Women’s experience and management of cognition during menopause transition: a qualitative study

Research Summary

Objective: Women experience menopause around the age of 45-55years. Cognitive dysfunction is one of the most prevalent menopausal complaints. This focus group study aimed to explore cognitive experiences and management during the menopause transition. Methods: Eighteen participants, including 15 women in menopause transition from multi-ethnic backgrounds and three healthcare professionals, were recruited to five focus groups conducted between June and August 2024. Results: Thematic analysis yielded three overarching themes: cognitive changes relevant to the menopause transition; multidimensional impacts of cognitive changes; and holistic management of cognitive changes. From participants’ narratives, 12 cognitive domains were affected in the menopause transition. These in turn had psychological, social and behavioral impact, resulting in the need to use various coping strategies. Conclusion: The findings of this study identified cognitive challenges in the menopause transition. Women's current coping with cognitive dysfunction addressed the multidimensionality of menopausal management and highlighted unmet needs regarding cognitive health. The research identified cognitive challenges beyond memory and concentration in the menopause transition. Associations of menopause-related factors, culture and ethnicity with cognitive function warrant further investigation for potential intervention development.