Menopause
Menopause hair loss system shows trial promise

Menopause hair loss trial data showed what the company called clinically meaningful regrowth from a scalp system in a phase II study of menopausal women.
The four-month independent trial evaluated Prevention and Treatment Serums in 43 menopausal-aged women with androgenetic alopecia.
Androgenetic alopecia is a common form of hair thinning.
The trial was announced by dermatologist-founded brand KilgourMD.
Dr James Kilgour, board-certified dermatologist, founder and chief executive of KilgourMD, said: “Menopausal women have been largely excluded from rigorous hair loss research, despite experiencing some of the most challenging and persistent forms of thinning.
“This study validates not only the performance of the KilgourMD System, but also the importance of designing and testing solutions specifically for this population.
“These results represent a meaningful step forward in how menopausal hair loss is treated.”
Unlike many studies in this category, eligibility required a clinically significant level of hair loss, and outcomes were objective and dermatologist-evaluated rather than consumer perception surveys.
By day 120, the company said 53 per cent of participants achieved at least a half-grade improvement on the modified Female Ludwig scale, a clinical scale used to rate the severity of female hair loss.
This threshold is considered by dermatologists to represent a meaningful visual change. A further 26 per cent showed a full one-grade improvement.
KilgourMD said this level of improvement is comparable to, and in some cases exceeds, results typically reported after six to 12 months of conventional pharmaceutical therapies such as minoxidil or finasteride.
Across the full study population, participants experienced an average 11.1 per cent improvement in Ludwig score within four months, the company said.
The trial also reported a 60 per cent reduction in hair shedding by month four, measured through standardised combing and washing assessments.
Reductions were seen as early as day 45, when more than 95 per cent of participants showed a decrease from baseline in terminal hair shedding count, measured by standardised hair washing studies in the lab.
Regrowth outcomes were graded by two independent board-certified dermatologists, with high-resolution imaging used to confirm visible improvements in hair density and scalp coverage over time.
More than 80 per cent of participants reported noticeable improvements in hair density, health and overall appearance by the end of the study.
The full results are currently undergoing peer review and are expected to be published later this year.
Menopause
More research needed to understand link between brain fog and menopause, expert says

Brain fog in menopause is common but still poorly understood, with researchers calling for more work to explain the link and how best to support women.
For a new perspective article published in The Lancet Obstetrics, Gynaecology, & Women’s Health, researchers based in the UK and Australia reviewed the evidence on menopause-related cognitive symptoms. They found that symptoms such as forgetfulness, reduced concentration and brain fog are common during the menopause transition, but are still poorly recognised and under-researched.
More than two-thirds of women report difficulties with memory or concentration over the menopause transition. Multiple factors may contribute to these cognitive symptoms, including hormonal changes, sleep disturbances and psychological and psychosocial stress. Yet, because cognitive symptoms are not widely discussed, they can cause considerable worry, with some fearing they are signs of dementia or undiagnosed neurodevelopmental conditions.
The review paper emphasises that overall cognitive performance for women experiencing menopause-related brain fog typically remains within expected ranges and, importantly, that cognitive symptoms are not linked to an increased risk of dementia.
Professor Aimee Spector of UCL Division of Psychology and Language Sciences, co-author on the paper, said: “Cognitive symptoms such as forgetfulness and ‘brain fog’ are incredibly common during menopause, yet they are often overlooked. Our findings highlight just how complex menopause-related cognitive symptoms are, and how much we still don’t know about what drives them. More targeted research is essential if we are to identify which biological, psychological or lifestyle factors contribute most, and what types of support or treatment are likely to be effective.”
The authors argue that clinicians can play a key role in understanding and validating women’s experiences by asking about the duration of cognitive symptoms, impacts on day-to-day functioning and any other medical or psychosocial factors that could be contributing to cognitive symptoms.
The review also discusses a range of approaches that may ease cognitive symptoms, such as improving sleep quality, engaging in regular aerobic exercise and eating a balanced diet. There is also little but promising research into the impact of psychological therapies targeting cognitive symptoms, with a recent meta-analysis of three cognitive behavioural therapy-based studies showing significant improvements in memory and concentration. The evidence is more mixed for the benefits of hormone therapy on cognitive symptoms during menopause.
The authors identify cognitive symptoms as a major area of unmet need in menopause research. They call for a unified definition of menopause-related cognitive changes and for prospective, longitudinal studies that can track women from pre- to post-menopause. Better understanding of the biological, psychological and social factors that contribute to cognitive symptoms will be crucial for developing effective treatments.
Lead researcher Dr Caroline Gurvich of Monash University said: “There’s a lot of pressure to use objective measures of cognitive decline, like a memory test, for example, in a clinical trial, but the key symptom of brain fog is a subjective experience. So having a definition that acknowledges the key cognitive symptom is critical.”
This is not without precedent – we already use subjective or self-report measures for depression, anxiety and other mental health conditions with great success.
Dr Gurvich said the proposed definition would also validate women’s individual experiences while empowering them through the reassurance that any objective decline in their cognitive ability is subtle.
She added: “This is a decrease in cognitive or learning efficiency, not functionality or capacity. For many women, the perception they are losing capacity is what drives them to stop work or lose the confidence to live fulfilling lives during and after menopause. I hear all the time from women who have gone through menopause that validation would have made a significant difference to their resilience and the approach they took to living with menopause.”
Co-author Professor Martha Hickey of the University of Melbourne and Royal Women’s Hospital said: “Our analysis of the best available research shows that many women experience some degree of cognitive symptoms, such as brain fog, during the menopause transition.”
“But there’s a lack of long-term data, which means that there’s a gap in our knowledge about how the brain fog symptom develops and changes from peri-menopause to after menopause ends. It’s a real gap in our understanding.”
Professor Spector added: “We increasingly see women, typically at the peak of their careers, losing confidence in the workplace, often translating to leaving work or reducing work hours. Having simple strategies to support and retain them at work is also a broader economic issue.”
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