ORIGINAL ARTICLE
THE EFFECTS OF NATURAL AND SURGICAL MENOPAUSE ON AUDITORY AND COGNITIVE PROCESSING
Amrutha P. 1, A-C,F
,
 
Sanvi Jain 1, A-B,E-F
,
 
Chandni Jain 1, A,C-F
 
 
 
More details
Hide details
1
Audiology, All India Institute of Speech and Hearing, Mysuru, India
 
 
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article;
 
 
Submission date: 2025-04-22
 
 
Final revision date: 2025-07-01
 
 
Acceptance date: 2025-07-23
 
 
Online publication date: 2025-10-08
 
 
Publication date: 2025-10-08
 
 
Corresponding author
Chandni Jain   

Audiology, All India Institute of Speech and Hearing, Naimisham Campus, 570006, Mysuru, India
 
 
J Hear Sci 2025;15(2):31-40
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Estrogen plays a vital role in various physiological processes. While its impact on peripheral hearing sensitivity has been explored, limited attention has been given to its effect on central auditory processes, particularly during menopause. The present study examines the effects of both natural and surgical menopause on temporal processing of sound, speech perception in noise (SPIN), and working memory.

Material and methods:
Three groups of women aged 49–60 years were recruited: 20 women with natural menopause, 20 with surgical menopause, and 20 premenopausal women. Temporal processing was assessed using the modulation detection threshold (MDT) and gap detection threshold (GDT) tests, SPIN abilities were evaluated using the Speech Perception in Noise Test in Kannada (SPIN-K), and working memory was assessed through digit span and sequencing tasks.

Results:
The group of women with surgical menopause had significantly poorer temporal processing abilities, as reflected in higher MDT and GDT thresholds than the other two groups. No significant differences in SPIN or working memory were observed among the groups.

Conclusions:
The findings highlight the adverse effects of surgical menopause on auditory temporal processing, likely due to an abrupt decline in estrogen levels. These results underscore the importance of estrogen in auditory health and call for targeted interventions and further research to confirm and expand these findings.
FUNDING
This research and article did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
REFERENCES (42)
1.
Greendale GA, Lee NP, Arriola ER. The menopause. Lancet, 1999; 353(9152): 571–80. https://doi.org/10.1016/S0140-....
 
2.
Martin MB, Saceda M, Lindsey RK. Regulation of estrogen receptor expression in breast cancer. Adv Exp Med Biol, 1993; 330: 143–53. https://doi.org/10.1007/978-1-....
 
3.
Calow A, Morrell-Scott N, Smith EJ. An overview of menopause, and why this should feature within pre-registration education. Br J Nurs, 2023; 32(7): 334–40. https://doi.org/10.12968/bjon.....
 
4.
Polo‐Kantola P, Rantala MJ. Menopause, a curse or an opportunity? An evolutionary biological view. Acta Obstet Gynecol Scand, 2019; 98(6): 687–8. https://doi.org/10.1111/aogs.1....
 
5.
Remage‐Healey L. Brain estrogen signaling effects acute modulation of acoustic communication behaviors: a working hypothesis. Bioessays, 2012; 34(12): 1009–16. https://doi.org/10.1002/bies.2....
 
6.
Tabuchi K, Nishimura B, Nakamagoe M, Hayashi K, Nakayama M, Hara A. Ototoxicity: mechanisms of cochlear impairment and its prevention. Curr Med Chem, 2011; 18(31): 4866–71. https://doi.org/10.2174/092986....
 
7.
Kayser AS, Buchsbaum BR, Erickson DT, D’Esposito M. The functional anatomy of a perceptual decision in the human brain. J Neurophysiol, 2010; 103(3): 1179–94. https://doi.org/10.1152/jn.003....
 
8.
Parker CG, Dailey MJ, Phillips H, Davis EA. Central sensory-motor crosstalk in the neural gut-brain axis. Auton Neurosci, 2020; 225: 102656. https://doi.org/10.1016/j.autn....
 
9.
Coyle JT. Biochemical Aspects of Neurotransmission in the Developing Brain. Int Rev Neurobiol, 1977; 20: 65–103. https://doi.org/10.1016/s0074-....
 
10.
Sao T, Jain C. Effects of hormonal changes in temporal perception, speech perception in noise and auditory working memory in females. Hear Balance Commun, 2016; 14(2): 94–100. https://doi.org/10.3109/216957....
 
11.
Sherwin BB. Estrogen and cognitive aging in women. Neuroscience, 2006; 138(3): 1021–6. https://doi.org/10.1016/j.neur....
 
12.
Hederstierna C, Hultcrantz M, Collins A, Rosenhall U. The menopause triggers hearing decline in healthy women. Hear Res, 2010; 259(1–2): 31–5. https://doi.org/10.1016/j.hear....
 
13.
Vanhulle G, Demol R. A double-blind study into the influence of estriol on a number of psychological tests in post-menopausal women. In: Consensus on Menopause Research. Dordrecht: Springer Netherlands; 1976, p. 94–9.
 
14.
Moore BCJ. Basic auditory processes involved in the analysis of speech sounds. Philos Trans R Soc Lond B Biol Sci, 2008; 363(1493): 947–63. https://doi.org/10.1098/rstb.2....
 
15.
Moore BCJ. Temporal integration and context effects in hearing. J Phon, 2003; 31(3–4): 563–74. https://doi.org/10.1016/S0095-....
 
16.
Summerfield Q. Speech perception in normal and impaired hearing. Br Med Bull, 1987; 43(4): 909–25. https://doi.org/10.1093/oxford....
 
17.
Humes LE, Dubno JR. Factors affecting speech understanding in older adults. In: The Aging Auditory System. Gordon-Salant S, Frisina RD, Popper AN, Fay RR, Editors. New York, Dordrecht, Heidelberg, London: Springer; 2010, p. 211–57. https://doi.org/10.1007/978-1-....
 
18.
Oxenham AJ, Bacon SP. Cochlear compression: perceptual measures and implications for normal and impaired hearing. Ear Hear, 2003; 24(5): 352–66. https://doi.org/10.1097/01.AUD....
 
19.
Peters RW, Moore BCJ, Baer T. Speech reception thresholds in noise with and without spectral and temporal dips for hearing-impaired and normally hearing people. J Acoust Soc Am, 1998; 103(1): 577–87. https://doi.org/10.1121/1.4211....
 
20.
Phillips DP. Auditory gap detection, perceptual channels, and temporal resolution in speech perception. J Am Acad Audiol, 1999; 10(06): 343–54.
 
21.
Conde DM, Verdade RC, Valadares ALR, Mella LFB, Pedro AO, Costa-Paiva L. Menopause and cognitive impairment: a narrative review of current knowledge. World J Psychiatry, 2021; 11(8): 412–28. https://doi.org/10.5498/wjp.v1....
 
22.
Henderson VW. Cognitive changes after menopause: influence of estrogen. Clin Obstet Gynecol, 2008; 51(3): 618–26. https://doi.org/10.1097/GRF.0b....
 
23.
Kavak F, Aktürk Ü, Özdemir A, Gültekin A. The relationship between domestic violence against women and suicide risk. Arch Psychiatr Nurs, 2018; 32(4): 574–9. https://doi.org/10.1016/j.apnu....
 
24.
Yathiraj A, Vijayalakshmi CS. Phonemically balanced wordlist in Kannada. Mysore: University of Mysore; 2005.
 
25.
Kumar AU, Sandeep M. Auditory cognitive training module. ARF Funded Departmental Project Submitted to All India Institute of Speech and Hearing, Mysore. 2013.
 
26.
Sundararaj RTH, Ramesh PL, Jain C. Hearing and auditory working memory in women with polycystic ovarian syndrome (PCOS). J Phon Audiol, 2017; 3(2). https://doi.org/10.4172/2471-9....
 
27.
Bellis TJ. When the Brain Can’t Hear. Unraveling the Mystery of Auditory Processing Disorder. New York, London, Toronto, Sydney: Atria Books; 2002, p. 368.
 
28.
McFadden D. Sex differences in the auditory system. Dev Neuropsychol, 1998; 14(2–3): 261–98. https://doi.org/10.1080/875656....
 
29.
Caruso S, Cianci A, Grasso D, Agnello C, Galvani F, Maiolino L, et al. Auditory brainstem response in postmenopausal women treated with hormone replacement therapy: a pilot study. Menopause, 2000; 7(3): 178–83. https://doi.org/10.1097/000421....
 
30.
Farrag AF, Khedr EM, Abdel-Aleem H, Rageh TA. Effect of surgical menopause on cognitive functions. Dement Geriatr Cogn Disord, 2002; 13(3): 193–8. https://doi.org/10.1159/000048....
 
31.
Özgedik D, Kirbaç A, Belgin E. Is there any difference in hearing function between surgical and natural menopause? Women Health, 2022; 62(2): 135–43. https://doi.org/10.1080/036302....
 
32.
Agrawal Y. Prevalence of hearing loss and differences by demographic characteristics among US adults: data from the National Health and Nutrition Examination Survey, 1999–2004. Arch Intern Med, 2008; 168(14): 1522. https://doi.org/10.1001/archin....
 
33.
Hogervorst E, Craig J, O’Donnell E. Cognition and mental health in menopause: a review. Best Pract Res Clin Obstet Gynaecol, 2022; 81: 69–84. https://doi.org/10.1016/j.bpob....
 
34.
Gatehouse S, Noble W. The Speech, Spatial and Qualities of Hearing Scale (SSQ). Int J Audiol, 2004; 43(2): 85–99. https://doi.org/10.1080/149920....
 
35.
Song JH, Skoe E, Banai K, Kraus N. Perception of speech in noise: neural correlates. J Cogn Neurosci, 2011; 23(9): 2268–79. https://doi.org/10.1162/jocn.2....
 
36.
Wittmann M, Szelag E. Sex differences in perception of temporal order. Percept Mot Skills, 2003; 96(1): 105–12. https://doi.org/10.2466/pms.20....
 
37.
Stuursma A, Lanjouw L, Idema DL, de Bock GH, Mourits MJE. Surgical menopause and bilateral oophorectomy: effect of estrogen-progesterone and testosterone replacement therapy on psychological well-being and sexual functioning: a systematic literature review. J Sex Med. 2022 Dec 1;19(12): 1778–89. https://doi.org/10.1016/j.jsxm....
 
38.
Stanten M. Surgical menopause: what you need to know before and after, 2023, https://gennev.com/learn/surgi....
 
39.
Baddeley A. Working memory. Science, 1992; 255(5044): 556–9. https://doi.org/10.1126/scienc....
 
40.
Baddeley AD, Hitch GJ. Developments in the concept of working memory. Neuropsychology, 1994; 8(4): 485–93. https://doi.org/10.1037/0894-4....
 
41.
McEwen B. Estrogen actions throughout the brain. Recent Prog Horm Res, 2002; 57(1): 357–84. https://doi.org/10.1210/rp.57.....
 
42.
Gasbarri A, Pompili A, Clotilde Tavares M, Tomaz C. Estrogen and cognitive functions. Expert Rev Endocrinol Metab, 2009; 4(5): 507–20. https://doi.org/10.1586/eem.09....
 
Journals System - logo
Scroll to top