Do I have ADHD— sorry, were you talking to me?
Attention Deficit Hyperactivity Disorder (ADHD) and perimenopause are two distinct “conditions,” that can affect women during their lifetime. However, there is currently no clear evidence that perimenopause can cause ADHD, however, the mechanism of decreased estrogen affecting neurotransmitters in the brain is convincing of the connection between the two issues.
ADHD is a neurodevelopmental disorder that affects a person’s ability to pay attention, stay focused, and control impulsive behavior. It is typically diagnosed during childhood, but some people may be diagnosed later in life. The symptoms of ADHD can persist into adulthood, and women with ADHD may experience a worsening of their symptoms during perimenopause due to hormonal fluctuations.
Perimenopause, on the other hand, is the period leading up to menopause when a woman’s hormone levels begin to decline. This can cause a variety of symptoms, including hot flashes, night sweats, mood changes, and sleep disturbances. These symptoms can be disruptive to daily life and can have an impact on mental health.
While there is no clear link between perimenopause and the development of ADHD, women who have ADHD may experience worsening symptoms during perimenopause. The hormonal fluctuations during perimenopause can exacerbate symptoms of inattention, impulsivity, and hyperactivity, leading to increased difficulties with daily functioning. Some women experience ADHD symptoms for the first time during perimenopause or notice the interference of symptoms is more significant.
It’s important for women with ADHD who are approaching perimenopause to discuss any changes in symptoms with their healthcare provider. Treatment options for ADHD may include medication, therapy, and lifestyle changes. Menopausal hormone therapy (MHT) may also be considered to manage perimenopausal symptoms, but it’s important to discuss your medical history with a healthcare provider before starting any treatment.
If you don’t have a healthcare provider who is comfortable providing care for women in perimenopause, find a NAMS certified provider here.
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About the Author
Dr. Rachel Pope is a board-certified gynecologist, the chief of a female Sexual Health division in a Urology Department, and the founder of Our Womanity. She created Our Womanity to shed light on the subjects people don't talk about, reduce the stigma, and empower women to understand their own health.