
Brain Chat: The Overlap Years: Perimenopause, Menopause, and MS
Mitzi Joi Williams, MD, is joined by Jakai McEwen, DO, and Charnetta Colton-Poole, MD, to discuss the challenges of communication between patients and their health care teams, including navigating medical language, promoting shared decision-making, and advocating for clear, patient-centered care.
Brain Chat with the Nerdy Neurologist is a podcast hosted by Mitzi Joi Williams, MD that brings together clinicians, experts, and people with lived experience to make complex neurologic and health care topics clear, practical, and human. Through patient-centered conversations, the series explores brain health, neurologic conditions, and the challenges patients and families face when navigating the health care system.
In this episode, Williams is joined by Barbara Joy Jones, MD, a family medicine physician and medical director of Evora Family Medicine, to discuss the intersection of perimenopause, menopause, and multiple sclerosis. The conversation explores how hormonal changes during perimenopause and menopause can contribute to symptoms such as brain fog, memory difficulties, sleep disturbances, mood changes, hot flashes, joint pain, and palpitations, while also highlighting the challenges of distinguishing these symptoms from neurologic or other medical conditions. Williams and Jones discuss the importance of taking a holistic approach to evaluation, recognizing when symptoms may warrant additional specialty evaluation, and coordinating care across primary care, neurology, and other specialties.
EPISODE BREAKDOWN:
- Understanding the differences between perimenopause and menopause and when these transitions can begin
- Recognizing common perimenopausal symptoms, including brain fog, memory difficulties, sleep problems, mood changes, hot flashes, joint pain, and palpitations
- Understanding the overlap between symptoms of menopause and neurologic conditions such as multiple sclerosis
- How clinicians can approach unexplained symptoms holistically and determine when additional neurologic or specialty evaluation may be needed
- The impact of hormonal changes and hot flashes on patients with MS, including the potential for heat sensitivity to worsen neurologic symptoms
- Treatment considerations for perimenopause and menopause, including hormone replacement therapy and alternatives for patients who are not candidates for HRT
- The potential role of hormone therapy in bone and cardiovascular health and the importance of individualized treatment decisions
- How patients can prepare for medical appointments, prioritize their top concerns, and communicate important symptoms early in the visit
- The importance of coordinated care and "warm handoffs" between primary care physicians, neurologists, and other specialists
- How patients can advocate for themselves, bring questions and research to their clinicians, and seek treatment options that can improve quality of life
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