Wait, I Can Get Tax Breaks for My Hot Flashes?" — Your No-Nonsense Guide to Menopause and Money
- Dr. K Derezil MD
- Oct 30, 2024
- 3 min read
Updated: Nov 2, 2024

Hey there!
Can we talk about something that's probably keeping you up at night? (Besides those lovely night sweats, of course.) It's the sneaky way menopause is affecting your wallet. Trust me, I get it – between the specialized cooling pillows, the supplements, and those moisture-wicking clothes you suddenly "had" to buy, this whole transition thing is getting expensive.
The Reality Check About Menopause Expenses
"I swear I'm spending more money lately," a friend recently told me over coffee. "Is it just me?"
Spoiler alert: it's definitely not just her. And it's not you either.
✦ RESEARCH REVEALS: According to a 2021 survey by the Mayo Clinic, women spend between $1,500 and $3,000 annually on menopause treatments and symptom management. The good news? Many of these medical expenses can potentially reduce your tax burden.
"So What Can I Actually Write Off?" (The Good Stuff Your Tax Person Might Not Think to Ask About)
Let me tell you about Maria, one of our community members. She was tossing her hormone therapy receipts in a drawer until she learned they could be tax-deductible. "Nobody told me this was a thing!" she said.
⚡ MONEY MOVE: According to IRS Publication 502, you can deduct qualified medical expenses that exceed 7.5% of your adjusted gross income. Here's your "save that receipt" checklist:
- Hormone therapy (prescription medications only)
- Mental health support
- Doctor-prescribed treatments
- Medical consultations and follow-ups
- Prescription medications
Let's Talk About Your HSA (Your New Best Friend)
Remember how excited we got about finding the perfect cooling fan? Get ready to feel that way about your Health Savings Account.
🔍 SYMPTOM SPOTLIGHT: For 2024, the IRS allows you to contribute up to $4,150 for individual coverage or $8,300 for family coverage to your HSA. If you're 55 or older, you can add an extra $1,000 as a catch-up contribution. That's a lot of tax-advantaged savings!
Think of your HSA like a magic wallet:
- The money you put in? Tax-deductible
- The money it earns? Grows tax-free
- The money you spend on medical stuff? You guessed it – tax-free!
Working for Yourself? (Here's Your Silver Lining Playbook)
Are you one of the many women who decided to be their own boss during this transition?
According to the U.S. Small Business Administration, women own 33% of small businesses, and that number keeps growing.
✦ RESEARCH REVEALS: The IRS allows self-employed individuals to deduct:
- Home office expenses (if you meet specific requirements)
- 100% of your health insurance premiums (as stated in IRS Publication 535)
- Professional development and education expenses
- Business accommodations for medical needs
The Investment Strategy No One Talks About (But Should)
Let's be real – while your body's doing its thing, your money should be working harder than your portable fan. According to the Social Security Administration, a woman turning 65 today can expect to live, on average, until age 86.6. That's why smart investment planning during menopause years is crucial.
Consider these IRS-approved strategies:
- Tax-loss harvesting
- Qualified charitable distributions (available after age 70½)
- Municipal bonds for tax-free income
- Catch-up contributions to retirement accounts (an extra $7,500 for 401(k)s if you're 50 or older in 2024)
Insurance Tips That Don't Put You to Sleep (Unlike Those Night Sweats)
According to Healthcare.gov, these medical insurance premiums might be tax-deductible:
- Health insurance (if you're self-employed)
- Long-term care insurance (with age-based limitations)
- Medicare premiums
- Supplemental health coverage
Your "Keep More Money" Action Plan
Ready to turn those hot flashes into cold, hard savings? Here's what you need to do:
1. Start tracking everything (yes, even that fancy cooling spray)
2. Max out your HSA/FSA if you can
3. Take a fresh look at your insurance
4. Find a tax pro who actually understands women's health
5. Give your retirement plan a menopause-minded makeover
6. Keep documentation of all treatments (even the "alternative" ones)
Let's Stay Connected!
You're not in this alone! Join our community of savvy women who are navigating menopause with grace, humor, and smart money moves.
Friendly reminder: While we've done our homework on this info, please check with your tax pro about your specific situation. Every woman's journey (and tax situation) is unique!
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Sources
- Internal Revenue Service (IRS) Publications 502, 535, and 969
- Mayo Clinic Women's Health Research
- U.S. Small Business Administration
- Social Security Administration Life Expectancy Calculator
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