Perimenopause Results in Lost Wages
- Jamie Sorenson
- Oct 5, 2025
- 3 min read
In the United States, research indicates that the peak earning potential for individuals typically occurs during their 40s and 50s. This is a critical period in one’s professional life, as it often coincides with significant career advancements and the accumulation of valuable experience. However, for many women, this peak earning phase aligns with the onset of perimenopause, a transitional time that can bring about various physiological changes, including fluctuations in hormone levels and brain changes. Specifically, estrogen, a hormone that plays a vital role in numerous bodily functions, including cognitive health, begins to decline during this time. The impact of this hormonal shift is profound, as estrogen is known to influence cognitive functions such as memory, attention, and overall mental clarity. Consequently, many women may begin to experience a decline in cognitive function just as they are reaching the pinnacle of their careers, which is understandably concerning.
This concern serves as a significant motivation for my personal decision to seek hormone replacement therapy (HRT). I am determined to mitigate the potential cognitive decline that could occur during my peak earning years, especially as I am also preparing for retirement—a time that should ideally be filled with financial stability and personal fulfillment. If there are ways to avoid the cognitive challenges associated with menopause, I want to explore them fully. It is fascinating to consider how advancements in HRT and increased access to healthcare for women may influence cognitive health in the coming years. As more women seek out these treatments and as research continues to evolve, we may gain valuable insights into the relationship between HRT and cognitive function. I acknowledge that I am making a few assumptions based on current knowledge, but the implications are significant. Current studies suggest that initiating HRT early, ideally within five years of the onset of menopause, may reduce the risk of developing Alzheimer’s disease. In contrast, delaying HRT until after the age of 65 has been associated with an increased risk of Alzheimer’s, highlighting the importance of timing in treatment decisions.
It is also important to note that despite these challenges, research shows that women continue to outperform men on various cognitive tasks until they reach they are postmenopausal. During this time, cognitive performance between genders tends to equalize. This realization brings to light the pervasive issue of imposter syndrome that so many women experience throughout their careers. The feelings of inadequacy and self-doubt that accompany imposter syndrome are often exacerbated by societal expectations and pressures, which can be unrealistic and detrimental. It is crucial to recognize that these feelings are not a reflection of our intellectual capabilities or worth but rather a societal construct that undermines the accomplishments of women. Our brains are capable and resilient, and it is essential to challenge the narratives that suggest otherwise. By fostering a supportive environment and encouraging open discussions about these challenges, we can work towards dismantling the myths surrounding women's cognitive abilities and empower each other to thrive in our professional and personal lives.
Like, Share, Follow and Subscribe for more information on Reproductive Psychiatry and Women’s Mental Health.
Disclaimer: Posts are for education and entertainment only. No medical advice given.
Taking new patients in FL, GA, CO, and TN. All patients 12 years and older are welcome.
🏳️🌈🏳️⚧️
🫶🏻🫶🏼🫶🏽🫶🏾🫶🏿
Comments