Perimenopausal Cognitive Health pertains to the preservation and optimization of neurocognitive function during the fluctuating hormonal transition preceding menopause, characterized by shifting estradiol and progesterone levels. Maintaining clear thinking, memory retrieval, and executive function during this period is a primary clinical concern. We focus on mitigating hormone-related cognitive volatility.
Origin
This term is specific to women’s health and endocrinology, addressing the period when ovarian hormone production becomes irregular but has not ceased entirely. The cognitive aspect links these hormonal fluctuations directly to measurable changes in brain function, particularly in areas sensitive to estrogen.
Mechanism
Fluctuating estrogen levels can disrupt hippocampal synaptic integrity and alter cerebral blood flow regulation, impacting memory consolidation and processing speed. Strategic support aims to buffer these fluctuations, perhaps through optimizing local neurosteroid synthesis or ensuring adequate receptor density remains. Supporting metabolic health also helps prevent the downstream negative effects of transient hypoestrogenism on neural energy metabolism.
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