ADHD & Menopause

Understanding the connection between hormonal changes and ADHD in women aged 40–60

ADHD and Menopause: An Overlooked Intersection

Many women in their 40s and 50s begin experiencing changes in memory, mood, and focus. While some of these changes are related to menopause, others may be caused or intensified by ADHD. In some cases, symptoms that appear for the first time during this stage may point to previously undiagnosed ADHD.

At Attention to Health, we offer assessments and personalised treatment plans specifically for women facing ADHD and menopause together.

Why Menopause Affects ADHD

Oestrogen, a key hormone that declines during menopause, influences brain chemicals such as dopamine and serotonin. These chemicals are involved in:

  • Focus

  • Attention

  • Mood regulation

As oestrogen drops:

  • ADHD symptoms may worsen

  • Women who previously coped well may now struggle

  • ADHD-like symptoms can emerge for the first time

Common Experiences

  • “Brain fog” and forgetfulness

  • Increased distractibility

  • Mood swings or irritability

  • Sleep disturbances

  • Heightened emotional sensitivity

Undiagnosed ADHD in Midlife

Many women currently in midlife grew up at a time when ADHD was not well recognised in girls. Symptoms were often overlooked or dismissed.

Now, with hormonal changes and added life stress, previously manageable symptoms can become overwhelming.

Signs of Undiagnosed ADHD

  • Long-standing disorganisation

  • Chronic procrastination

  • Difficulty completing tasks

  • Feeling easily overwhelmed

If these sound familiar, it may be time to explore a formal assessment.

Our Approach at Attention to Health

We provide:

  • Specialist assessments by a menopause expert

  • A holistic view of symptoms, considering both hormonal and neurodevelopmental factors

  • Tailored treatment plans, which may include:

    • ADHD medication

    • Hormone Replacement Therapy (HRT)

    • Therapy and coaching

    • Lifestyle recommendations

Treatment Options

Treatment for ADHD during menopause may include:

  • Medication to support attention and reduce impulsivity

  • HRT to stabilise hormone levels and improve cognitive function

  • Therapeutic support, such as CBT or ADHD coaching

  • Lifestyle adjustments, including:

    • Improved sleep hygiene

    • Nutrition and supplements

    • Stress reduction techniques

    • Regular physical activity

Common Questions

Is it ADHD or Menopause?

The symptoms of ADHD and menopause often overlap. These include:

  • Forgetfulness

  • Poor concentration

  • Emotional ups and downs

Understanding the root cause – or whether it’s a combination of both – is essential for effective treatment.

Explore the difference between ADHD and menopause-related symptoms ➤

Can HRT Help ADHD?

HRT may improve ADHD symptoms by stabilising oestrogen levels, which helps regulate dopamine. While it is not a standalone treatment for ADHD, it can complement other strategies.

Read more about ADHD and HRT ➤

Take the Next Step

If you're struggling with focus, memory, or organisation and suspect ADHD or are already diagnosed, we’re here to help.

Book a consultation with our menopause specialist today.

  • Understand your symptoms

  • Get a personalised assessment

Start a treatment plan that works for you.