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Menopause: More Cognitive Complaints, Not Decline

Subjective complaints increase during the menopause transition, while measurable cognitive performance shows little overall change.

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A study published in npj Women’s Health examined cognitive symptoms in women aged 45 to 55, finding that those in perimenopause and postmenopause reported higher instances of brain fog and memory issues compared to premenopausal women. Despite these self-reported difficulties, objective cognitive performance showed minimal differences across the groups. The study suggests that cognitive symptoms may be more related to psychological factors like mood and sleep, rather than actual cognitive decline. Importantly, cross-sectional design limits causal interpretations.

Original Source(s)

Menopause: More Cognitive Complaints, Not Decline

  • by Meg Barbor

  • March 23, 2026

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