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A promotional image for a video titled "PERIMENOPAUSE BRAIN FOG" with a pink and white text banner at the top. The image features a woman with glasses and a surprised expression on the left side, wearing a black top. On the right, there is a cartoon illustration of a frustrated pink brain with question marks and exclamation points around it, symbolizing confusion. Below, the text reads "HOW TO FIGHT BRAIN FOG AND FEEL BETTER!" in bold red and white letters against a dark background.

Video: How to Overcome Perimenopause Brain Fog & Get Your Clarity Back

Brain fog is one of the most disorienting symptoms of perimenopause — and one of the least talked about. If your thinking feels slower, your words harder to find, or your memory less reliable than it used to be, this video is for you. Susan Winograd MSPT breaks down what's actually causing perimenopause brain fog, how to tell it apart from more serious cognitive changes, and what you can do about it right now.
Picture of About Susan Winograd, MSPT

About Susan Winograd, MSPT

Susan Winograd, MSPT, is a licensed physical therapist, pelvic floor specialist, and founder of Pelvicore Rehab & Wellness in Boca Raton, Florida. She earned her Master's degree in Physical Therapy from the College of Staten Island in 1998 and has spent nearly 30 years developing deep clinical expertise in pelvic floor dysfunction, women's and men's pelvic health, pre and postnatal care, chronic pelvic pain, and scar tissue release therapy. Susan takes a whole-body approach to healing — identifying and treating the root cause of her patients' symptoms rather than managing them in isolation. She is a member of the American Physical Therapy Association and has been featured on multiple health and wellness podcasts as a recognized pelvic floor specialist in South Florida.

Do these symptoms sound familiar?

Brain fog, fatigue, and mood changes during perimenopause and menopause are real — and treatable. Susan has helped hundreds of women in Boca Raton feel like themselves again.

If you’ve ever walked into a room and forgotten why you were there, struggled to remember a word mid-sentence, or felt like your thoughts were swimming in molasses—you’re not alone. Many women experience perimenopause brain fog, a frustrating but very real symptom that can show up during the hormonal changes of midlife.

While brain fog isn’t a medical diagnosis, it’s a clear sign that something in your body is out of balance. Understanding the causes—and knowing the difference between brain fog and dementia—can help you take steps toward feeling like yourself again.


What Is Perimenopause Brain Fog?

Perimenopause is the transitional stage before menopause when estrogen and progesterone levels fluctuate. These hormonal shifts can affect the brain’s neurotransmitters, leading to forgetfulness, difficulty focusing, and a general feeling of mental haze.

Unlike dementia, which typically appears later in life and affects memory function in a more severe, progressive way, perimenopause brain fog is usually temporary and reversible.

A simple example:

  • Brain fog: Forgetting where you put your keys.
  • Dementia: Forgetting what keys are for.

Common Causes of Brain Fog in Perimenopause

While hormone changes are a major driver, they’re not the only factor. Other common contributors include:

  • Blood sugar dysregulation
  • Poor sleep quality
  • Chronic stress
  • Inflammation
  • Nutrient deficiencies (especially B vitamins, omega-3s, and magnesium)

How to Improve Perimenopause Brain Fog

You don’t have to just “live with it.” There are proven ways to reduce symptoms and regain mental clarity:

  1. Consult a hormone-aware healthcare provider to discuss whether hormone therapy might be right for you.
  2. Prioritize sleep—aim for 7–9 hours per night.
  3. Exercise regularly to improve circulation and brain oxygenation.
  4. Eat an anti-inflammatory diet rich in colorful vegetables, healthy fats, and lean protein.
  5. Manage stress with practices like meditation, yoga, or deep breathing.

The Bottom Line

Perimenopause brain fog can be unsettling, but it’s your body’s way of signaling that it needs support. By addressing the underlying causes—whether hormonal, nutritional, or lifestyle-related—you can lift the haze and get your mental clarity back.

You’re not “going crazy,” and you’re definitely not alone. Listen to your body, get curious about your symptoms, and take proactive steps toward better brain health.


At Pelvicore Rehab & Wellness, we address perimenopause brain fog as part of our whole-body approach to hormonal health. Kelley Maple, APRN leads comprehensive hormone testing and personalized hormone therapy for women experiencing cognitive and hormonal symptoms during perimenopause and menopause — alongside pelvic floor physical therapy with Susan Winograd, MSPT.

If brain fog is one of several symptoms you’re experiencing, our Perimenopause & Menopause Treatment program may be the right starting point.


Video Timestamps

0:00 – Introduction: Is brain fog real?
0:36 – Perimenopause Brain Fog vs. Dementia
1:02 – Signs of Perimenopause Brain Fog
1:31 – Causes of Perimenopause Brain Fog
2:10 – How to Improve Perimenopause Brain Fog
2:36 – Final Thoughts: Listen to your body

You're not crazy — and you don't have to just push through.

Susan Winograd PT has nearly 30 years of experience treating exactly these symptoms. Her Boca Raton practice offers a free 15-minute discovery call so you can ask questions and find out if pelvic floor therapy is right for you — no commitment required.

Or book online — free, no obligation

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Ready to feel like yourself again?

Get a free 15-minute call with Susan to talk through your symptoms.

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