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Brain fog in your 40s or 50s can feel frightening — but it doesn’t automatically mean dementia, and it shouldn’t be dismissed as “just menopause.” In this video, Dr Laurena Law explains the perimenopause brain fog blind spot: why cognitive symptoms like forgetfulness, word-finding difficulty, poor concentration, slower processing, and mental overload are real — and why treatment is often more complicated than simply prescribing menopause hormone therapy. We explore: • Why perimenopause can affect attention, memory, mood, sleep, and stress response • How hormone fluctuations may contribute to brain fog • When MHT/HRT may help indirectly by improving hot flushes, night sweats, and sleep • Why MHT is not a guaranteed or universal cognitive treatment Other contributors that should be checked, including sleep, mood, thyroid, iron, medications, and cardiovascular risk • Evidence-based approaches such as physical activity, CBT, mindfulness and non-hormonal therapies. • Emerging and experimental options — and why more research is still needed The key message: brain fog is real, it deserves care, and women need more than reassurance alone. Presenter: Dr Laurena Law, GP focused on women’s health Topic: Perimenopause, brain fog, cognitive symptoms, MHT/HRT, and the treatment gap in women’s health References: 1. Radytė E and Karvelyte I (2026) A brain-first framework for perimenopause management: the case for non-invasive neuromodulation. Front. Glob. Women’s Health 7:1868506. doi: 10.3389/fgwh.2026.1868506 2. Maki, P. M., & Jaff, N. G. (2022). Brain fog in menopause: a health-care professional’s guide for decision-making and counseling on cognition. Climacteric, 25(6), 570–578. https://doi.org/10.1080/13697137.2022.2122792 3. Glasgow, A., Iqbal, S. Treatment of Cognitive Symptoms During Perimenopause: A Review. Curr Treat Options Psych 13, 15 (2026). https://doi.org/10.1007/s40501-026-00387-y 4. Gazerani P. Menopause-related brain fog as a midlife window in women's brain aging: toward ecologically valid measurement and digital phenotyping. Front Hum Neurosci. 2026 Apr 21;20:1814092. doi: 10.3389/fnhum.2026.1814092. PMID: 42094033; PMCID: PMC13139119. 5. Bangle A, Williams D, Walters J, Nguyen L. Cognitive functioning in perimenopause: An updated systematic review and meta-analysis. Psychol Aging. 2026 May;41(3):303-318. doi: 10.1037/pag0000946. Epub 2025 Oct 9. PMID: 41066270. 6. Wynchank, D., Kooij, S. Pharmacological Management of ADHD in Women Across Perimenopause, Menopause and Post-Menopause. Drugs Aging 43, 385–395 (2026). https://doi.org/10.1007/s40266-026-01291-z 7. Farhat LC, Lannes A, Del Giovane C, Parlatini V, Garcia-Argibay M, Ostinelli EG, Tomlinson A, Chang Z, Larsson H, Fava C, Montastruc F, Cipriani A, Revet A, Cortese S. Comparative cardiovascular safety of medications for attention-deficit hyperactivity disorder in children, adolescents, and adults: a systematic review and network meta-analysis. Lancet Psychiatry. 2025 May;12(5):355-365. doi: 10.1016/S2215-0366(25)00062-8. Epub 2025 Apr 6. Erratum in: Lancet Psychiatry. 2025 Jul;12(7):e12. doi: 10.1016/S2215-0366(25)00171-3. PMID: 40203844. 8. Wynchank D, Kooij S. Pharmacological Management of ADHD in Women Across Perimenopause, Menopause and Post-Menopause. Drugs Aging. 2026 May;43(5):385-395. doi: 10.1007/s40266-026-01291-z. Epub 2026 Apr 22. PMID: 42018215; PMCID: PMC13149623. 9. Osianlis E, Thomas EHX, Jenkins LM, Gurvich C. ADHD and Sex Hormones in Females: A Systematic Review. J Atten Disord. 2025 Jul;29(9):706-723. doi: 10.1177/10870547251332319. Epub 2025 Apr 18. PMID: 40251875; PMCID: PMC12145478. Video Keywords: Perimenopause brain fog causes and symptoms, how to manage perimenopause brain fog, perimenopause brain fog relief tips, why perimenopause causes brain fog, brain fog during perimenopause explained, perimenopause memory problems and solutions, how hormones affect brain function, perimenopause concentration problems and memory, natural ways to manage brain fog, perimenopause symptoms affecting brain health, how to improve focus during perimenopause, perimenopause cognitive changes explained for women, brain fog and hormonal changes, how to support brain health naturally, perimenopause forgetfulness causes and treatment options, best habits for brain health, how to reduce hormonal brain fog, perimenopause mental clarity tips for women, menopause transition brain fog symptoms explained, lifestyle changes for perimenopause brain fog, perimenopause brain health and hormones, why women experience hormonal brain fog, how to improve memory during perimenopause, perimenopause fatigue and brain fog, brain fog treatment options for women, perimenopause wellness tips for women, sleep and perimenopause brain fog, nutrition tips for brain health, perimenopause brain fog what helps #perimenopause #Menopause #BrainFog #WomensHealth #HRT #MHT #MidlifeHealth #DrLaurenaLaw #CognitiveHealth #MenopauseSupport

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