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How to manage Menopause brain fog: Clearing the mental clouds

Portrait of a woman in a serious mood.

Do you sometimes feel like your brain is in a fog? Maybe you walk into a room and completely forget why you went there. Or you search everywhere for your keys, only to find them right where you left them. These experiences can be frustrating, and if you're going through menopause, they might be happening more often.  It's called menopause brain fog, and it can make you feel like your mind is taking an unexpected vacation!

What causes the foggy feeling?

The main reason for menopause brain fog is the big hormonal changes happening in your body during this transition. As your estrogen and progesterone levels drop, it disrupts the pathways in your brain that control memory and concentration.

Estrogen is especially important for cognition. When estrogen levels decline, it creates static interference in your brain's messaging system. This miscommunication leads to forgetfulness, difficulty focusing, and feeling like your thoughts are moving through thick pea soup.

Lifting the mental clouds: While menopause brain fog can be incredibly frustrating, there are ways to help clear away the mental haze and one can learn how to manage the menopause brain fog better:

Get enough sleep: Aim for 7-9 hours per night. Lack of sleep makes brain fog much worse. If hot flashes are disturbing your sleep, talk to your doctor about treatments. To improve sleep, establish a relaxing bedtime routine like taking a warm bath, reading, or light stretches. Make your bedroom cool, dark and quiet. Avoid screens for 1-2 hours before bed.

Reduce stress: High stress exacerbates the foggy feeling. Try relaxing with meditation, deep breathing, or yoga to calm your mind. For meditation, start with just 5 minutes per day of focused deep breathing. Yoga videos on YouTube are great for beginners. Or try a relaxing hobby like gardening or adult coloring books.

Exercise Your Brain: Challenge your brain regularly with puzzles, games, or learning new skills. It's like a workout to keep your mind fit! Do a daily crossword or sudoku puzzle. Take an online class to learn a new language or skill. Read books and summarize the key points to boost memory.


Eat a brain-healthy diet: Foods with antioxidants, healthy fats, and vitamins nourish the brain. The MIND diet, combining the Mediterranean and DASH diets, is ideal. Focus on vegetables, berries, whole grains, olive oil and fish. Snack on nuts and dark chocolate. Stay hydrated.

Stay active: Regular physical exercise increases blood flow to the brain. Aim for 30-60 minutes per day of aerobic activity like walking, swimming or cycling. Start a simple routine like 10 minutes per day and build up. Take an exercise class or join a club to stay motivated.

Consider hormone therapy: For some women, estrogen therapy helps improve memory issues caused by the hormone drop. Discuss the risks and benefits with your doctor.

Be patient and kind to yourself: Menopause brain fog can make you feel frustrated and inadequate at times. But remember, it's a very normal experience caused by the hormonal roller coaster you're on. And you're not alone - this is an incredibly common issue that so many women face during the menopause transition. Be gentle with yourself and don't get discouraged. The mental lapses and clouds of forgetfulness are caused by factors beyond your control.

Make lifestyle changes to maximize your brain health, but also give yourself grace on the foggy days. Talk to friends who can relate, laugh it off when you put the milk in the pantry again, and focus on all the amazing strengths your wise woman's brain still possesses. The mental haze is temporary and will pass. Have patience and self-compassion - you've got this, even if your brain takes an occasional mind-vacation.

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