Statutory Menstrual Leave

Joshua Reynolds Excerpts

Monday 13th April 2026 Westminster Hall

[Mr Joshua Reynolds (Maidenhead) (LD)]

It is a pleasure to serve under your chairmanship, Mr Mundell. I thank the hon. Member for Colne Valley (Paul Davies) for introducing the debate and I congratulate the lead petitioner on securing more than 109,000 signatures on their petition. That number should stick in all of our minds, because it sends a clear signal that this issue has been ignored for far too long and that the people affected by it are exhausted by the neglect they are feeling.

One of the women affected, a constituent of mine, wrote to me ahead of this debate. She talked about how endometriosis has shaped her life through pain, exhaustion and suffering for far too long. From a young age, she knew that her symptoms were not normal, enduring irregular cycles, severe clotting, chronic pain and debilitating symptoms that were too often dismissed or ignored. She was told that she may never have children, and although she was fortunate enough to have two, she told me that her condition worsened, bringing miscarriages, severe blood loss, iron deficiency, IBS and relentless pain.

My constituent said that, time and again, she would visit the GP, hospitals and specialists, and she was often told—as we have heard many times today—to simply manage the pain. Women with endometriosis are expected to suffer in silence, while their health, careers, families and quality of life deteriorate around them. She told me that she was not asking for miracles; she was asking to be heard, to be taken seriously and to receive the care that she deserves.

My constituent’s testimony is not exceptional; it is representative, and it is backed up with data. Last year, Endometriosis UK found that the average wait time for a diagnosis has now reached nine years and four months. That has gone up significantly in the last six years. During those nine years, the condition progresses, fertility is affected, and women are forced to manage debilitating pain in workplaces, education and at home. Shockingly, 83% of respondents to Endometriosis UK’s survey were told by a healthcare practitioner prior to their diagnosis that they were making a fuss. On top of that, women wait an average three and a half years after first noticing symptoms before seeking medical help at all, largely because severe period pain has been thoroughly normalised in our society. That women wait such a long time before they get their diagnosis is simply not acceptable. We also need to think about women from ethnically diverse communities, whose average time to diagnosis is even longer, at 11 years. The House should find that inequality unacceptable.

This is not just a health crisis. Endometriosis UK estimates that the economic loss to the UK from absenteeism due to severe period pain, heavy periods, endometriosis, fibroids and ovarian cysts is about £11 billion a year. The case for investment in women’s health and women’s support is not just moral; it is economic.

I wanted to touch on a point that Members have made multiple times about the arbitrary hit points for absence in absence management systems. When I was working in the private sector, we had a very similar system: if someone hit three absences within a defined period of time, they would go through an investigation and a disciplinary meeting—just like that. Although there may be mitigations for long-term conditions, the stress of the idea of going through an investigatory meeting because of their long-term condition adds to the cycle of women not wanting to go to their doctor or talk to professionals about what they are experiencing. They have been told for so long to just get on with it and manage the pain, and the absence management system in this sector does not help at all.

The Government’s response to the petition acknowledges the hardship that women are facing, but the action they talk about falls short. Ministers point to the Equality Act, reasonable adjustments and the Employment Rights Act, specifically on flexible working. I want to be clear that the Liberal Democrats support the right to day one flexible working, and we are glad to see these changes coming into force, we think, in April next year. Flexible working genuinely helps people to manage conditions such as endometriosis, and employers should be actively engaged in using it, but it relies on individual employers, and it cannot be a substitute for proper medical care or compensate for decades of misdiagnosis.

Before women can be properly supported in the workplace, they need to be diagnosed, and before they can be diagnosed, healthcare professionals need training. Time and resources need to go into being able to recognise and act on the symptoms. When over half of women with endometriosis are forced to attend A&E before receiving a diagnosis, we know that there is a failure in primary care, and that is adding to the pressure on our hospitals.

We need to invest in GPs and other healthcare professionals to ensure that anyone with long-term conditions such as endometriosis has access to named GPs who know their history and can provide continued support. We also need to make sure that people are actually able to receive a GP appointment and be seen when they need it; far too often, they are unable to do so.

I want the Government to commit to a new target to bring down substantially the average endometriosis diagnosis time, working towards the one year or less by 2030 target that Endometriosis UK is calling for. I also want them to put in place a proper awareness campaign and ensure that National Institute for Health and Care Excellence guidelines are fully implemented across the primary care sector, with standardised referral pathways in place. The Government must also take seriously the role of mental health support, which, after years of pain and dismissal, many women will require. Such mental health support is currently severely lacking.

The petitioners and individuals who signed the petition —100,000 across the country and the many more they represent—are not asking for the impossible. They are asking to be heard, taken seriously and to receive the care that they need. I urge the Minister to match that urgency with her response today.