“Brain fog” is a widely reported complaint during the menopausal transition, affecting an estimated 40% to 60% of midlife women. This phenomenon can manifest as difficulty concentrating, noticeable memory lapses, or struggling to find the right words in conversation. These cognitive symptoms can be distressing and often cause significant anxiety about being early signs of dementia; however, it is important to know that they are typically mild, temporary, and not indicative of a more serious neurological condition. Researchers are actively exploring how these changes relate to fluctuating hormones, stress, and poor sleep, but for most, these cognitive hiccups are a normal and transient part of the transition.