Brain Fog During Menopause: How Doctors Make Decisions and Give Advice.

Dear MHI reader,

Feeling like your thoughts are cloudy, struggling to focus, or forgetting words mid-sentence? These are not just random slip-ups. They could be signs of brain fog during menopause.

While it can feel frustrating or even scary, healthcare professionals recognise brain fog as a valid, treatable part of the menopausal transition.

What Is Brain Fog and Why Does It Happen?

Brain fog refers to a collection of cognitive symptoms, such as forgetfulness, poor concentration, and mental fatigue, that often show up during perimenopause and menopause. 

These changes are primarily driven by hormonal fluctuations, especially the drop in oestrogen, which plays a key role in supporting brain function. 

Oestrogen helps regulate neurotransmitters and blood flow to the brain. When levels decline, you might notice your thinking doesn’t feel as sharp as it once was.

It’s essential to understand that this is a common and typically temporary condition. Most women regain their mental clarity over time, especially with the right support and care.

How Doctors Assess and Support You

When you mention brain fog to your doctor, they consider several factors before making recommendations. 

They’ll ask about your sleep, stress, mood, and physical health. Why? Because fatigue, anxiety, depression, and even a poor diet can worsen cognitive symptoms. 

You might also be evaluated for underlying issues like thyroid imbalances or vitamin deficiencies.

Doctors may offer lifestyle advice such as improving sleep hygiene, exercising regularly, or eating a brain-friendly diet rich in vegetables, omega-3 fats, and whole grains. 

In some cases, they may also discuss hormone replacement therapy (HRT) if brain fog is affecting your quality of life and is accompanied by other symptoms like hot flushes or insomnia. You might also find our product Meno Focus useful.

It’s Okay to Ask for Help

Experiencing brain fog doesn’t mean you’re losing your mind. You’re going through a natural hormonal shift, and it’s okay to seek help. Whether it’s reassurance, lifestyle guidance, or medical options, support is available. You don’t have to “push through” it alone

If you like our Meno Health newsletter and the information we share on Instagram and LinkedIn, tell your friends and colleagues about it. That way, they can also learn more about menopause and menopause in the workplace.

Simply send them this link to sign up for the newsletter.