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Menopause Brings Surprising Pause in Brain Changes, Study Shows

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Science Desk

In Short: A new study reveals that brain changes typically associated with menopause take a break, unlike those seen during puberty and pregnancy.

T2 weighted axial section of MRI brain showing cystic encephalomyelitic changes of right cerebellum
Photo: Cerevisae / Wikimedia Commons (CC BY-SA 4.0)

During deep sleep, a waterlike fluid moves through and around the brain, aiding in the removal of metabolic waste associated with disorders such as Alzheimer’s disease. The AI models used in the study could estimate both the speed of the fluid and the permeability of the surrounding brain tissue, providing insights into the glymphatic system's efficiency.

The study, which involved more than 1,000 female brains, showed significant brain changes during puberty and pregnancy, with gray matter volume decreasing by about 0.1 percent. However, during menopause, brain changes seemed to take a break. "Brain isn’t losing function; it is remodeling, preparing for parenthood," notes one of the researchers.

Brain scans at puberty (before, during, and after the start of menarche) and pregnancy (never pregnant, first pregnancy, second pregnancy) showed decreases in gray matter by about 0.1 percent. MRI scans revealed major brain changes in these stages, but not during menopause. The researchers are now working to establish baseline measurements of brain fluid flow in animals such as mice to better understand the glymphatic system's role.

One of the biggest uncertainties is the speed at which fluid travels through different parts of the brain. Measuring such slow circulation in a living brain is especially challenging because researchers need to observe it without causing permanent damage. The study hints at how hormone ebbs and flows over the lifetime are reflected in brain structure, suggesting that the brain is more resilient and adaptable than previously thought.

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