Memory & Concentration Changes
“Improve cognitive skills and get more sociality can help prevent memory loss”
Memory and other cognitive (mental) abilities change throughout life. Aging is associated with a trend of declining performance. There is no firm evidence that memory or other cognitive skills actually decline because of spontaneous menopause.
However, difficulty remembering and concentrating are common complaints during perimenopause and the years right after menopause. These difficulties often frighten women, who may think they have early symptoms of Alzheimer’s disease or other Dementia (severe loss of intellectual abilities). This is rarely the case. More research is needed to determine the cause of these complaints.
Although studies are lacking to prove the association, sleep disturbances and hot flashes may contribute to these symptoms, as well as dealing with various midlife stressors. Remaining physically, socially, and mentally active may help prevent memory loss.
Memory Loss & Natural Menopause
The role of hormone therapy is unclear, even though levels of ovarian hormones affect brain function. The evidence is insufficient to prove a cognitive risk or benefit of hormone therapy started during perimenopause or early postmenopause. For hormone therapy started at an older age (after 65), several studies show little overall cognitive benefit or harm. One major study found that postmenopausal women who start oral hormone therapy at an older age have an increased risk of dementia within 5 years of use.
Memory Loss & Induce Menopause
The situation might be different for younger women undergoing surgical menopause. Small studies have shown that experiencing menopause abruptly might have more of an adverse effect on memory, and hormone therapy may benefit certain cognitive skills, at least in the short run.
Chemotherapy can cause cognitive side effects in some women. Commonly called “chemobrain,” this condition is associated with memory lapses and concentration difficulties. Coping strategies involve decreasing the workload, avoiding multiple tasks, and making “to do” lists. The recovery process takes time, with cognitive function recovering to normal or near-normal levels a year or two after chemotherapy.
When Should I See A Doctor?
Women sometimes use nonprescription remedies in an effort to improve memory and other cognitive skills. Supplements containing the botanical ginkgo have been shown to have no effect on memory, at least after age 60. The effectiveness of most other products is not proven. More research is needed before any supplement can be recommended for this purpose. Women who are concerned about declining cognitive performance are advised to consult with their healthcare provider.