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Insights from a Michigan Neurosurgeon on Menopause's Impact on Brain Health

Insights from a Michigan Neurosurgeon on Menopause's Impact on Brain Health

Post by : Saif Rahman

Menopause is commonly recognized as a natural phase in a woman’s life, characterized by symptoms like hot flashes, fatigue, and mood fluctuations. However, Dr. Jay Jagannathan, a neurosurgeon from the Michigan Neurosurgery Institute, brings attention to a lesser-discussed aspect of menopause — its cognitive effects.

In a recent video, Dr. Jagannathan revealed that diminishing oestrogen levels during menopause can have significant repercussions on brain health. He emphasized that beyond its role in reproduction, oestrogen is crucial for safeguarding brain cells.

“Oestrogen acts as a protective barrier for the brain,” explained Dr. Jagannathan. “It helps maintain blood circulation, reduces inflammation, and shields brain cells from stress. As oestrogen levels decline, this protective factor diminishes.”

This decrease can result in problems such as forgetfulness, challenges in concentration, and decreased cognitive speed, complicating daily activities and potentially heightening the risk of chronic brain issues when not addressed appropriately.

While many are aware of physical symptoms like bone density loss or sleep disturbances during menopause, relatively few women understand how hormonal fluctuations influence brain function. “Menopause influences not only the body but also brain performance,” noted Dr. Jagannathan.

Research substantiates the connection between oestrogen and cognitive function, with oestrogen being essential for the brain's utilization of glucose, its primary energy source. A dip in oestrogen levels can hamper the brain's energy efficiency, leaving women feeling more fatigued, forgetful, and less cognitively sharp.

Studies have shown that areas of the brain tied to memory and learning, such as the hippocampus, are particularly sensitive to changes in oestrogen levels, explaining why some women may experience forgetfulness or difficulty concentrating after the onset of menopause.

Nevertheless, Dr. Jagannathan reassured that adopting healthy lifestyle habits can mitigate these risks. He recommended that women engage in regular physical activity, consume antioxidant-rich foods, and prioritize sleep. Specifically, consistent exercise enhances blood flow to the brain and promotes mental wellness.

Moreover, he highlighted the importance of managing stress, which can exacerbate menopause symptoms. Techniques such as yoga, meditation, and deep breathing can alleviate stress and help safeguard the brain from long-term repercussions.

In certain instances, hormone therapy may be proposed to compensate for the oestrogen lost during menopause, yet this must be approached with caution and under professional guidance. “Every woman's physiology is unique, and treatment should be tailored accordingly,” emphasized Dr. Jagannathan.

Menopause typically occurs between ages 45 and 55, although its effects might commence years in advance. The transitional phase known as perimenopause signifies the onset of hormonal changes, during which women may experience not only physical symptoms but also mental fog and sleep disturbances.

Dr. Jagannathan’s insights highlight that menopause is a comprehensive bodily transition, not merely a physical alteration. Recognizing its implications for brain health can empower women to take proactive measures to preserve their memory, mood, and cognitive clarity.

Experts advocate for increased awareness surrounding the cognitive aspects of menopause, asserting that open discussions allow women to feel better equipped and supported during this life transition.

Nov. 13, 2025 2:58 p.m. 33

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