This review examines how menopause is experienced at work, focusing on how symptoms, workplace conditions, and individual beliefs interact. Drawing on 22 studies, it shows that experiences are shaped not just by physical symptoms, but by workplace culture, expectations, and social norms. The concept of the “ideal worker” emerges as a key influence, often creating pressure to hide symptoms or maintain performance. Women interpret and respond to these pressures differently, using a range of coping strategies. The paper proposes a conceptual model showing how workplace context and personal meaning combine to influence wellbeing, behaviour, and work outcomes.