ADHD in Perimenopause

Understand how fluctuating hormones in the years before menopause can worsen ADHD symptoms and what you can do to cope.

What is Perimenopause?

Perimenopause refers to the transitional stage before menopause, typically starting in a woman's 40s. Hormones such as oestrogen and progesterone begin to fluctuate significantly during this time.

These fluctuations can have a noticeable impact on brain function, particularly in women with ADHD.

How Perimenopause Affects ADHD

Oestrogen plays a key role in:

  • Supporting dopamine levels

  • Stabilising mood

  • Enhancing concentration

When hormone levels fluctuate, women may experience:

  • Increased forgetfulness

  • Mental "fogginess"

  • Emotional highs and lows

  • Trouble staying focused on tasks

Recognising Patterns

Tracking your symptoms over time may reveal:

  • Weeks of heightened ADHD symptoms

  • Increased distractibility before or after your period

  • Mood changes aligning with hormonal shifts

This insight can help you anticipate difficult periods and adapt accordingly.

Coping Strategies

  • Sleep hygiene: Maintain a consistent bedtime to support brain function.

  • Use external aids: Apps, calendars, and reminders can keep you organised.

  • Exercise regularly: Physical activity helps regulate mood and boosts brain performance.

Plan ahead: Avoid overloading your schedule during challenging hormonal weeks.

Professional Support

Our menopause specialist understands how perimenopause interacts with ADHD. If you’re noticing a change in symptoms, a consultation can help clarify whether your treatment plan needs adjusting.