By Salma El-Sakka
A new study from University College London found insufficient evidence that testosterone improves memory and cognitive symptoms in menopausal women, while menopause expert Dr Farah Ahmed outlines subtle signs of brain fog and practical management strategies.
Subtle Signs of Brain Fog
Dr Ahmed describes brain fog as forgetfulness, such as misplacing keys or struggling to recall familiar names, and an increased reliance on lists. Loved ones often notice the pattern first, prompting women to seek help.
Impact on Daily Life
Brain fog can erode workplace confidence and lead women to consider leaving jobs during perimenopause due to lack of support. It also strains relationships as women juggle multiple responsibilities amid hormonal changes.
Causes and Contributing Factors
Fluctuating and declining oestrogen levels are a primary theory, as oestrogen receptors exist throughout the brain. Sleep disruption from night sweats, hot flashes, and urinary symptoms further impairs cognitive function.
Why Women Miss the Connection
Many women fear dementia or dismiss symptoms because they still have regular periods, not realizing perimenopause can occur alongside menstruation. Busy lifestyles and limited discourse on non-vasomotor symptoms also delay recognition.
Advice for Managing Brain Fog
Dr Ahmed recommends consulting a clinician, ideally a midlife specialist, or a GP as a first step. She advises brain training games, a food-first nutritional approach over unproven supplements, and discussing hormone replacement therapy, which many patients report improves executive function.
Support from Loved Ones
Family members can help by offering patience, sharing tasks, and educating themselves about menopause to better understand the challenges.
