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Cohort study, 2025

Are irregular menstrual cycles linked to lower thinking and memory skills in middle-aged women?

Yes. Women with irregular cycles at ages 29-46 and women with very short cycles (25 days or less) at ages 18-22 both had slightly lower memory scores later in life.

Strong study design 19,904 female nurses, mean age 62.0 ± 4.9 years at cognitive testing

What they did

A study of 19,904 female nurses from the Nurses' Health Study II. Researchers collected information about menstrual cycle regularity and length at ages 14-17, 18-22, and 29-46 years. They tested cognitive function around age 62 using a computerized assessment measuring thinking speed and memory.

What they found

Women with irregular cycles at ages 29-46 scored 0.05 SD lower in learning and working memory than those with very regular cycles. Women with cycles of 25 days or less at ages 18-22 scored 0.05 SD lower in learning and working memory in later life compared to those with cycles of 26-31 days. Women whose cycles were regular when younger but became irregular later also had lower memory scores.

What it means for you

Irregular or very short menstrual cycles may be linked to slightly lower memory skills in midlife. However, the differences are small, and the study measured cycles and cognition at different times in women's lives, so it cannot prove that cycle problems cause memory decline.

19,904

women studied

62.0 ± 4.9

mean age at testing (years)

≤25 days

shortest cycle length studied

About the study

Original title
Menstrual cycle characteristics across the reproductive lifespan and cognitive function in midlife women
Authors
Soria-Contreras DC, Wang S, Mitsunami M et al.
Journal
American journal of obstetrics and gynecology
Year
2025
Study design
Cohort study
Participants
19,904
What was tested
Observational analysis of menstrual cycle history and cognitive function
Open access
Yes

Topics