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‘Brain fog’, MHT and dementia
  1. James A Cave
  1. The Downland Practice, Berkshire, UK
  1. Correspondence to Dr James A Cave, The Downland Practice, Berkshire, UK; jcave{at}

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It is estimated that 6 million women become menopausal each year worldwide.1 The impact that the changes associated with the menopause can have on women’s physical and mental health is receiving greater public attention through national and international campaigns.2 As a consequence of such campaigns (and despite well-reported shortages in availability for some products), prescriptions for menopause hormone therapy (MHT) in England continue to rise. Recent data show that the number of women prescribed MHT in 2021/2022 increased by half a million compared with the year before, bringing the total number to nearly 2 million.3 Increased interest in MHT has raised concerns over capacity in primary care to provide support for women seeking help for the menopause. In addition, evidence for the use of MHT is both complex and incomplete with significant gaps in some areas of research around the benefits and harms …

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  • Competing interests None declared. Refer to the online supplementary files to view the ICMJE form(s).

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