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On gynecological suffering, how we normalize it & why it needs to stop.
OP's pronouns are they/them.
life is still worth living
Disabled. Chronically ill. In pain daily. Still living my life out loud. Joy isn’t cancelled just because my body is unreliable.
Portugal recently introduced three consecutive days of employer-paid leave per month for employees who experience severe and disabling menst
Portugal recently introduced three consecutive days of employer-paid leave per month for employees who experience severe and disabling menstrual pain caused by endometriosis or adenomyosis. This change took effect on 26 April 2025.
Background
Law 32/2025 aims to promote the rights of individuals with endometriosis or adenomyosis by strengthening access to healthcare and creating a new entitlement of justified absences from work.
In 2023, Spain became the first European country to introduce leave for female employees who suffer severe menstrual pain, including pain due to conditions such as endometriosis or polycystic ovaries (see previous Lockton article here (opens a new window)). While the new entitlement in Portugal is more limited and only applies to employees who have been diagnosed specifically with endometriosis or adenomyosis, it represents a significant step in the region towards raising awareness and providing support for individuals affected by painful or disruptive menstrual symptoms.
Key details
Employees who experience severe and disabling pain caused by endometriosis or adenomyosis during their menstrual period are entitled to paid leave for up to three consecutive days per month of work (i.e., up to 36 days per year). This leave is fully paid by the employer.
To be eligible for this leave, the employee must provide the employer with a medical certificate confirming a diagnosis of endometriosis or adenomyosis accompanied by debilitating pain. This certificate is only required when the leave is initially taken and does not need to be renewed.
Under Law 32/2025, new rules and guidelines are expected to be introduced by the National Health Service (NHS) by 25 June 2025 to ensure universal healthcare coverage for all Portuguese citizens and residents affected by endometriosis or adenomyosis accompanied with severe and disabling pain. These guidelines will outline the symptoms to monitor, available diagnostic tests and procedures, and recommended follow-up care.
The law also mandates the establishment of a co-payment scheme for medications prescribed by NHS specialist doctors to treat or manage symptoms associated with these conditions.
In addition, individuals diagnosed with endometriosis or adenomyosis will be entitled to access fertility preservation services through the NHS, including the collection and storage of oocytes (egg cells)."
-via Lockton, May 15, 2025
Since trauma often comes with chronic pain I feel this graphic from one of our support groups is applicable here
Being a trans man with a gynaecological issue is so fun when the government refuses to acknowledge that you exist
Least I Could Do - comfort blurb
Reader had a lady accident…Robby steps in to help.
This is for you 🐚
Warnings: period talk, bleeding, Robby being so cute and helpful.
Robby could tell you were in pain today. The way you winced as you walked and held your hand flat over your abdomen trying to generate heat. You looked pale and exhausted. You had talked to him before about your diagnosis of adenomyosis, as a man he wasn’t really sure what to say.
April 27th, 2026 at 1:02am
My dog somehow still has fleas. We gave him a 3rd treatment last week and they’re still crawling around super lively on him. Saw as many as 3 today. Please pray for him, we’re doing everything we can to help with the infestation but nothing seems to be working.