Statistical parametric maps (SPMs) showing positive associations between (A) menopause hormonal therapy (HT) and gray matter volume (GMV) and (C) hormonal contraceptive (HC) use and GMV, at p < 0.05, cluster level corrected, adjusted for age and total intracranial volume (TIV). SPMs are superimposed on a standardized MRI and represented on a color-coded scale with corresponding z score values. Anatomic location and statistics are reported in eTable 4, links.lww.com/WNL/B612. Plots representing age- and TIV-adjusted mean (+SEM) GMV extracted at the peak of statistical significance, comparing (B) HT users (HT+) and never users (HT−) in the entire cohort and among nonhysterectomized participants and (D) HC current users (HC+), past users (HC-past), and never users (HC−). *p < 0.05.