Perimenopause Brain Fog: Is It Really Dementia, or Is It Hormones?

Perimenopause brain fog is real, measurable, and one of the most frightening symptoms patients bring to me — usually asking, quietly, if this is the start of dementia. It isn't dementia for the vast majority of women, but it is a genuine neurological change, not "in your head" and not something to just push through. This episode breaks down exactly what's happening in your brain, why it happens, and — importantly — when memory changes need proper medical review rather than reassurance.In this episode:The real neuroscience behind oestrogen's role in memory, focus, and word-findingWhy perimenopause memory loss is usually temporary — and how I explain that to frightened patientsThe difference between hormonal brain fog and cognitive changes that need urgent reviewPractical, evidence-informed tools I use in both my UK and Canadian practiceWhy brain fog is chronically under-discussed — and what that's quietly doing to women's confidence and careers Listen & connect: Sign up to my email list and join the clinic waitlist at drgolda.com Follow along on Instagram @doctorgoldaGeneral education only — not personalised medical advice. Listening to this podcast does not create a doctor - patient relationship. Please speak to your own doctor about any health issues.