Key takeaways:
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Women with ADHD suffer terribly during menopause and perimenopause.
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Women who were previously considered subthreshold may worsen to the point of needing a diagnosis.
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Hormonal Replacement Therapy (HRT) and changes in your current medication are options for you if you are a women with ADHD.
Menopause is a natural process when a woman’s ovaries stop producing eggs around the age of 50, resulting in a decrease in estrogen and progesterone levels. ADHD women need to be aware of this process and how to cope.
Perimenopause is a stage when a woman’s body is transitioning towards menopause. It usually starts in a female’s 40s, but can start earlier or later and can last up to 12 years. During this period, the ovaries of a woman produce less estrogen, leading to changes in her menstrual cycle, mood, and other body changes.
These hormonal transtions can cause estrogen levels decrease. This decrease can cause symptoms similar to those of ADHD, like brain fog, memory trouble, emotional dysregulation, hot flashes, skin and hair changes, and a decreased sex drive. Low dopamine levels, which are related to ADHD, can explain these symptoms. Stimulants can help increase dopamine levels.
ADHD women during menopause and perimenopause
In recent times, as we have come to recognize and diagnose ADHD in women more, it has become clear that these women suffer greatly during major life transitions. Their signs and symptoms worsen. Additionally, women who were either not diagnosed with ADHD or were thought to have symptoms below the threshold are now deteriorating to the point where they can no longer ignore their diagnosis.
Many doctors may not know about this information
It is common for doctors to be unaware of information concerning women’s health. Women are usually diagnosed with anxiety and depression, rather than ADHD, during this period. It is important to advocate for yourself and seek out a knowledgeable healthcare provider who is willing to provide HRT when possible. A widely known study (the Women’s Health Initiative) suggested that HRT was detrimental, but this has since been disproved. It appears that the sooner you begin treatment, the better the outcome. Studies have even shown that HRT can be protective against long Covid. Dr. Susan Varghese has stated that natural remedies (such as Black Cohosh and Yams) and lifestyle modifications can be made to replace HRT if it is not an option.
Perimenopausal and menopausal women with ADHD have a double whammy. It’s important to know you aren’t going crazy and don’t have dementia, as this is a common concern often expressed. Women going through menopause and experiencing ADHD can find resources from three experts: Sandra Kooij, Susan Varghese, and Patricia Quinn. It is important to know that the symptoms experienced during this time are not a sign of dementia or insanity, and it is important to advocate for oneself when it comes to getting the help needed. Doing so will lead to feeling better during this difficult period.