Key Takeaways

  • Memory problems at midlife are common and likely due to a combination of factors including stress, fatigue, and the hormonal ups and downs of menopause.

  • Following a nutrient-dense diet, leading an active lifestyle, not smoking, limiting alcohol intake, and keeping your brain well exercised can all help to keep you sharp.

  • To stimulate your brain, be active, not passive.

Feeling like you are losing your memory at midlife can be very frightening, especially if you think it’s permanent. Many women secretly wonder if these “senior moments” are the beginning of early-onset Alzheimer’s disease or dementia and are truly freaked out.

If you forget what you are saying in midsentence, what you went into a room for, or where you put your car keys, you are not alone. It’s one of the most common symptoms of menopause. You are not losing your marbles.

What causes memory problems at midlife?

We all start to forget things as we age, say the experts. Among a group of people asked to memorize a list of 75 words read out five times, the average 18-year-old scored 54, a 45-year-old scored 47, and a 65-year-old scored just 37.

No one knows the reason for sure, but it’s thought most memory problems at this time of life are due to a combination of poor concentration, lack of motivation, tiredness, anxiety, and stress, rather than loss of brain cells.

Feeling fuzzy-headed is also thought to be related to the hormonal ups and downs associated with menopause. Nutrition plays a role, too: the brain goes into economy mode when it has a low level of nutrients, which makes thinking less clear. And as we grow older, our circulation slows down, and less oxygen reaches our brain cells.

Some parts of the brain particularly involved with verbal memory are rich in estrogen receptors, so there could be a physiological link between hormonal status and brain function.1

Like our muscles, our brain needs exercise in order to function optimally. Many of us don’t stretch our brains as much as we could. What can help keep you sharp?

  • Following a nutrient-dense diet
  • Leading an active lifestyle
  • Not smoking
  • Limiting alcohol intake
  • Keeping your brain well-exercised 

Food for thought: Nutrition and your brain

The brain is dependent on glucose, essential fats, and phospholipids. Several B vitamins are also essential for memory and mental performance. Zinc and magnesium are necessary for neurotransmitter function. It follows that including certain nutrients in your diet can help boost your concentration, attention span, and both short- and long-term memory.

The Mediterranean-DASH Intervention for Neurogenerative Delay, or MIND diet, was the focus of a 2015 study that found older adults who followed the eating plan had lower rates of cognitive decline.2 While both the Mediterranean and DASH diets were linked in earlier studies to being helpful at preserving cognitive function, the MIND diet seemed to be even more effective.

The MIND diet, partially based on the DASH and Mediterranean diets, recommends including:

  • 3+ daily servings of whole grains
  • 1+ daily servings of vegetables (other than leafy greens)
  • 6+ daily servings of green leafy vegetables
  • 5+ daily servings of nuts
  • 4+ weekly meals of beans
  • 2+ weekly servings of berries
  • 2+ weekly meals of poultry
  • 1+ weekly meals of fish
  • Olive oil for any added fat
  • Less than 5 servings a week of pastries and sweets
  • Less than 4 servings a week of red meat (beef, pork, lamb)
  • Less than 1 weekly serving of cheese
  • Less than 1 daily tablespoon of butter/stick margarine

Foods rich in the antioxidant vitamins A, C, and E help mop up free radicals, the rogue molecules that can cause cell damage in the body, including the brain. Good sources include richly colored fruits and vegetables, such as bananas, red peppers, spinach, and oranges.

Oily fish is rich in omega-3 essential fatty acids and folate, which are vital for the functioning of the brain and nervous system. Good sources include sardines, salmon, herring, anchovies, and mackerel.

Eating soy has been shown to improve memory in menopausal women.3 These research findings have led to speculation that soy may also help maintain cognitive function in older women.

Quiz for women going through menopause: How sharp is your brain?

  • Do you ever forget what you went upstairs for?
  • Do you have trouble remembering telephone numbers?
  • Do you find it hard to concentrate?
  • Do you forget a person’s name the moment after you’ve been introduced?
  • Are you prone to absentminded acts, such as putting milk in the cupboard instead of the refrigerator?
  • Have you ever missed an appointment because you forgot it?
  • Do you have to write arrangements down the minute you make them for fear of forgetting them?
  • Have you ever forgotten the name of someone you know well?
  • Do you frequently lose your car keys?
  • Have you ever forgotten what you were saying midsentence?
  • Have you ever gone to mention something important to someone, but gone completely blank?
  • Have you ever put something in the oven and forgotten to take it out?
  • Have you ever said you would do something for someone, but completely forgotten to do it?

If you answered yes to more than three questions, it’s time to try some memory-boosting foods, as well as doing some mental exercises.

Staying sharp: Stimulate your brain before, during, and after menopause

Many studies show that stimulation is the key to good memory and that people who take part in lots of different types of mental activity have better powers of recall. The more active your brain is, the better your memory is likely to be, and the more different ways you use your mind, the easier you’ll find it to remember things. It’s all to do with being active, rather than passive: whether you actively concentrate and focus on things or whether you just let them wash over you.

Try the following exercises to sharpen your mental faculties:

  • Do a mental exercise every day — a crossword, sudoku, word search, or quiz. If you don’t know the solution, look it up, then try to remember it the next day.
  • When doing your finances, ditch the calculator and use your brain instead.
  • Take up new activities — gardening, knitting, or anything involving physical coordination.
  • Memorize your shopping list before going to the store.
  • Engage in games that stretch your brain, such as chess or bridge.

Our memory allows us to learn new things and store millions of facts and figures in words, sound, and picture form. Even if we fed information into our brain every second of our lives, it would find room to store all we needed to recall. We rely on the information retained in our memory to respond to environmental and social stimulation every day of our lives.

This is the fifth article in a series by menopause expert Maryon Stewart.

Excerpted from the book Manage Your Menopause Naturally. Copyright ©2020 by Maryon Stewart. Printed with permission from New World Library—

Maryon Stewart is the author of Manage Your Menopause Naturally and 27 other books. A world-renowned health care expert, she has helped tens of thousands of women around the world overcome PMS and menopause symptoms without using drugs or hormones. Visit her online at


1. Ali SA, et al. Hormonal Influences on Cognitive Function. Malaysian Journal of Medical Sciences. July 2018. Found on the internet at

2.  Morris MC, et al. MIND diet slows cognitive decline with aging. Alzheimer’s & Dementia. September 2015. Found on the internet at

3. Cui C, et al. Effects of soy isoflavones on cognitive function: a systematic review and meta-analysis of randomized controlled trials. Nutrition Reviews. February 2020. Found on the internet at