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Published on: 4/28/2025

How Can Menstrual Cycles Lead to Brain Fog?

Changes in hormone levels during the menstrual cycle can affect the brain, leading to a feeling of brain fog. This means it might be harder to concentrate or think clearly during certain parts of the cycle.

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Explanation

The menstrual cycle brings changes in the levels of hormones such as estradiol and progesterone. These hormones do more than control periods; they also help manage how our brain works. For example, estradiol can change how the brain reacts to stress and helps handle emotions. When estradiol levels are high, some people may feel sharper and more focused, while lower levels can lead to difficulties in focusing or remembering things. At the same time, progesterone and its byproducts impact areas of the brain that deal with mood and memory. Research using brain imaging shows that these hormone changes can alter brain activity, which may sometimes cause a feeling of fogginess or slowed thinking—what we call brain fog. Additionally, the way our body and mind respond to emotions and stress can change as the hormone balance shifts during the cycle. These combined effects mean that some people experience clearer minds at certain times, while at other times, they may feel more foggy or distracted.

(References)

  • Albert K, Pruessner J, Newhouse P. Estradiol levels modulate brain activity and negative responses to psychosocial stress across the menstrual cycle. Psychoneuroendocrinology. 2015 Sep;59:14-24. doi: 10.1016/j.psyneuen.2015.04.022. Epub 2015 May 7. PMID: 26123902; PMCID: PMC4492530.

  • Sacher J, Okon-Singer H, Villringer A. Evidence from neuroimaging for the role of the menstrual cycle in the interplay of emotion and cognition. Front Hum Neurosci. 2013 Jul 24;7:374. doi: 10.3389/fnhum.2013.00374. PMID: 23898247; PMCID: PMC3721046.

  • Stiernman L, Dubol M, Comasco E, Sundström-Poromaa I, Boraxbekk CJ, Johansson M, Bixo M. Emotion-induced brain activation across the menstrual cycle in individuals with premenstrual dysphoric disorder and associations to serum levels of progesterone-derived neurosteroids. Transl Psychiatry. 2023 Apr 14;13(1):124. doi: 10.1038/s41398-023-02424-3. PMID: 37055419; PMCID: PMC10101953.

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