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Author Topic: HRT and mental acuity  (Read 6189 times)

Ghostgirl

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HRT and mental acuity
« on: March 13, 2017, 11:59:49 PM »

Ladies I have a question about HRT, I don't know if it's a common one, in fact I can't even be certain that it's not just my imagination, but here goes...

Has anyone found that after embarking on a course of HRT they've found a deterioration in overall mental acuity?   

This isn't a joke to me, for years now I've genuinely worried about the fact that since I started on HRT around 6 years ago in several ways my brain seems not to be working like it used to, I'm less alert, my memory has deteriorated, my powers of deduction can only be described as sluggish, my creativity of thought feels like it's still there, but somehow coated in a layer of fog ... in short, I guess what I'm trying to say is that I feel less "intelligent" than I used to.

I'm 52, and started on HRT just over 6 years ago mainly to combat the onset of a ridiculously debilitating case of hot flushes, and day and night sweats, that started practically overnight, and very soon had me drenched in sweat every 20/30 minutes of every day and night.   The HRT relatively quickly alleviated those symptoms, or at least reduced them by a good 75%, but I've never felt quite like the ME I used to be, ever since.   

What i would like to know is, can HRT have this effect, is it my imagination, is this just a coincidental feature of getting older, or should I have been long since looking for a completely separate diagnosis?

Thanks in advance for your thoughts!

Ghostgirl



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CLKD

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Re: HRT and mental acuity
« Reply #1 on: March 14, 2017, 12:05:08 AM »

Probably not your imagination, it's something many of us mention on here  ::)

It is something you can live with?  Maybe make notes etc. to help through the day?
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Ghostgirl

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Re: HRT and mental acuity
« Reply #2 on: March 14, 2017, 12:34:34 AM »

Wow, thank you, CLKD, not just for your response but for the extremely quick reply, much appreciated!   

You know, I really didn't expect that answer at all as it's not something I've ever before heard discussed in relation to HRT, in fact I genuinely hesitated even to even ask the question.   I actually wrote my opening post, and then dithered for about 10 minutes before finally clicking the Post button, for fear of sounding like a bit of a fruitcake  ;D   And it's not that I previously considered myself a genius or anything, but not long after starting on HRT I did start to feel like I was missing a bit of my brain power in a not quite definable way.   

And to answer your question, yes, I think I would find it a lot easier to live with, so long as I was able to put aside certain concerns about its actual cause.   You see, although (I don't think) the initial feeling has further deteriorated over the ensuing years of taking HRT I've always had at the back of the mind the fact that both my Sister (who is 20 years older than me) and my Mum (who died a few years ago) suffer/ed from senile dementia, and so I've always worried about it, but until now never had the courage to raise the subject with even close friends never mind my Doctor, for fear that I would not like what i heard.

So anyway you can imagine it's quite a relief to read your very prompt, and somewhat reassuring response, so thank you again, CLKD  :)

Oh, one last thing, do you know of any literature on the subject that I might read?
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TheOtherOne

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Re: HRT and mental acuity
« Reply #3 on: March 14, 2017, 01:28:16 AM »

Ghost girl, not to worry you but with such a strong first level familial association with dementia, I'd get myself checked out. You really cannot expect us to diagnose or assure you.

My experience is exactly opposite to yours with hrt making me more competent and having increased mental acuity when on it.


I would make an appointment with your GP and ask for further referral and tests to put my mind at rest.

Hope this helps
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peri

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Re: HRT and mental acuity
« Reply #4 on: March 14, 2017, 08:08:04 AM »

I think question to ask Ghostgirl is would it be worse without the hrt?x
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samweller161

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Re: HRT and mental acuity
« Reply #5 on: March 14, 2017, 08:44:37 AM »

I certainly have brain fog - I tell my boss that I occasionally have "meno mind" ! I think I am aware that I'm not as alert as I once was but then I suppose we cannot expect to be the same in middle age as we were at 25 for example.  Silly things like which tube line do I need and stuff like that but luckily nothing super important (for that, I write notes in my online diary).  We have no dementia in the family so am not overly concerned although its annoying at times.  If you do have family history, it might be worth having some tests even if just to put your mind at rest?  The fact that you are aware of it indicates (to me anyway) that it could just be HRT related but of course am no expert.  Chat to your doc

Good luck

SP x
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babyjane

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Re: HRT and mental acuity
« Reply #6 on: March 14, 2017, 09:38:02 AM »

Hello Ghostgirl and welcome to the forum.  I do not take HRT so I am unable to answer the original question you posted but I think we do slow down mentally as well as physically as we age.  I know I have and I don't know how it might have been if I had used HRT.  I also have an underactive thyroid and when I am under pressure or over busy then my levels slip and that affects my cognitive function.  Have you had your thyroid levels checked?

I sympathise with your concern over the familial connection for dementia.  My aunt (mother's sister) started with early onset Alzheimer's at 58 and died aged 62 and it is at the back of my mind when I have one of my 'brain fart' days so I can appreciate your comments. My paternal grandmother also had mental health issues from a fairly young age so it is in my family too.

Hope you enjoy the forum  :)
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MIS71MUM

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Re: HRT and mental acuity
« Reply #7 on: March 14, 2017, 10:55:25 AM »

I think if you are taking progesterone in your hrt, that could account for the mental sluggishness.

However one of the reasons I saw my GP in the first place is because my performance dropped at work. He then carried out tests and diagnosed peri - menopause. To be honest, now I'm on HRT, I still don't feel my sharpness has improved.

Apparently testosterone helps with cognition, focus and mood.
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ancient runner

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Re: HRT and mental acuity
« Reply #8 on: March 14, 2017, 11:21:24 AM »

Six weeks in on Femoston and I've noticed I am getting things done much more - my organisational skills have come back and i'm doing lots of little jobs as I go along. Sharper? Maybe.
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Ghostgirl

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Re: HRT and mental acuity
« Reply #9 on: March 14, 2017, 12:11:07 PM »

Gosh thanks for all the replies, ladies, I'm pleased that I broached the subject now  :)

I think question to ask Ghostgirl is would it be worse without the hrt?x

Peri, a year past in November my doctor explained to me that my GP's surgery made it a kind of policy to have HRT users try to come off HRT at around 5 year mark, just to see how they got on without it, I agreed, albeit reluctantly, to give it a go.   I had reservations, because I did still suffer from the original hot flushes and day and night sweats although certainly they had greatly reduced since starting on Prempak C, 5 years previously.   In a matter of weeks I was right back to square one, breaking into sweats every half hour and doing the covers off, covers on, covers off, covers on, all through the night, shattering not just my own sleep but my husband's as well.   The spare room got used quite a bit!!

However there was a plus side, I did experience a definable "lifting of the fog", mentally, and so I persevered for a further 3 or 4 months, hoping that things would settle down.   The sweats got so bad though and I felt so yucky all the time, that I decided really the trade off wasn't worth it and went back to see my GP at the end of March and went back on the pills. 

Still, it wasn't until now, with my Prempak C being discontinued, that I've ever thought to ask around, or do a bit of my own research.   Silly of me, I guess.   Particularly after browsing around this forum over the past few days and starting to realise that not all GP's are terribly well-informed on the subject of HRT.

Anyhow I'm on it now, and determined to learn all I can so that when I see my GP on Friday I know what to ask, and what to ask for.   Perhaps I should see this as an opportunity to find something that suits me better, rather than going with whatever he sees fit to prescribe me.

I think if you are taking progesterone in your hrt, that could account for the mental sluggishness.

However one of the reasons I saw my GP in the first place is because my performance dropped at work. He then carried out tests and diagnosed peri - menopause. To be honest, now I'm on HRT, I still don't feel my sharpness has improved.

Apparently testosterone helps with cognition, focus and mood.

Thanks Marchone71, I'm sorry to hear that you still feel less sharp and that your work has suffered, that must be extremely frustrating for you!   Really interesting comments about progesterone and testosterone though, I would like to find out more about this whole subject.

Six weeks in on Femoston and I've noticed I am getting things done much more - my organisational skills have come back and i'm doing lots of little jobs as I go along. Sharper? Maybe.

I've noticed a number of ladies talking about Femoston, ancient runner, mostly positive one I might add, and it sounds like this is one of the more modern types of HRT?



Thank you again everyone, it's nice to feel able to discuss things.   And, as TheOtherOne mentions above, I do realise that this is not about medical advice.   In fact thanks to you all I've decided that this time when I speak to my GP I will lay out my concerns in full, especially in regard to my family history!   I'd still like to hear a bit more about your individual experiences though?
« Last Edit: March 14, 2017, 12:14:46 PM by Ghostgirl »
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CLKD

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Re: HRT and mental acuity
« Reply #10 on: March 14, 2017, 12:17:20 PM »

Nowt is silly on here  ;D - you'll fit right in  ;)

My brain has never been sharp.  As a pre-baby I think it got sluggish right from the start  >:(.  Currently it feels like cotton wool in there  :-\ ..... probably because it is no longer 'pushed' in that I am retired so don't have to think too far ahead, interact on the 'phone or keep stuff in my brain, something that I was *never* good at.  I have problems remembering what I did yesterday, what I saw on TV last week ....... but this hasn't got any worse so I try not to worry  ::)

I have joined a 'research' group for dementia but I'm bugred if I can remember which one >sigh<
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Qwerty

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Re: HRT and mental acuity
« Reply #11 on: March 14, 2017, 12:21:49 PM »

Hi, first time I've commented on here; I'm 47 year old professional women and was diagnosed as menopausal last June. Since then I've been working reduced hours and duties as I'm just not able to do my job which involves complex problem solving. I've been describing my symptoms as 'losing my sharpness' 'being slow' , unable to concentrate etc and i also have severe anxiety with many physical symptoms (dry mouth, lump in throat, digestive problems etc). I don't know if the cognitive problems caused the anxiety or the other way round. 

Any way I want to endorse the point that menopause can cause cognitive impairment... this has been proven in my case as my work asked me to complete a 3 hour cognition test and I had the results last week and it shows significant cognitive function problems in a number of areas.

I'm sick of hearing flippant comments about being a bit forgetful or having a dumb moment or a bit of brain fog... for me this has stopped my 30 year career in its tracks and if I can't get well soon it will have significant impact on my family's situation as I'm the main earner. 

At least now people believe me as I have a test which proves impairment and I know it's not all in my head, but it is very difficult to accept you can't function the way you used to.  Best wishes to all women out there who are experiencing same x
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CLKD

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Re: HRT and mental acuity
« Reply #12 on: March 14, 2017, 12:25:38 PM »

 :thankyou: and  :welcomemm:  would it be worth while informing the dementia groups of this test ?  I would love to do similar, do let us know more ?!?

Would you be able to 'train' someone else to bring them up to speed so that you get some help in the workplace, that way you remain useful to the Company as so much of what you know will be 'automatic'  ;) or go into a Consultancy role so that you can work less hours but still gain benefit?
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Ghostgirl

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Re: HRT and mental acuity
« Reply #13 on: March 14, 2017, 12:32:11 PM »

Hi, first time I've commented on here; I'm 47 year old professional women and was diagnosed as menopausal last June. Since then I've been working reduced hours and duties as I'm just not able to do my job which involves complex problem solving. I've been describing my symptoms as 'losing my sharpness' 'being slow' , unable to concentrate etc and i also have severe anxiety with many physical symptoms (dry mouth, lump in throat, digestive problems etc). I don't know if the cognitive problems caused the anxiety or the other way round. 

Any way I want to endorse the point that menopause can cause cognitive impairment... this has been proven in my case as my work asked me to complete a 3 hour cognition test and I had the results last week and it shows significant cognitive function problems in a number of areas.

I'm sick of hearing flippant comments about being a bit forgetful or having a dumb moment or a bit of brain fog... for me this has stopped my 30 year career in its tracks and if I can't get well soon it will have significant impact on my family's situation as I'm the main earner. 

At least now people believe me as I have a test which proves impairment and I know it's not all in my head, but it is very difficult to accept you can't function the way you used to.  Best wishes to all women out there who are experiencing same x

Oh heavens, Qwerty, so sorry to hear about your problems, it must be a dreadful worry for you!   

My peri-menopause started at around the same time as yours, I think I was 46.   I wonder, now, if my perception of a reduced cognitive impairment started with peri, or with starting on HRT, since I started on Prempak C within weeks of suffering from the quite sudden onset of wild temperature fluctuations every few minutes.   As I said above though, I think I did feel a bit of sharpness returning to my thoughts during the few months that my GP requested I see how it went without the HRT.

Are you currently taking HRT yourself?   And if so has it improved, or alternatively worsened your situation?

Thank you for your input, I do hope you feel better soon.
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Qwerty

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Re: HRT and mental acuity
« Reply #14 on: March 14, 2017, 12:37:37 PM »

Thanks for the welcome and happy to help if I can. It was a psychological capacity assessment which included 6 or 7 different test for memory and processing , it was completed by a medical professional and I think? It's a standard test for cognition and uses established methods.

I have a referral to a gynaecologist next month to try to improve my medication and help get me well... my work are supporting me at the moment and have made adjustments but I know they can't keep doing this indefinitely.  I'm just hoping if I can get the right medication/ hrt then I'll get myself back. X
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