The menopause presents unique challenges for women with learning disabilities but it is often overlooked or misdiagnosed in this population. Unrecognised and untreated menopausal symptoms can trigger behaviour that challenges, potentially leading to the inappropriate prescribing of psychotropics. Diagnostic overshadowing must be avoided, but it is also important to recognise that psychological, behavioural and cognitive changes in women with learning disabilities from their late thirties or early forties onwards do not necessarily stem from hormonal fluctuations.

This article explores the menopause in women with learning disabilities, highlighting the risks of diagnostic overshadowing, incomplete differential diagnosis and inadequate support. Learning disability nurses have a pivotal role in helping service users and their families and carers to recognise and manage menopausal symptoms. Useful strategies include developing a proactive and individualised care plan for each woman approaching perimenopausal age, providing information in accessible formats, and educating families, carers and other health and social care professionals.