Cheerful middle-aged woman
Body & Soul

From brain fog to job stress: mastering the menopause

The menopause is a major turning point in a woman's life. Anna Kipp-Menke, systemic consultant, and Giannina Schmelling, certified nutritionist, have helpful tips on how to deal with common complaints.

What happens in the body during the menopause?

The menopause is an important phase of life that affects around 9 million women in Germany. The effects vary greatly: around a third experience severe symptoms, another third moderate symptoms and a third hardly any symptoms at all.

During this phase, the hormonal balance changes profoundly. This affects the whole body. Sleep disorders, hot flushes, mood swings, concentration problems and weight gain usually occur.

Important tip: Regular exercise supports the body and brain and can reduce symptoms.

When does the menopause begin and how long does it last?

The menopause can begin at the end of your 30s with the first hormonal changes - long before your period stops (menopause). The symptoms are initially caused by a lack of progesterone, which is the first hormone to fall during the menopause. Only then does the oestrogen level also fall. The hormonal changes can extend over a period of up to 15 years. A distinction is therefore made between premenopause, perimenopause and postmenopause.

What does the menopause do to the brain?

Many women suffer from concentration problems and "brain fog" during the menopause. The brain reacts to the falling oestrogen levels and adapts. This leads to temporary changes.

These neurological symptoms are similar to those in other phases of life such as puberty or pregnancy. The brain undergoes a kind of hormonal "update" and builds up new networks.

 What is the menopause?

The menopause is the time of the last menstruation and thus the end of fertility (ability to reproduce). On average, the menopause occurs at the age of 52.

Perimenopause is the transitional phase of the menopause that leads to menopause. During this time, the ovaries gradually begin to produce less oestrogen and progesterone, which can lead to physical and emotional changes. It begins on average at the age of 47.5. 

Why does the menopause make evolutionary sense?

The menopause is not a disease or a punishment. Many researchers believe it makes evolutionary sense. After all, "grandmothers play an important role" by supporting families and passing on knowledge. The menopause prepares women for this new task.

How to achieve a positive mindset during the menopause

How women experience the menopause depends very much on their attitude. Those who see this time as an opportunity rather than a crisis often experience more serenity and self-confidence.

This phase can be the start of new career paths, relationships or personal goals. A positive attitude promotes well-being and helps you to cope better with challenges.

Tips for a more relaxed menopause 

This helps against concentration problems and "brain fog"

  • Accept these symptoms as temporary.
  • Use trackers for important items and a fixed filing system.
  • Schedule difficult tasks for times when you can concentrate well.
  • Breathing exercises such as the 4-7-8 exercise bring clarity to your thoughts.
  • Avoid multitasking. Complete tasks one after the other.
  • To-do lists and calendars bring structure and calm.

Exercise: A miracle weapon against menopausal symptoms

Endurance and strength training, as well as balance and flexibility training, work wonders. They regulate weight, reduce the risk of cardiovascular disease and improve sleep and mood. Even regular walks increase well-being.

Nutrition for the menopause

Many women gain weight during the menopause, especially around the abdomen. This increases the risk of illness. A diet rich in fiber, vitamins and minerals helps to support the metabolism and brain function.

How to avoid blood sugar spikes:

  • Give preference to unprocessed foods.
  • Eat a balanced diet with proteins, healthy fats and complex carbohydrates.
  • Take 4-5 hour breaks between meals. Recommended: 3 meals a day.

Recommended foods during the menopause

  • Omega-3-rich foods such as linseed oil, chia seeds, oily fish, walnuts and avocado have an anti-inflammatory effect.
  • Proteins in fish, eggs, pulses and milk help to maintain muscle mass.
  • Vegetables, wholemeal products and nuts promote digestion and stabilize blood sugar.
  • Drink at least 2 liters of water or unsweetened tea every day. Avoid coffee and alcohol, as they can increase hot flushes.

How to relieve hot flushes

  • Wear clothing made from natural fibers such as wool, silk or cotton.
  • Use the onion technique: several thin layers instead of one thick layer.
  • Prefer clothing that leaves your arms and neck free, e.g. vests.
  • Carry tissues, tissues or a bottle of cologne with you.
  • Speaking openly at work can help, e.g. "I'm going to take a quick break to freshen up.
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The menopause is not the end, but a valuable opportunity for a new phase of life. Embrace the physical changes with love and use this time to get in touch with yourself." Anna Kipp-Menke, systemic counselor

 

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Menopause and job: why it's important to talk about it 

Women with menopausal symptoms often fall through the cracks at work. While the flu is reported as sick, women usually have to keep quiet about sleeping disorders, hot flushes or concentration problems and continue working as normal.

The "Menosupport" study (2023) shows that complaints influence career decisions and that women sometimes reduce their working hours or retire earlier.
Facts from the study:

  • 68 % would like to see more open communication.
  • 57% want more support from employers.
  • 24% reduce their working hours due to complaints.
  • 19 % are planning to retire early.

How employers can support women during the menopause

Promote open communication

An open atmosphere helps to break down taboos. This makes it easier for women to talk about complaints and get help.

Integrate company health management

Information on hormonal changes, nutrition and prevention provide women with targeted support.

Offering relief in everyday working life

  • Flexible working hours
  • Home office with stress
  • Relaxation rooms for short breaks
  • Simple sick notes

Enabling psychosocial support

  • Psychological counseling (company psychologists).
  • Coaching and mentoring specifically for women.
  • Courses on stress management, meditation, yoga, mindfulness.
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 Book tip: The brain during the menopause by Dr. Lisa Mosconi

Dr. Mosconi encourages a new awareness of the menopause. She does not see it as the end, but as an important transition with opportunities for growth.
dtv Verlag, Munich, 2025

 

FAQ - frequently asked questions about the menopause

How long does the menopause last?

The menopause lasts around 4 to 7 years. Symptoms usually occur between the ages of 45 and 55.

Does exercise really help against complaints?

Yes, exercise improves mood, regulates weight, promotes sleep and can alleviate symptoms such as hot flushes.

What diet makes sense during the menopause?

A high-fiber, vitamin-rich and balanced diet with healthy fats and proteins supports the metabolism and the brain.

How can I relieve hot flushes quickly?

Wear light clothing, use the onion technique as recommended and cool yourself with refreshing towels or a fan if necessary.

Can my employer support me during the menopause?

Yes, open communication, flexible working hours, working from home, quiet rooms and psychosocial support are important offers of help.