Morning sickness is often treated as just an unpleasant part of early pregnancy, but for some women, the nausea and vomiting can be severe and relentless. A recent study suggests that this extreme form of morning sickness, known as hyperemesis gravidarum, may also affect mental health. Women experiencing it are at a higher risk of anxiety, depression, and stress-related challenges, making it important to recognise the emotional impact alongside the physical symptoms.

Severe Morning Sickness and Mental Health: What the Study Found

A large study conducted by researchers from King’s College London and the South London and Maudsley NHS Foundation Trust examined the mental health impact of hyperemesis gravidarum (HG), a severe form of morning sickness. The study analyzed data from 476,857 pregnant women across 135 healthcare providers worldwide using the TriNetX Global Collaborative Network, which collects anonymized electronic health records from 18 countries. This research is the first to explore a broad range of neuropsychiatric outcomes in women with HG.

What Is Hyperemesis Gravidarum?

HG affects up to 3.6% of pregnancies and is the leading cause of hospitalization during the first trimester. Women with HG experience persistent, severe nausea and vomiting, often resulting in dehydration, weight loss, and malnutrition. The condition can cause anxiety, isolation, and uncertainty about coping with pregnancy. In severe cases, women have reported considering termination of pregnancy due to the physical and emotional toll.

Maternal risk factors include biological issues such as thyroid disorders, Type 1 diabetes, and past pregnancy complications, as well as socioeconomic and ethnic factors. Research also points to sensitivity to the hormone GDF-15 as a potential driver.

The Link Between Hyperemesis Gravidarum and Mental Health

The study looked at 24 neuropsychiatric and mental health outcomes within a year of HG diagnosis. Findings included:

• 50% increased risk in 13 conditions, including postpartum psychosis and PTSD.
• Doubled risk for Wernicke’s encephalopathy, refeeding syndrome, eating disorders, and depression.
• Postpartum depression was 2.7 times more likely among women with HG.

ALSO READ: Fact Check: Is Giving Birth On Your Back Against Your Body's Natural Anatomy?Dr. Hamilton Morrin, a doctoral fellow at King’s, explained that while HG’s physical severity is often measured by metabolic disturbance, this does not always predict mental health impact. Even women with “mild” HG can experience significant psychiatric issues, emphasizing the need for mental health screening for all HG patients.

Why Integrated Care Matters

Dr. Thomas Pollak, consultant neuropsychiatrist and senior author, noted that there has historically been a disconnect between how doctors view HG and how women experience it. The study shows that HG can be linked to severe psychiatric disorders, which require early recognition and coordinated physical and mental healthcare from the start of pregnancy.

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This research highlights that mental health support is crucial, even if HG seems physically mild, and that women with HG should have access to integrated care to ensure their wellbeing and safety for both mother and child.

Did you know that among the 6.2 million Americans aged 65 and older living with Alzheimer’s disease, nearly two-thirds are women? This means women are almost twice as likely as men to develop the condition. While longer life expectancy partly explains the difference, research shows that hormonal changes after menopause, genetic factors, and certain lifestyle patterns also increase risk.

As a result, understanding the early warning signs and taking preventive steps is especially important for women, who face a higher likelihood of developing Alzheimer’s as they age.

Women and Alzheimer’s: Why The Risk Is Higher

Dr. Brij Lal Choudhary, Consultant Neurologist at Manipal Hospital, Jaipur, points out that Alzheimer’s is often seen as a condition of old age, but women are disproportionately affected. Nearly two-thirds of Alzheimer’s patients are women, making it almost twice as common in women compared to men. While longer life expectancy plays a role, other factors, such as hormonal changes after menopause, genetic predisposition, and lifestyle patterns also increase risk.

Early Signs of Alzheimer’s Women Should Watch

Recognising early symptoms is key, as catching them in time can make a significant difference. Common signs include:

Memory loss: Forgetting recent events, appointments, or familiar names, with lapses gradually worsening.

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• Difficulty managing tasks or problem-solving: Struggling with daily responsibilities, finances, or planning may indicate cognitive changes.
• Confusion: Feeling disoriented over simple or familiar activities.
• Mood or personality changes: Sudden anxiety, frequent irritability, or withdrawing from social life.
• Language difficulties: Trouble finding the right words or expressing thoughts clearly.

Increased Risk of Alzheimer's in WomenStudies consistently show that women are at a higher risk of developing Alzheimer's disease compared to men. For instance, a Swedish study involving 16,926 participants found that, starting around age 80, women were more likely to be diagnosed with Alzheimer's than men of the same age. Similarly, research in Taiwan indicated that over a seven-year period, women had a higher likelihood of developing Alzheimer's compared to men. A European meta-analysis revealed that approximately 13 women out of 1,000 developed Alzheimer's each year, compared to only seven men, as per Harvard Health Publishing.

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While the longer life expectancy of women contributes to this disparity, it doesn't fully explain the difference. Even among individuals of the same age, women are more likely to be diagnosed with Alzheimer's than men. This suggests that factors beyond longevity, such as hormonal changes, genetic predispositions, and immune system differences, may play significant roles in the increased risk for women.

How to Reduce Risk and Protect Cognitive HealthAlthough Alzheimer’s cannot be reversed, several steps can help lower risk and support brain health:

• Regular cognitive screenings to monitor changes over time.
• Mental stimulation through reading, puzzles, or learning new skills.
• Physical exercise to improve blood flow and overall health.
• Managing blood pressure and blood sugar to reduce vascular-related risks.

In more severe cases, pharmacotherapy or cognitive behavioural therapy may be recommended. Awareness is particularly crucial for women, as understanding the risks and early signs empowers them to take proactive steps to protect memory and maintain quality of life.

We all experience occasional forgetfulness or feel a bit scatterbrained from time to time, often attributing it to stress, a busy lifestyle, or simply getting older. However, repeated lapses in memory, confusion, or difficulty performing everyday tasks can sometimes signal the early stages of Alzheimer’s or other forms of dementia. Recognising these warning signs early is crucial, as timely awareness and intervention can help manage the condition more effectively and improve quality of life.

As we observe World Alzheimer’s Day 2025, it’s the perfect moment to learn about Alzheimer’s, understand its early indicators, and know what experts recommend paying attention to.

What Is Alzheimer’s?

Alzheimer’s disease is the most common form of dementia, a progressive brain disorder that gradually declines memory, thinking, and reasoning skills. It affects cognitive functioning and daily behaviours to such an extent that simple tasks, like eating, dressing, or walking can become challenging over time.

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For most people, symptoms first appear in their mid-60s, according to the National Institute on Aging. Current estimates indicate that over 6 million Americans aged 65 and older may be living with Alzheimer’s. Age remains the greatest known risk factor, and with the population aging, the number of cases is expected to rise.

Stages of Alzheimer’sAlzheimer’s disease progresses gradually, with symptoms worsening over time. It is generally divided into three stages: early (mild), middle (moderate), and late (severe). In the early stage, memory lapses and confusion begin to interfere with daily life. During the middle stage, challenges with language, reasoning, and daily activities become more pronounced. In the late stage, individuals may lose the ability to communicate, require full-time care, and become highly dependent on others. Understanding the stages helps families and caregivers plan support and interventions more effectively.

Alzheimer’s vs Dementia

While Alzheimer’s is the most common cause of dementia, the two terms are not interchangeable. Dementia is a broad term describing a decline in cognitive function severe enough to interfere with daily life. Alzheimer’s specifically refers to a progressive brain disease marked by amyloid plaques and tau tangles, leading to memory loss and impaired thinking. Other types of dementia include vascular dementia, Lewy body dementia, and frontotemporal dementia, each with distinct causes and symptoms. Knowing the difference is essential for accurate diagnosis and treatment planning.

Early Warning Signs of Alzheimer’s

Recognising the early warning signs of Alzheimer’s can help with timely diagnosis and care. Dr. Prajwal Rao, DM Neurology, Professor and Head of the Department of Neurology at Dr. D. Y Patil Medical College, Hospital and Research Center, Pimpri, Pune, explains:

• Persistent Memory Loss: Forgetting recent conversations, events, or important dates more often than usual, affecting daily life.
• Difficulty in Planning or Problem-Solving: Challenges with tasks like handling finances, following recipes, or keeping track of everyday responsibilities.
• Impairment of Spatial Memory: Forgetting familiar routes or even one’s way back home.
• Changes in Mood or Personality: Increased irritability, withdrawal from social activities, or unexpected anxiety and depression.

ALSO READ: Alzheimer’s Disease Care: 5 Expert-Backed Tips To Keep Your Brain HealthySpotting these early signs allows families and healthcare providers to intervene sooner, offering appropriate support, treatment, and care planning to help maintain quality of life.

Blood pressure monitoring plays a key role in managing hypertension. For patients whose numbers are well controlled through lifestyle changes or medication, the question often arises: how often should they be checking at home? While regular monitoring helps track progress and detect changes early, checking too frequently can increase stress or lead to unnecessary worry. On the other hand, checking too infrequently may delay important adjustments in treatment. Below, we take a look at how much frequency is important to check your blood pressure.

Home Blood Pressure Monitoring: How Often To Track Your Readings

When you have controlled hypertension, checking your readings at home with a validated monitor is important but doing it properly matters just as much. The CDC and American Heart Association recommend measuring at the same times each day, usually once in the morning and once in the evening. Take at least two readings, spaced 1-2 minutes apart, then average them.

Avoid caffeine, smoking, or exercise in the 30 minutes before taking a reading. Sit quietly for five minutes beforehand, keep your back supported, feet flat on the floor, arm at heart level, cuff on bare skin, and don’t talk during the measurement.

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How many times per week? For people with stable, well-controlled blood pressure, checking 3 to 4 times per week may be sufficient. If just starting home monitoring or adjusting treatment, doctors may ask for readings over a week (3-7 days) to get a clear picture.

What is Ambulatory Blood Pressure Monitoring?

Ambulatory blood pressure monitoring (ABPM) is a method doctors use to track and understand high blood pressure over an entire day. Hypertension is diagnosed when the upper reading (systolic) is 130 mmHg or higher, or the lower reading (diastolic) is 80 mmHg or higher.

Unlike the usual check-up at a clinic, where a doctor measures your blood pressure once or twice with a cuff, ABPM gives a more complete picture. For this test, you wear a cuff on your arm that’s connected to a small device strapped to your waist or shoulder. The device automatically takes your blood pressure at regular intervals, every 15 to 30 minutes during the day and about once an hour at night, while you carry on with your normal activities, including sleep.

By the end of 24 hours, your doctor has dozens of readings instead of just one or two. This allows them to see your average blood pressure, how it changes throughout the day and night, and whether there are any unusual patterns. The device also records your heart rate, which adds more detail to the overall assessment.

Why Monitoring Matters Even When Blood Pressure Is Controlled?

Even if your blood pressure is well-controlled with medication or lifestyle changes, regular monitoring remains essential. Blood pressure can fluctuate due to stress, illness, sleep patterns, diet, or physical activity. Some patients may experience ‘masked hypertension,’ where readings appear normal in a clinic but are elevated at home, or ‘white coat hypertension,’ where anxiety in a medical setting temporarily raises readings.

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Tracking your blood pressure helps detect these patterns early, allowing timely adjustments in treatment and preventing long-term complications such as heart attack, stroke, or kidney damage. According to the American Heart Association, even small, consistent changes in readings over time can provide critical insights for maintaining cardiovascular health.