This study considered how hybrid working impacts the management of menopause symptoms in HE Professional Services (PS) employees. The evidence suggested that work was affected by menopause symptoms and poor workplace control increased symptom severity. Participants adapted their working environment and employed compensatory actions to perform optimally. In the office, women felt obliged to work through symptoms, whereas at home, women often worked longer hours. Women made career decisions based on symptoms. Job control and task-based autonomy gave improved menopause experiences. Supportive environments yielded positive workplace menopause transitions, even with low autonomy. Existing mechanisms like performance development reviews (PDRs), workplace risk assessments and reasonable adjustments could be used. Universities should raise awareness and provide training for managers, as the research showed that women wanted choice about menopause disclosure. A HE sector-level response is needed to address this extensive occupational health concern, to benefit from increased engagement and decreased staff turnover.