Hormone Health Hub: Expert Insights on Testing, Balance & Better Living — menopause and cognition

Early menopause can cause a wide range of physical and emotional symptoms long before menopause officially begins. Learn the most common warning signs, including irregular periods, hot flashes, mood changes, sleep problems, fatigue, and hormonal imbalances, and discover when hormone testing may help provide answers.

In perimenopause, falling estradiol doesn’t just trigger hot flashes — it disrupts serotonin production, driving mood swings, brain fog and sleepless nights. Discover the hormonal science behind “the change” and how testing can help.

The Women’s Health Initiative (WHI) trial cast a long shadow over hormone replacement therapy — but it enrolled women well over a decade past menopause. Two newer trials, ELITE and KEEPS, specifically studied HRT started early in the postmenopausal period. Their findings on cardiovascular health, sexual function, sleep, mood and cognition paint a more nuanced and encouraging picture. Here is what the latest research shows.