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Empowered for Change: Why Brain Health Belongs in the OB/GYN Visit

Clinical Thought

Alzheimer’s disease–related brain changes can begin years to decades before clinical symptoms emerge, placing midlife care at an important point for brain health conversations. This expert commentary examines the important role of OB/GYN HCPs in Alzheimer’s disease prevention and early recognition. It explores the evolving evidence connecting menopause and dementia risk, including menopause-related cognitive changes, the role of menopausal hormone therapy, and modifiable risk factors relevant to OB/GYN practice. It also discusses emerging advances in Alzheimer disease detection and treatment, focusing on how they may influence counseling, evaluation, and referral of patients with cognitive concerns.

Physician Assistants/Physician Associates: 0.25 AAPA Category 1 CME credit

Physicians: maximum of 0.25 AMA PRA Category 1 Credit

Nurse Practitioners/Nurses: 0.25 Nursing contact hour

Released: August 25, 2026

Expiration: August 24, 2027

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Provided by Clinical Care Options, LLC dba Decera Clinical Education

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Supporters

This activity is supported by an educational grant from Lilly.

Lilly

Target Audience

This activity is intended for PCPs, including physicians, PAs and NPs, and other secondary audiences, such as geriatricians, geriatric psychiatrists, psychiatrists, and OB/GYNs, who may be involved in the care of patients with cognitive decline due to early AD.

Program Learning Goal

This activity aims to improve healthcare professionals’ knowledge and competence in identifying early cognitive impairment, applying biomarker-informed diagnostic pathways, administering referrals to specialists, collaborating optimally, and engaging patients and caregivers in shared, informed discussions about all stages of this process in early AD care.

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Apply patient-centered communication and shared decision-making strategies to engage patients and care partners in discussions about cognitive concerns, diagnostic evaluation, and next steps in care considering the multidisciplinary team

Financial Disclosures

Decera Clinical Education requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose all financial conflicts of interest (COI) they may have with ineligible companies. All relevant COI are thoroughly vetted and mitigated according to Decera Clinical Education policy. Decera Clinical Education is committed to providing its learners with high-quality CME/CE activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of an ineligible company.

The faculty reported the following relevant financial relationships or relationships to products or devices they have with ineligible companies related to the content of this educational activity:

Primary Author

Genevieve Neal-Perry, MD, PhD: advisor: Astellas, Bayer, Novo Nordisk, Vertex.

he planners and content peer reviewers from Decera Clinical Education do not have any relevant financial relationships to disclose, except Susan Scaland, MSN, CRNP, GNP-BC, CDP as noted below:

Susan Scaland, MSN, CRNP, GNP-BC, CDP: consultant/advisor/speaker: Axsome, Bristol Myers Squibb, Teva.

Instructions for Credit

Participation in this self-study activity should be completed in approximately 0.25 hours. To successfully complete this activity and receive credit, participants must follow these steps during the period from August 25, 2026, through August 24, 2027:

  1. Login or Sign Up for an account by clicking at the top of this page.
  2. Read the target audience, learning objectives, and faculty disclosures.
  3. View and study the content in its entirety.
  4. Submit answers to the posttest questions and evaluation questions online.

You must receive a test score of at least 65 and respond to all evaluation questions to receive a certificate. After submitting the evaluation, you may access your online certificate by selecting the certificate link on the confirmation page. Records of all CME/CE activities completed can be found on the "My Certificates" page. There are no costs/fees for this activity.

Format

This program has been made available online.

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Additional Disclosures

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Generative artificial intelligence (AI) tools were used for revising or refining educational content. All AI-assisted content underwent human review, editing, and validation by qualified faculty and accredited education staff to ensure scientific accuracy, balance, and compliance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education.

Accreditation

Joint Accreditation Statement

In support of improving patient care, Clinical Care Options, LLC dba Decera Clinical Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician Continuing Medical Education

Clinical Care Options, LLC dba Decera Clinical Education designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing Continuing Professional Development

The maximum number of hours awarded for this Nursing Continuing Professional Development activity is 0.25 contact hours.

Physician Associate Continuing Medical Education 

Clinical Care Options, LLC dba Decera Clinical Education has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 0.25 AAPA Category 1 CME credits. Approval is valid until August 24, 2027. PAs should only claim credit commensurate with the extent of their participation.

IPCE Credit Designation

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This activity was planned by and for the healthcare team, and learners will receive 0.25 Interprofessional Continuing Education (IPCE) credits for learning and change.

CME Passport

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The CME credits that physicians earn from this activity will be submitted to ACCME's CME Passport, a free, centralized web application where you can create a personalized account to view, track, and generate transcripts of your reported CME credit. Visit www.cmepassport.org to create your account.