Brain Fog…Could Testosterone Be the Missing Piece?

One of the most distressing symptoms many women experience during the menopause transition is brain fog. It’s much more than simply forgetting where you’ve left your keys. Women often describe struggling with memory, concentration, decision-making and confidence. Sometimes to the point where it begins to affect their work, home life and overall wellbeing.

At Bourne2care, we regularly see women who have started oestrogen replacement and noticed significant improvements in many of their menopausal symptoms but still feel that something isn’t quite right.

”Something is missing”

Recently, I saw a lady who had been taking oestrogen for several months. Although many of her symptoms had improved, her memory remained poor. She told me about mistakes she’d been making at work, forgetting important tasks at home and most worryingly, leaving her car unlocked after shopping. Fortunately, nothing was stolen, but the experience understandably shook her confidence.

Another patient shared how she almost walked out of a clothes shop without paying. She realised just in time and was absolutely mortified. It was a wake-up call that her menopause symptoms were affecting her more than she’d realised.

Many women also tell me they have driven to work but can’t remember large parts of the journey afterwards. Imagine if driving was an essential part of your job; as a district nurse, delivery driver or healthcare professional visiting patients throughout the day. Losing confidence in your concentration can become incredibly worrying. Many women fear the worst and are convinced it’s the start of Dementia.

The good news is that these symptoms are recognised as part of the menopause for many women and often improve once hormone replacement therapy is addressed. Finding the right type, dose and combination of hormones can make a significant difference to your cognitive function, emotional wellbeing and overall quality of life.

This is why seeking specialist services makes all the difference

Could Testosterone Help?

Testosterone is often thought of as a male hormone, but women naturally produce testosterone too. Levels dramatically fall after surgical menopause, with age and during the menopause.

While testosterone is only licensed to help women who are experiencing low sexual desire, (which affects most women!) most women report additional benefits. Some describe feeling mentally sharper, more focused and motivated, with improved energy, resilience and an increased sense of wellbeing. Others notice improvements in confidence, stamina and, of course, libido. What do women tell me, “I’m back” and there is nothing more rewarding as a nurse to hear how well women feel on the right Testosterone.

At Bourne2care, testosterone is only considered after a thorough menopause assessment. In most cases, women need to have been established on transdermal oestrogen (such as a patch or gel) for around two to three months before testosterone is considered. Blood tests are needed before treatment and every 3-6 months after. This is to ensure hormone levels remain within the female physiological range, making treatment both effective and safe for long-term use.

Side effects are uncommon when testosterone is prescribed at the correct dose. The most common side effect is slight hair growth when the Testosterone is applied. I’ve been prescribing both Male and female Testosterone for years and side effects are rare.

Female Testosterone (Androfeme) is what I most commonly prescribe. Women continue having it prescribed for many years.

Could Testosterone Be Right for You?

If you’re taking HRT but still struggle with brain fog, poor concentration, low energy and reduced libido, it may be worth discussing whether testosterone is appropriate for you.

At Bourne2care, we provide professional, medically led menopause care, offering personalised treatment plans, prescribing the Testosterone based on your needs.

To book a consultation, please email enquiries@bourne2care.co.uk. We’d be delighted to help you feel like yourself again.