Dr. Caroline Gervich

Hot flushes and night sweats often compromise sleep.

And so it's kind of easy to say get good sleep, but that can be really challenging.

But again, there is hormone therapies that can help with hot flushes and night sweats.

That is where the evidence base is for hormone therapies.

and that can then in turn help sleep, which may in turn help cognition.

And then there's also things like if you are one of those super busy, stretched, stressed people, just reflecting on that and thinking about your lifestyle and making some really practical changes about being a

present in the moment so your mind is not being pulled in five million directions.

Our working memory capacity is limited for everybody and so there's only ever so much you can juggle in your mind at one time and if you're taxing that, you know, things drop off and you do forget things.

I just think it's also important for people who are concerned not to let that build up and

impact their or create anxiety so it is important that they go and have a chat to a GP who understands menopause or a health practitioner who understands menopause so they can be reassured that it's a common symptom because I think for a lot of women just that validation that this is that they're not alone that it's a common symptom can also go a long way in terms of supporting people to manage their cognitive symptoms.

Yes, yes, 100%.

I'm glad you brought that up.

Yes, that is really important.

So if there are concerns and particularly if the concerns, if it's not something that sort of fluctuates, if it's something that's more permanent or it's getting worse or it is also really important that any other cause that is reversible can be ruled out.

I think it would be great if we could have some clinical trials to further explore whether hormone therapy is helpful for the cognitive symptoms.

And that includes or that would involve clinical trials where we can ask women about their subjective experiences at the start,

trial different types of hormone therapy and see whether it helps women for their subjective cognitive symptoms.

That's right.

So there haven't been any clinical trials where women have been enrolled and at baseline they're enrolled because they have cognitive symptoms.

And then we explore how different types of hormone therapy might improve their cognitive symptoms.