How do the hormonal fluctuations of perimenopause and estrogen loss of menopause uniquely impact women with ADHD, and how can the symptoms of each condition be teased apart for proper diagnosis and effective treatment later in life?
The wild hormonal swings of perimenopause and marked estrogen drop of menopause correlate to more severe and sometimes new symptoms of ADHD in women.
“These studies showed that some women report mid-life onset of some executive functions similar to ADHD symptoms during menopause and/or in their post-menopausal functioning,”, “and that those symptoms may respond to treatment with medications approved for treatment of ADHD, specifically atomoxetine and lisdexamphetamine .”
How can diagnosing clinicians effectively evaluate menopausal women for ADHD when so many symptoms overlap? From brain fog to emotionality and poor memory to disorganization, the symptoms of ADHD grow markedly worse and largely unmanageable in perimenopause and menopause. Nearly half ofreaders call this the most challenging time of life for them. Yet no formal research exists on menopause and ADHD, so a significant population of patients is left without answers or solutions in their years of greatest need.
“I somehow managed to mask and manage my ADHD all my life,” wrote another survey respondent, “but by perimenopause, the hormone changes affected my energy and my physical ability to recover from sport. By exercising less, my energy levels dropped further. My emotions were more dysregulated. My brain fog got really bad, and my anxiety skyrocketed. I had daily heart palpitations and could not stay focused if my life depended on it.
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