Menopause: More Cognitive Complaints, Not Decline - Summary - MDSpire
Coming Soon: Introducing MDSpire News. Learn more
Conexiant’s news site is now MDSpire News. Learn more

Menopause: More Cognitive Complaints, Not Decline

  • By

  • Meg Barbor

  • March 23, 2026

  • 2 min

Share

Objective:

To investigate the relationship between menopause status and cognitive symptoms versus objective cognitive performance in women aged 45 to 55.

Approach:
    Key Findings:
    • Perimenopausal and postmenopausal women reported higher odds of cognitive symptoms like brain fog and memory problems compared to premenopausal women.
    • Objective cognitive performance was largely similar across all groups, with minimal differences.
    • Perimenopausal participants showed slightly higher accuracy in cognitive tasks, but the effect size was very small.
    • Subjective cognitive symptoms were weakly associated with objective cognitive performance but moderately associated with psychological symptoms.
    Interpretation:

    Perceived cognitive difficulties during menopause may be more related to mood, sleep, and fatigue rather than actual declines in cognitive ability.

    Limitations:
    • The cross-sectional design limits conclusions about causality.
    • Standardized cognitive testing may not capture transient cognitive lapses affecting daily functioning.
    Conclusion:

    There is a disconnect between women's reported cognitive symptoms and objective test performance, indicating the need for longitudinal studies to understand changes over time.

    Sources:

Original Source(s)

Related Content