During menopause, many women experience what is often called "mental fog" – difficulty concentrating, slower thinking, and forgetfulness.
Studies show that about 3 in 5 middle-aged women have difficulty remembering words or numbers, use lists and reminders more often, or forget why they were doing an action.
The main cause is a drop in estrogen levels. This hormone affects serotonin and dopamine – substances in the brain that regulate mood and cognitive functions such as memory and concentration.
This mental fog is common during perimenopause, even when you're getting enough sleep. While it can be distressing, it's usually temporary and improves after your menstrual cycle ends.
The role of sleep and fatigue
The problems become more pronounced when sleep is poor. Many women during this period have difficulty sleeping, wake up frequently, and do not feel rested.
Insomnia is directly linked to decreased cognitive function and often continues after menopause. In fact, postmenopausal women have higher rates of insomnia compared to men or younger women.
The quality of sleep appears to be more important than the number of hours. Night sweats, for example, can impair mental performance. Treating them – through hormone therapy or other alternatives – can improve sleep and brain function.
Mental fog or ADHD?
Symptoms such as distraction, disorganization, and difficulty focusing can also be related to ADHD (attention deficit hyperactivity disorder).
Although research is limited, many women report worsening ADHD symptoms during menopause, and some are even diagnosed for the first time during this period.
Hormonal changes can worsen these symptoms, and women with ADHD may be more susceptible to mood disorders during this phase.
If you experience these difficulties, it is important to consult a doctor.
Mental fog or early dementia?
About 70% of women during perimenopause report memory problems. This can be distressing, especially if there is a family history of dementia.
However, it is important to distinguish between normal hormonal changes and possible signs of a more serious problem.
If you are concerned, keep a record of changes in memory and thinking before consulting a doctor. Other causes such as anxiety, depression, stress, lack of sleep, thyroid problems, or vitamin B12 deficiency can also play a role.
How to protect brain health
For long-term brain health, it's important to manage chronic conditions like diabetes and high blood pressure. Factors like high cholesterol, abdominal fat, and cardiovascular problems in middle age are linked to an increased risk of dementia later in life.
Also, hearing screening is important, as poor hearing can affect cognitive function due to lack of brain stimulation.
If physical causes are ruled out, the doctor may recommend consultation with other specialists, such as a psychologist or neurologist.
In most cases, "mental fog" during menopause is temporary - but paying attention and caring for symptoms remains essential to maintaining mental health. /GazetaExpress/
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