Perimenopause is rarely discussed in boardrooms, yet it causes 1 in 4 women to consider leaving the workforce — often at the absolute peak of their careers and earning potential.

Joanne Ho knows this firsthand. After successfully building Malaysia’s first retail cupcake chain - Cupcake Chic, and scaling an online flower delivery business - Happy Bunch, Joanne found herself stepping away from her work. She assumed she was dealing with severe executive burnout. In reality, she was experiencing perimenopause.

Realising that millions of women lack the language, awareness, and access to personalised hormonal care, she launched Menopause Asia in October 2025. The bootstrapped digital health platform connects midlife women directly with licensed doctors for hormone therapy, metabolic health programmes, and lifestyle support.

Joanne shares the emotional and strategic journey of building a health-tech startup, plus the steep learning curve of entering a regulated medical space, and why supporting women through midlife is not just a healthcare issue, but a critical corporate retention strategy.