NEWS Mental Health News Memory and Cognitive Health Deserve Greater Attention During Menopause By Krystal Jagoo Krystal Jagoo Krystal Kavita Jagoo is a social worker, committed to anti-oppressive practice, who has worked for three academic institutions across Canada. Her essay, “Inclusive Reproductive Justice,” was in the Reproductive Justice Briefing Book. Learn about our editorial process Published on September 23, 2021 Fact checked Verywell Mind content is rigorously reviewed by a team of qualified and experienced fact checkers. Fact checkers review articles for factual accuracy, relevance, and timeliness. We rely on the most current and reputable sources, which are cited in the text and listed at the bottom of each article. Content is fact checked after it has been edited and before publication. Learn more. by Nicholas Blackmer Fact checked by Nicholas Blackmer LinkedIn Nick Blackmer is a librarian, fact-checker, and researcher with more than 20 years’ experience in consumer-oriented health and wellness content. He keeps a DSM-5 on hand just in case. Learn about our editorial process Share Tweet Email Print NickyLloyd / Getty Images Key Takeaways Menopause can impair verbal learning and memory for some.Strength in verbal learning and memory or attention and executive function was linked to fewer depressive symptoms and hot flashes. Cognitive weaknesses were associated with more sleep difficulties and depression issues. While information about menopause tends to be directed at women, it is worth noting that this can be experienced by anyone with a uterus, thus making it a widespread and genderless phase of many people’s lives. A study published in Climacteric found that menopause symptoms may include weaknesses with memory and verbal learning for a significant minority. Especially as limited abortion access continues to threaten bodily autonomy across the country, it is crucial to consider other ways in which anyone with a uterus may experience challenges relating to the reproductive system, including the effects these changes have on cognition. Understanding the Research For this longitudinal study, data were collected from 85 people aged 40–60, with self-reported menopausal symptoms, hormone level measurements, and cognitive test completion twice annually for up to 9 years. Researchers found that strength in either verbal learning and memory or attention and executive function was associated with fewer depressive symptoms and hot flashes, while those individuals who reported cognitive weakness indicated more sleep issues and depression symptoms. While four cognitive profiles were identified for participants, significant evidence of cultural bias with cognitive tests is a limitation of this research. Women May Have Faster Cognitive Decline in Old Age Cognitive Changes May Accompany Menopause Miriam Weber, PhD, assistant professor of neurology and obstetrics and gynecology at the University of Rochester Medical Center, and lead researcher for this study, says, “The takeaway is that some women do experience cognitive changes during the menopausal transition, that these changes are not uniform across all women (there are individual differences), and that these cognitive changes are related to sleep disturbance, depression and changing hormones.” Since cognitive changes during the menopausal transition and possible treatments for difficulties are rarely covered, Weber believes that more research is needed to see if these cognitive changes ameliorate over time. “This work suggests that there are more distinct profiles within groups—with some women showing relative strengths in certain cognitive domains, and others showing relative weaknesses,” she says. Weber says, “In my experience with research participants and patients, women often notice changes in their thinking during the menopausal transition (word-finding difficulties, difficulty multi-tasking, forgetfulness). Often, they are subtle. Women can still do their jobs, manage their homes, etc. but find that they are working ‘harder.’ At times, this may cause concern that there is something wrong, or they are in the early stages of neurodegenerative dementia such as Alzheimer’s disease.” Miriam Weber, PhD Lifestyle modifications can help. Making sure you get adequate sleep, and maybe have sleep evaluated by a specialist if sleep hygiene techniques are not working. Physical exercise is very beneficial for cognitive and psychological well-being. — Miriam Weber, PhD So far, Weber highlights that the data in this area suggests that these changes are real, as women are accurate reporters of their experience, and these changes are in part related to some treatable symptoms of menopause, such as sleep disturbance, depression, etc, but symptoms do not solely account for the changes. “For many women, these problems generally resolve in the post-menopausal period,” she says. Weber says, “Lifestyle modifications can help. Making sure you get adequate sleep, and maybe have sleep evaluated by a specialist if sleep hygiene techniques are not working. Physical exercise is very beneficial for cognitive and psychological well-being. If you have symptoms of depression and/or anxiety, this can be treated with medication and/or psychotherapy, usually cognitive-behavioral and other forms of talking therapy.” With cognitive difficulties, Weber recommends lists and calendars to keep track of important information, as well as trying to work on one task at a time rather than multitasking, and minimizing distractions when working on complex tasks. “For instance, I often suggest that people close their email browser rather than just minimizing it—so they can remain focused—then just check email at certain times throughout the day,” she says. The Connection Between Menopause and Depression Menopause Symptoms are Often Dismissed Elisabeth Netherton, MD, a psychiatrist with MindPath Care Centers, a Community Psychiatry Practice, says, “This study does not mean that any individual going through menopause is going to experience cognitive changes; it finds that a subgroup of women may be at higher risk of cognitive changes as they progress through menopause and that for this subgroup these shifts may be more significant than previously described.” Since this is only one study that investigates a complex hormonal event, Netherton cautions that research studies are not necessarily generalizable across populations. “We as providers have more and more information to help us guide decision-making with our patients,” she says. Elisabeth Netherton, MD I hope that women reading this article or learning about these findings feel empowered to discuss any symptoms they might have with their providers so that they can talk through monitoring, treatment, and mitigation strategies. — Elisabeth Netherton, MD Netherton says, “Women often have experiences of finding their symptoms dismissed by providers or understudied in the medical literature, and menopause is understudied in general. I hope that women reading this article or learning about these findings feel empowered to discuss any symptoms they might have with their providers so that they can talk through monitoring, treatment, and mitigation strategies.” To support cognitive function and mood, Netherton recommends good nutrition and physical exercise as an important means of maintaining wellness across the lifespan. “We know that women experience mood and health benefits from investing in their relationships with others and experiencing a sense of community. As we age our relationships may shift and the communities in which we are most invested may change, so these are important areas for women to explore and be active in,” she says. What This Means For You As discussed, there is a growing body of research that demonstrates how menopause affects memory and cognitive functioning so it is vital to support the mental health of middle-aged people with uteruses. If you or someone you love are struggling in this way, it helps to be understanding of challenges during this period and seek support. New Links Between Inflammation, Menopause, and Depression, Research Finds 1 Source Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Weber MT, Rubin LH, Schroeder R, Steffenella T, Maki PM. Cognitive profiles in perimenopause: hormonal and menopausal symptom correlates. Climacteric. 2021;24(4):401-407. doi:10.1080/13697137.2021.1892626 By Krystal Jagoo Krystal Kavita Jagoo is a social worker, committed to anti-oppressive practice. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist Online Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.