Equality Act 2010 Guidance: Gynaecological Conditions

Hannah Spencer Excerpts

Tuesday 3rd November 2026 Westminster Hall

[Hannah Spencer (Gorton and Denton) (Green)]

A few weeks ago, I posted a video sharing some of what I am learning about endometriosis, and the response was absolutely heartbreaking. My comments were full of people sharing their experiences—years of pain, being dismissed by doctors, struggling to get a diagnosis and then, on top of that, trying to hold down a job and get their employers to understand. I heard about lives turned upside down by a condition that they have no control over and very little support with.

I hear the same stories from people in Gorton. What gets me the most is that it does not have to be this way. All that is needed is for women’s pain and the pain of those who are assigned female at birth to be taken seriously by the doctors who serve them, by the employers they work for and by the Government who represent them, yet instead, as has so often been the case throughout history, it ends up being the people most affected who are left to fight for the change that they deserve. Despite the pain and debilitating symptoms of endometriosis, they are the ones coming up with the ideas, solutions and plans. They are the experts, and we should all be listening.

One in six women with endometriosis leaves the workplace due to their condition. Almost half say that they have struggled to progress in their career because of endometriosis, and almost half had not received workplace adjustments. Almost half had lost income. Despite endometriosis affecting one in 10 women, it is rarely taught effectively at medical schools as part of the curriculum, leaving future healthcare practitioners without the necessary knowledge.

Those with endometriosis in Gorton and Denton and in every constituency across the country are losing money, missing out on opportunities and struggling to stay in employment, not because they do not want to work but because the support simply is not there. We are talking about basic, practical help that could make the difference between someone staying in work and having to give it up completely. Good employers want guidance. They want advice on flexible working, on time off for medical appointments, extra breaks or a phased return after surgery. Good employers want to help their staff so that their businesses can perform to their highest potential.

We need a Government that will finally listen to, and act on, lived experience by adding gynaecological conditions such as endometriosis to the Equality Act 2010 guidance on the definition of disability. These conditions are long term—often lifelong—and by definition, they fluctuate and recur, meeting the criteria for disability. There must be specificity in the guidance to ensure that employees disabled by debilitating chronic conditions such as endometriosis are supported with reasonable adjustments and legally protected against workplace discrimination.

To Sanju Pal, who has campaigned for so long and so hard on this, as well as the tireless work of countless other organisations, and to everyone for sharing their experiences and who are out there fighting for change, I say thank you. This debate is entitled

“the potential merits of adding gynaecological conditions to Equality Act 2010 guidance”,

but I think the people living with these conditions would find it pretty shocking that we even have to debate the merits. The debate should be about how much longer we can afford not to.