Memory loss during menopause: what you need to know
Menopause is a natural process that can affect your health. The changes in the body that occur during menopause can cause multiple symptoms such as vaginal itching or dryness, urinary problems, hot flashes, sleep disorders, and memory loss (1,2).
Memory loss during menopause
Memory loss is a well-documented symptom of menopause. The primary factor influencing this is hormonal changes. Marcin states that fluctuations in the concentrations of estrogen and progesterone, two key hormones involved in cognitive function, contribute to these changes (2).
Common difficulties include trouble recalling words and numbers, misplacing objects, and forgetting appointments or events. These symptoms, often accompanied by difficulty in concentrating, are collectively known as "mental fog" by the International Menopause Society when remembering words and numbers (3).
Hormones and other factors that contribute to memory loss
During menopause, the levels of ovarian hormones, particularly estradiol (the primary form of estrogen), decrease significantly. This hormonal change directly impacts memory performance and leads to alterations in brain circuitry. Menopause can affect the regeneration and connection of brain cells, as well as influence how these cells die, thereby impacting key regions of the brain responsible for memory function. As a result, cognitive processes such as recall, and information retention may be affected (4).
In addition, the National Institute on Aging highlights several factors that can contribute to memory loss and increase the risk of cognitive decline. Here are some of the factors to consider:
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Thyroid, kidney or liver disease, diabetes, and hypertension.
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Blood clots.
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High-stress.
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Conditions such as depression or anxiety.
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Alcohol abuse and drug abuse.
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Poor sleep quality or insufficient rest.
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Nutritional deficiencies —vitamin deficiency may be one of the causes of blurred vision and other menopausal symptoms— (4).
Additionally, stressful situations can cause memory problems. However, this effect typically improves as stress levels decrease and emotional balance is restored (5).
Strategies to improve memory
To improve your memory, you need to stay mentally active. Activities like solving crossword puzzles, learning a new language, or acquiring a new skill can sharpen cognitive function. In addition, it is recommended to stay socially active. Participating in enjoyable clubs or group activities enriches your life and can help slow memory loss (1).
Exercise, relaxation, and lifestyle changes
For this point, it is important to follow the next advices:
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Eat a balanced diet. Incorporate whole foods and healthy fatty acids, such as omega-3s, which support memory and cognitive function. Prioritize fresh fruits, vegetables, whole grains, nuts, fish, and olive oil for overall brain health (2).
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Sleep disorders can occur during menopause. Menopause can disrupt sleep patterns but getting at least 8 hours of rest is crucial for brain function. Sleep helps consolidate memories and retain information learned throughout the day (4).
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Stay active. Engage in regular physical activity, including weight-bearing and cardiovascular exercises such as running, walking, or dancing (6). In addition, activities such as yoga, tai-chi, or meditation enhance mood, reduce fatigue, and alleviate muscle pains associated with menopause.
When to consult a doctor for memory loss?
Many women experience mental fog and other cognitive symptoms that may be temporary and improve over time. However, it’s important to seek medical advice if you notice any of the following situations:
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Neglecting personal higiene.
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Forgetting names of familiar objects.
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Difficulty following simple instructions.
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Rapidly progressing blurred vision.
These signs could indicate underlying issues beyond menopause. Consulting a doctor can help identify potential causes and ensure you receive the appropriate evaluation, treatment, and support (5).
Treatments and additional support
Hormone therapy is a potential option for managing menopausal memory loss, particularly when started in the early stages of menopause. Research indicates that it is most effective during this period; however, its use should be carefully assessed on an individual basis due to potential risks to other bodily systems (4).
Additionally, it is important to acknowledge that these cognitive and emotional changes are a natural part of menopause. Seeking emotional support can help navigate them more effectively. There is no need to feel anxious or self-conscious about not "having all the answers". Expressing your feelings is both normal and beneficial. The support of family and friends plays a crucial role in promoting emotional well-being during this transition (7).
Bibliographic References
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Menopause symptoms and relief [Internet]. OASH | Office on Women's Health. [cited 2025 Feb 19]. Available from: https://womenshealth.gov/menopause/menopause-symptoms-and-relief
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Marcin A. Menopause brain fog: Symptoms, treatment, is it real, and more [Internet]. Healthline. 2024. [cited 2025 Feb 19]. Available from: https://www.healthline.com/health/menopause/menopause-brain-fog
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Imsociety. World Menpause day. [Internet]. [cited 2025 Feb 25]. Available from: https://www.imsociety.org/wp-content/uploads/2022/10/Spanish-WMD-Leaflet.pdf
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Goldstein JM. Menopause and memory: Know the facts [Internet]. Harvard Health. 2021 [cited 2025 Feb 25]. Available from: https://www.health.harvard.edu/blog/menopause-and-memory-know-the-facts-202111032630
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Memory problems, forgetfulness, and aging [Internet]. National Institute on Aging. [cited 2025 Feb 25]. Available from: https://www.nia.nih.gov/health/memory-loss-and-forgetfulness/memory-problems-forgetfulness-and-aging
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Menopause - Things you can do [Internet]. nhs.uk. [cited 2025 Feb 25]. Available from: https:
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National Health Services (NHS). Talking therapies: Berkshire Healthcare. Mental health and the menopause. United Kingdom. [Internet]. [Cited 2025 Feb 19]. Available from: https://talkingtherapies.berkshirehealthcare.nhs.uk/therapy-in-focus-blogs/mental-health-and-the-menopause/
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