Decoding Women's Health with Dr. Elizabeth Poynor

Decoding Brain Fog with Dr. Caroline Gurvich

Oct 7, 2025
Dr. Caroline Gurvich, an associate professor and clinical neuropsychologist at Monash University, dives into the fascinating world of brain health during midlife. She discusses how more than 60% of women experience cognitive shifts due to hormonal changes like fluctuating estradiol. Gurvich uncovers the differences between normal brain fog and serious conditions like dementia, and the significant impacts of lifestyle choices, hormone therapy, and cognitive training. Her actionable tips for brain health include prioritizing exercise and nutrition, all aimed at optimizing cognitive reserve.
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ANECDOTE

Personal Perimenopause Wake-Up Call

  • Dr. Elizabeth Poynor suddenly became depressed and anxious at 43 and later realized she was in perimenopause.
  • She says none of her doctors initially recognized the hormonal cause, highlighting clinical gaps.
INSIGHT

Cognitive Symptoms Are Very Common

  • About 60–70% of women report cognitive symptoms during perimenopause and menopause.
  • Symptoms range from subtle word-finding to significant executive function challenges.
ADVICE

Use Structure To Reduce Cognitive Load

  • Reduce demands on working memory by getting information in writing and using recordings.
  • Structure your day, block time, and prioritize to reduce executive overload at work.
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