Understanding Memory Lapses and Hormonal Changes in Women

Losing your train of thought or forgetting once-familiar words can worry older adults who might fear Alzheimer’s or dementia. Medical experts often link these memory issues to hormone changes in later life. Women experiencing estrogen loss during perimenopause and menopause are particularly affected.

Impact of Estrogen Loss

Dr. Rhonda Voskuhl, a neurology professor at UCLA and co-founder of Cleopatra RX, advises women to compare their current cognitive function with their past performance before assuming serious issues. At the Livelong Women’s Health Summit in New York City, she emphasized that women should listen to their intuition. Voskuhl said sudden memory lapses are often linked to estrogen loss rather than early-onset dementia.

The 10-Year Benchmark

To determine if memory changes are related to hormonal shifts, Voskuhl suggests a quick self-assessment: compare your current mental state with your condition a decade ago. The Voskuhl Brain Fog Menopause Assessment at UCLA’s Comprehensive Menopausal Program uses this benchmark.

She encourages women to consider if they have experienced difficulties like finding words or multitasking over the past decade. This comparison can help identify if cognitive changes are linked to menopause and provides a baseline for tracking symptoms.

Subjective Cognitive Decline

Standard memory tests often miss subtle cognitive shifts. This is called subjective cognitive decline, where changes are noticeable even if tests show normal results. The CDC reports that about one in nine adults experience this, but fewer than half discuss it with healthcare professionals.

Voskuhl uses an analogy of an NFL player to illustrate this. Someone may feel weaker despite normal testing, and that experience matters. Women should trust their perception when they notice cognitive changes.

Hormonal Brain Fog vs. Dementia

Understanding the difference between hormonal brain fog and neurodegenerative disease is crucial. Menopausal brain fog often involves temporary misplacements and slower processing without impacting overall reasoning or independence, as noted by the Mayo Clinic. Symptoms can fluctuate and worsen with stress or poor sleep.

In contrast, early dementia causes persistent memory loss, affecting daily tasks like managing finances or driving.

Seeking Medical Evaluation

If you’re concerned about cognitive issues, seek a thorough medical evaluation to rule out conditions like blood vessel disease or thyroid imbalances.

Voskuhl advises that if you feel dismissed by your doctor, find another healthcare professional who will listen to your concerns.

Khloe Quill is a lifestyle writer for Fox News Digital, covering topics like food, travel, and health.