Unveiling the Changing Brain: Menopause and Cognitive Function

Published on September 25, 2023

Just like a ship entering uncharted waters, women going through menopause may face some unexpected neurological challenges, including cognitive decline. Luckily, scientists have been digging deep into the mysteries of the menopausal brain by using MRI technology to discover how hormonal changes impact the brain’s structure and cognitive abilities. This structured review takes us on a thrilling journey through the scientific literature, uncovering volumetric differences in the brain following menopause. The studies reveal that regions like the frontal and temporal cortices, as well as the hippocampus, experience changes, which are closely tied to higher cognitive functions and memory. As we delve deeper, it becomes evident that smaller regional brain volumes in these areas are linked to deficits in verbal and visuospatial memory among postmenopausal women. However, due to the limited number of eligible studies and study designs, further research is still needed to solidify our understanding. So come on board and explore this exciting field of research!

The menopausal transition has been proposed to put women at risk for undesirable neurological symptoms, including cognitive decline. Previous studies suggest that alterations in the hormonal milieu modulate brain structures associated with cognitive function. This structured review provides an overview of the relevant studies that have utilized MRI to report volumetric differences in the brain following menopause, and its correlations with the evaluated cognitive functions. We performed an electronic literature search using Medline (Ovid) and Scopus to identify studies that assessed the influence of menopause on brain structure with MRI. Fourteen studies met the inclusion criteria. Brain volumetric differences have been reported most frequently in the frontal and temporal cortices as well as the hippocampus. These regions are important for higher cognitive tasks and memory. Additionally, the deficit in verbal and visuospatial memory in postmenopausal women has been associated with smaller regional brain volumes. Nevertheless, the limited number of eligible studies and cross-sectional study designs warrant further research to draw more robust conclusions.

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