Cognition, Mood and Sleep in Menopausal Transition: The Role of Menopause Hormone Therapy

During the menopausal transition, which begins four to six years before cessation of menses, middle-aged women experience a progressive change in ovarian activity and a physiologic deterioration of hypothalamic-pituitary-ovarian axis function associated with fluctuating hormone levels. During this t...

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Main Authors: Giulia Gava, Isabella Orsili, Stefania Alvisi, Ilaria Mancini, Renato Seracchioli, Maria Cristina Meriggiola
Format: Article
Language:English
Published: MDPI AG 2019-10-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/55/10/668
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author Giulia Gava
Isabella Orsili
Stefania Alvisi
Ilaria Mancini
Renato Seracchioli
Maria Cristina Meriggiola
author_facet Giulia Gava
Isabella Orsili
Stefania Alvisi
Ilaria Mancini
Renato Seracchioli
Maria Cristina Meriggiola
author_sort Giulia Gava
collection DOAJ
description During the menopausal transition, which begins four to six years before cessation of menses, middle-aged women experience a progressive change in ovarian activity and a physiologic deterioration of hypothalamic-pituitary-ovarian axis function associated with fluctuating hormone levels. During this transition, women can suffer symptoms related to menopause (such as hot flushes, sleep disturbance, mood changes, memory complaints and vaginal dryness). Neurological symptoms such as sleep disturbance, “brain fog” and mood changes are a major complaint of women transitioning menopause, with a significant impact on their quality of life, productivity and physical health. In this paper, we consider the associations between menopausal stage and/or hormone levels and sleep problems, mood and reduced cognitive performance. The role of estrogen and menopause hormone therapy (MHT) in cognitive function, sleep and mood are also discussed.
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spelling doaj.art-0f3fb6bd45a443e5ab8baadc698c7baf2023-09-02T13:54:14ZengMDPI AGMedicina1010-660X2019-10-01551066810.3390/medicina55100668medicina55100668Cognition, Mood and Sleep in Menopausal Transition: The Role of Menopause Hormone TherapyGiulia Gava0Isabella Orsili1Stefania Alvisi2Ilaria Mancini3Renato Seracchioli4Maria Cristina Meriggiola5Gynecology and Physiopathology of Human Reproduction, S. Orsola-Malpighi Hospital, Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40138 Bologna, ItalyGynecology and Physiopathology of Human Reproduction, S. Orsola-Malpighi Hospital, Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40138 Bologna, ItalyGynecology and Physiopathology of Human Reproduction, S. Orsola-Malpighi Hospital, Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40138 Bologna, ItalyGynecology and Physiopathology of Human Reproduction, S. Orsola-Malpighi Hospital, Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40138 Bologna, ItalyGynecology and Physiopathology of Human Reproduction, S. Orsola-Malpighi Hospital, Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40138 Bologna, ItalyGynecology and Physiopathology of Human Reproduction, S. Orsola-Malpighi Hospital, Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40138 Bologna, ItalyDuring the menopausal transition, which begins four to six years before cessation of menses, middle-aged women experience a progressive change in ovarian activity and a physiologic deterioration of hypothalamic-pituitary-ovarian axis function associated with fluctuating hormone levels. During this transition, women can suffer symptoms related to menopause (such as hot flushes, sleep disturbance, mood changes, memory complaints and vaginal dryness). Neurological symptoms such as sleep disturbance, “brain fog” and mood changes are a major complaint of women transitioning menopause, with a significant impact on their quality of life, productivity and physical health. In this paper, we consider the associations between menopausal stage and/or hormone levels and sleep problems, mood and reduced cognitive performance. The role of estrogen and menopause hormone therapy (MHT) in cognitive function, sleep and mood are also discussed.https://www.mdpi.com/1010-660X/55/10/668menopausehormonesmenopause hormone therapycognitionmoodsleep
spellingShingle Giulia Gava
Isabella Orsili
Stefania Alvisi
Ilaria Mancini
Renato Seracchioli
Maria Cristina Meriggiola
Cognition, Mood and Sleep in Menopausal Transition: The Role of Menopause Hormone Therapy
Medicina
menopause
hormones
menopause hormone therapy
cognition
mood
sleep
title Cognition, Mood and Sleep in Menopausal Transition: The Role of Menopause Hormone Therapy
title_full Cognition, Mood and Sleep in Menopausal Transition: The Role of Menopause Hormone Therapy
title_fullStr Cognition, Mood and Sleep in Menopausal Transition: The Role of Menopause Hormone Therapy
title_full_unstemmed Cognition, Mood and Sleep in Menopausal Transition: The Role of Menopause Hormone Therapy
title_short Cognition, Mood and Sleep in Menopausal Transition: The Role of Menopause Hormone Therapy
title_sort cognition mood and sleep in menopausal transition the role of menopause hormone therapy
topic menopause
hormones
menopause hormone therapy
cognition
mood
sleep
url https://www.mdpi.com/1010-660X/55/10/668
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