Brain Fog in Menopause: What's Actually Happening in Your Head

Walking into a room and forgetting why. Losing a word mid-sentence. Reading the same paragraph three times. In this episode, Dr Georgina Standen properly unpacks brain fog — what it actually is, what's driving it, and answers the question sitting underneath almost every conversation about it: does this mean something worse is coming?In this episode:What brain fog actually clusters around — and why part of it looks more like an attention problem than a memory problemThe honest answer to "is this dementia" — and the reasoning behind it, not just reassuranceThe evidence for a real, causal hormonal mechanism, from studies where memory dipped and recovered as oestrogen was removed and restoredThe three "amplifiers" that actually drive brain fog day to day — hot flushes, sleep, and mood — and why treating those is often where real improvement comes fromWhere HRT does and doesn't fit, and why the evidence on dementia prevention specifically is still genuinely unresolvedSirona Health Podcast is hosted by Dr Georgina Standen, GP and founder of Sirona Health (sironahealth.co.uk), a specialist women's health practice covering menopause, PMS/PMDD and teen health. Book a consultation at sironahealth.co.uk.This podcast is for general information only and doesn't replace individual medical advice — please speak to your GP or a specialist about your own symptoms. If you're struggling, please reach out for support.