Hormone Health Hub: Expert Insights on Testing, Balance & Better Living — cognitive decline

Perimenopause is far more than a reproductive transition — it is fundamentally neurological. As oestradiol declines, the brain’s bioenergetic system becomes compromised, neurotransmitter balance shifts, and the thermoneutral zone narrows, giving rise to hot flashes, mood instability, memory changes and sleep disruption. This article explores the neuroscience behind the menopausal transition and why hormone replacement therapy — timed correctly — may be the most effective intervention.

DHEA and DHEA-S are the most abundant steroid hormones in the body and play a critical role in brain health, mood regulation, and cognitive function. This article explains the biochemical distinction between the two, how they act as neurosteroids, and why measuring DHEA-S is the gold standard for assessing adrenocortical activity.