usually, yes. A medical certificate can be issued for a reproductive health condition that has a clinically significant impact on your ability to work, subject to clinical review of the information you provide. 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?
Not automatically. If your symptoms qualify as a disability under the Equality Act 2010, the duty to make reasonable adjustments applies to your employer under section 39(5) of, and Schedule 8 to, the Act. Schedule 8, paragraph 20 removes that duty where the employer does not know, and could not reasonably be expected to know, that you are disabled and likely to be put at a substantial disadvantage, which is why telling them in writing matters. The duty is to make the adjustments that are reasonable, not every adjustment you ask for. Where symptoms do not meet the disability threshold, a certificate still supports an evidence-based conversation, and many employers make changes voluntarily. If you think you have been treated unfavourably, Acas can advise on your options.
Should menopause-related absences be recorded differently?
Acas advises that when someone is off sick because of menopause, the employer should record those absences separately from other absences, because counting them in an overall attendance record could be unfair or discriminatory. Disciplinary action over menopause-related absence could amount to discrimination arising from disability, or to age or sex discrimination. A medical certificate helps establish the clinical reason for the absence.
