Your Brain Called. It Wants You to Take Perimenopause Sleep Seriously.

Key Takeaways

• ✦Women frequently woken by menopausal symptoms during perimenopause showed measurably poorer cognitive function decades later, suggesting sleep disruption in midlife is a marker worth taking seriously — not just waiting out.
• ✦Statin therapy in postmenopausal women was not linked to mild cognitive impairment overall, but was associated with poorer delayed recall memory and visuospatial function, as well as higher menopausal symptom burden and sarcopenia risk.
• ✦The cognitive and somatic effects of statins can overlap with menopausal symptoms, which matters when doctors are trying to sort out what's causing what in a postmenopausal patient.
• ✦A small feasibility pilot study of a negative pressure device for genitourinary syndrome of menopause (GSM) found it was well-tolerated with no safety issues and reported symptom improvements — larger controlled trials are needed before drawing firm conclusions.
• ✦GSM affects a significant portion of postmenopausal women and remains undertreated; non-hormonal options with emerging evidence are worth tracking for women who can't or don't want to use hormonal therapies.