Navigating Brain Fog
- Michael Frey, MD
- 23 minutes ago
- 3 min read
Okay, so you walk in a room and forget why you’re there. Or you lose your train of thought mid-sentence.
Women in the menopausal transition, this happens, it's common, it's brain fog.

Understanding Brain Fog
Brain fog often stems from hormonal fluctuations experienced during perimenopause and menopause as estrogen begins to decline. This decline can lead to symptoms such as memory lapses and difficulty concentrating. In fact, studies show that nearly 61% of women undergoing menopause report memory issues.
"I've flooded my laundry room three times because I have brain fog."
-Halle Berry

Factors such as sleep disturbances—affecting up to 70% of menopausal women due to night sweats and anxiety—stress, and lifestyle changes can also worsen cognitive challenges.

Tips for Managing Brain Fog
1. Prioritize Sleep
Quality sleep is essential for good cognitive function. Many women experience sleep disturbances during this time due to hormonal changes. Here are strategies to improve sleep quality:
Establish a Consistent Sleep Routine: Aim to go to bed and wake up at the same time each day. This helps regulate your body’s internal clock.
Create a Calm Sleep Environment: Keep your bedroom dark, cool, and quiet. Use blackout curtains and consider a white noise machine to promote better sleep.
Limit Screen Exposure: Reducing screen time at least an hour before bed helps your brain wind down and prepares you for restful sleep.
2. Stay Physically Active
Regular exercise can greatly enhance cognitive function and help reduce brain fog. Physical activity boosts blood flow to the brain and releases endorphins, improving mood and mental clarity. The goal is to get at least 150 minutes of moderate-intensity aerobic exercise weekly, such as:
Brisk walking
Swimming
Cycling
Incorporating strength training exercises twice a week can provide additional health benefits and improve overall physical fitness.

3. Eat a Brain-Healthy Diet
Nutrition significantly impacts cognitive function. A balanced diet loaded with antioxidants, healthy fats, and essential nutrients can help combat brain fog. Here are beneficial foods to include:
Fatty Fish: Salmon, sardines, and mackerel are high in omega-3 fatty acids, crucial for brain health.
Berries: Blueberries, strawberries, and blackberries are rich in antioxidants and can improve memory.
Leafy Greens: Spinach, kale, and other greens are packed with vitamins and minerals that support cognitive health.
Whole Grains: Foods like oats and quinoa provide a steady energy source for the brain.
4. Manage Stress
Chronic stress can lead to cognitive decline and increase feelings of brain fog. Implementing stress management techniques can significantly enhance mental clarity. Effective strategies include:
Mindfulness and Meditation: Set aside time each day for mindfulness exercises or deep-breathing techniques to reduce stress.
Yoga and Stretching: Incorporating yoga or gentle stretching routines can relieve tension and promote relaxation.
Social Connections: Regularly connect with friends and family to receive emotional support and reduce feelings of isolation.
5. Stay Mentally Engaged
Keeping your brain active is important for retaining cognitive function. Engaging in mind-challenging activities can include:
Puzzles and Games: Crossword puzzles, Sudoku, and brain-training apps can stimulate mental activity.
Try puzzles.
Play cards.
Build vocabulary.
Read something different.
Use your senses.
Learn a new skill.
Listen to music.
Brain training websites: Lumosity, Sudoku, Peak, Happy Neuron, Braingle
Reading: Opt for new genres or topics to keep your brain engaged and enhance comprehension.
Learning New Skills: Consider picking up a new hobby or enrolling in classes to stimulate cognitive growth.
6. Balance hormones
Hormone therapy (estrogen ± progesterone) can relieve symptoms and improve clarity.
Non-hormonal options such as Veozah or certain antidepressants may also help.
Embracing the Journey
Facing brain fog during perimenopause and menopause can be daunting. However, understanding its causes and adopting practical strategies can make a significant difference. By prioritizing sleep, staying active, eating a brain-healthy diet, managing stress, and keeping your mind engaged, you can enhance cognitive function and improve your overall quality of life.
