Much more than a biological phenomenon: A qualitative study of women's experiences of brain fog across their reproductive journey.

Whilst 'brain fog' is mostly considered a biological problem little is understood about an individual's experience. This qualitative study explored women's experiences of brain fog focusing on those at the start (aged 18-25; n = 10) and end (aged 45-60; n = 10) of their reproductive journey. Descriptive thematic analysis described three themes: (i) 'daily disruptions' describing cognitive dysfunctions and the main triggers; (ii) 'the cycle of impact' with a focus on women's emotional experiences and how these can exacerbate brain fog; (iii) 'taking control' highlighting the use of self-care, physical prompts and Hormonal Replacement Therapy (HRT) to manage brain fog. Transcending these themes was the notion of 'crisis of identity' illustrating the negative impact of brain fog on the women's sense of self with some older women describing acceptance and finding it less challenging. Brain fog is much more than a biological phenomenon and has broader implications for a woman's sense of self.