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Forget Forgetting: Compare Your Memory to 10 Years Ago
26 Sep
Summary
- Midlife memory lapses may stem from hormone shifts, not dementia.
- Compare current memory to 10 years prior to assess changes.
- Subjective cognitive decline affects many but is often not discussed.

Neurologist Dr. Rhonda Voskuhl recommends a simple benchmark for women experiencing midlife memory issues: compare your cognitive function to where it was a decade ago. This method, part of the Voskuhl Brain Fog Menopause Assessment, helps determine if memory lapses are linked to hormonal changes like menopause, rather than early signs of neurodegenerative disease.
These cognitive blips, often referred to as subjective cognitive decline, are frequently experienced by women due to estrogen loss. While neurological tests might appear normal, individuals often sense subtle shifts in their memory and processing speed. Dr. Voskuhl emphasizes trusting these self-observations, comparing them to an athlete knowing when their performance has declined.
Distinguishing menopausal brain fog from dementia is crucial. Menopausal symptoms are typically inconsistent and temporary, not significantly impacting reasoning or independence. Dementia, conversely, causes progressive memory loss that disrupts daily tasks and judgment. Experts advise seeking a full medical evaluation for persistent concerns and encourage seeking new physicians if current ones dismiss their worries.