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cover of episode Perimenopause: why you can't think straight

Perimenopause: why you can't think straight

2025/3/10
logo of podcast Ladies, We Need To Talk

Ladies, We Need To Talk
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C
Camilla
S
Siobhan
一
一位匿名女性
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一位匿名女性：更年期让我无法集中注意力，变得心不在焉，这与我以前的状态完全不同。 另一位匿名女性：更年期让我大脑像堵塞了一样，无法思考，这不仅仅是脑雾，而是完全的脑阻塞。 Yumi Stynes：更年期女性的大脑就像一个满是灰尘和杂物的阁楼，重要的东西都被遗忘了，这反映了更年期激素变化对记忆力和情绪的影响。本期节目将探讨更年期激素变化如何影响女性大脑，包括记忆力和情绪。如果你的记忆力下降，或者情绪低落或愤怒，你不是一个人在战斗。 Camilla：更年期让我出现严重的记忆力下降，一度怀疑自己得了老年痴呆。更年期不仅影响我的家务，也影响我的工作，特别是那些需要用到数字和表格的工作。更年期让我情绪低落，甚至抑郁，这让我难以应对日常生活中的压力，例如父母生病、工作繁忙等。更年期让我经常在睡梦中哭泣或愤怒，这与我当时生活中的其他压力事件有关。我辞去了工作，但最终通过激素替代疗法（MHT）改善了我的睡眠和脑雾症状，恢复了精力。 Pauline Mackey：大约40%到60%的女性在更年期过渡期间会出现认知方面的抱怨，这与雌激素和孕激素水平的变化有关。更年期女性的记忆力下降与雌激素水平降低直接相关。更年期女性的言语记忆力下降，导致她们在谈话中忘记名字或重要细节。补充雌激素可以减轻更年期女性的记忆力下降。更年期潮热会导致睡眠中断，从而影响记忆力。更年期女性更容易患上抑郁症，尤其是有抑郁症病史的女性。雌激素水平波动会影响女性的情绪和应对压力的能力。生活中的重大压力事件（如离婚、子女离家、失业、父母生病等）会加剧更年期女性的情绪问题。更年期女性更容易出现愤怒和易怒的情绪，这与激素水平波动和大脑不同区域之间缺乏同步性有关。更年期症状的治疗方法包括激素替代疗法（MHT）、非激素药物费佐利坦和认知行为疗法（CBT）。 Siobhan：更年期导致我的记忆力下降，严重影响了我的家庭生活，例如忘记预订家庭度假航班。更年期让我变得焦虑和易怒，但激素替代疗法（MHT）有所改善。

Deep Dive

Chapters
This chapter explores the impact of perimenopause on cognitive function, focusing on experiences of brain fog, memory loss, and difficulty concentrating. It features personal accounts from women experiencing these challenges, highlighting the emotional distress and impact on work and family life.
  • Many women experience cognitive changes during perimenopause, including brain fog and memory problems.
  • These changes can significantly impact daily life, affecting work, family, and relationships.
  • The experience is often described as "brain block" rather than just brain fog.

Shownotes Transcript

Is perimenopause brain fog jamming up your workday? Are you constantly in a bad mood or irrationally angry at your kids who are only as annoying as usual? Is your memory failing you for the simplest words?

Riding the hormonal rollercoaster of perimenopause has a huge impact on our brains — from mood to memory, sleep to stress.

Come hang with Yumi Stynes as she meets women convinced that they're losing their minds or even going through dementia, but are, in fact, in the depths of perimenopause.

Plus, Yumi chats to Dr Pauline Maki, a leading professor of Psychiatry, Psychology and Obstetrics and Gynecology, to find out how can we shift our brains into gear during this phase of life.

This episode contains references to perimenopause, depression, anxiety, rage, anger, irritation, mood swings, hot flashes, sleep disturbance, menopausal hormone therapy, women, parenting, mothering and relationships.