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Study Links Early Menopause to Higher Dementia Risk as HRT Use Correlates With Lower Risk

The observational analysis of 1,329 Framingham participants links lifetime estrogen exposure to favorable brain aging markers.

Overview

  • University of Galway and Boston University researchers reported associations between reproductive timing, hormone exposure and later dementia in women drawn from the Framingham Heart Study.
  • Post‑menopausal hormone replacement therapy was associated with a lower likelihood of developing dementia in the cohort.
  • Greater cumulative exposure to estrogen was tied to better cognitive test performance and larger brain volumes on MRI.
  • Having more children and being older at menopause were linked to specific cognitive advantages, including stronger visuospatial skills.
  • The findings were published in the Journal for Alzheimer's Disease in October 2025, with authors emphasizing that results are observational and need further validation.