82. Is Menopause Brain Fog Real? 25 Myths Busted with Dr. Pauline Maki

Brain fog. Word-finding trouble. Walking into a room and having no idea why. If you're in perimenopause or menopause, you know the feeling — and you've probably wondered: is this real, is it permanent, and should I be worried?

In this latest episode, Melissa speaks with one of the world's leading researchers on menopause and the brain, Dr. Pauline Maki — Professor of Psychiatry, Psychology, and Obstetrics and Gynecology — to separate myth from medicine and bust 25 menopause brain myths wide open.

We cover what's actually happening inside your brain during the transition, why estrogen matters far beyond your reproductive system, and whether what you're experiencing is permanent damage or something far more temporary. We get into hot flashes as a neurological signal, the hormone therapy confusion that has scared women away from care for decades, and what the science actually says about dementia risk.

We close on what you can do right now — and how to reframe this entire transition as something other than loss.

Menopause is not a cognitive collapse. It is a neurological transition. And you deserve accurate information, not fear.

About Dr. Pauline Maki (Instagram: @pauline.maki)

Dr. Pauline Maki is a Professor of Psychiatry, Psychology, and Obstetrics and Gynecology at the University of Illinois Chicago, where she serves as Director of Women's Mental Health Research and Senior Director of Research at the Center for Research on Women and Gender. University of Illinois College of Medicine She is Past President of the North American Menopause Society and a recognized authority on how hormonal changes and menopause symptoms affect cognition, mood, and brain function in midlife women. Psychology With over 175 published research papers, her work has shaped clinical practice guidelines for the North American Menopause Society, the International Menopause Society, and beyond. University of Illinois College of Medicine Her current NIH-funded research is examining the relationship between hot flashes and memory deficits, ischemic brain lesions, and functional changes in the brain at rest University of Illinois at Chicago — work that is redefining how we understand and treat the menopause brain.

Tech and Audio Producer: Drew Garner

Producer: Melissa Grelo

Episode supported by:

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Aging Powerfully with Melissa Grelo is produced for women navigating midlife with curiosity, humour, and zero tolerance for being dismissed. Subscribe wherever you listen.