Menopause marks the end of a woman’s menstruation. But, starting on average at around 47 and taking four to eight years, it doesn’t just impact the body: thanks to the accompanying decline of the hormone oestrogen, it impacts the brain too. Lisa Mosconi studies that impact. Her new book, The Menopause Brain, examines the neurological symptoms of menopause, the new mental skills it can foster and the options for brain-inclusive menopause care. Mosconi, 46, is an associate professor of neurology and radiology at Weill Cornell Medicine in New York City, where she directs its Women’s Brain Initiative and Alzheimer’s Prevention Program, run jointly with NewYork-Presbyterian Hospital.
Menopause is a hot topic! What does your book bring that is new?
A neuroscience perspective. And it is a part of menopause that’s been excluded or not acknowledged clearly. While hot flashes are generally recognised as a side-effect of menopause, most doctors simply won’t make the connection with other brain symptoms. But our ovaries are in direct communication with our brain, which is hardwired to respond to the oestrogen and other hormones they produce. And while our ovaries close up shop, our brain needs to keep going. That can bring glitches as our brain adjusts. I am here to say: you’re not crazy!
