Spain introduces paid sick leave for disabling menopause

Social Security now pays a benefit of 60% of the regulatory base for the first 20 days and 75% from day 21 onwards, starting the day after sick leave begins and with no minimum contribution period, for women with disabling conditions associated with menopause.

The **Royal Decree-Law 31/2026**, published in the **Official State Gazette (BOE)** on **21 October**, adds two special cases of temporary incapacity. The first covers women with limiting conditions linked to a menopausal disorder that prevent them from carrying out their professional activity. The second protects workers who are victims of gender-based violence whose injuries prevent them from working. In both cases, the situation must be medically certified.

## What you get and when payments start

The benefit amounts to **60% of the regulatory base** during the first **20 days** and rises to **75% from day 21**. It is paid from the day after sick leave begins, with no minimum prior contribution period required. That lack of a qualifying period is the most significant financial novelty: other common sick leaves require contributions before payment.

## Two cases and one medical certification

The text separates disabling menopause from gender-based violence, but gives both the same financial treatment. The key word is "disabling": feeling unwell is not enough; a doctor must certify that the condition prevents you from working. Without that medical report, there is no benefit.

## The cost of extending protection

Every new leave paid without prior contributions comes out of the Social Security budget, which is already facing growing spending on temporary incapacity. The rule arrives with the Official State Gazette as its only published backing: how much it will cost depends on how many leaves are certified. If this affects you, consult your doctor and Social Security before assuming you will receive the benefit.