ADHD, Hormones & Perimenopause: What You Need to Know
Over the past few years, we’ve learned so much more about how ADHD shows up differently in women compared to men. One of the key areas that’s finally getting the attention it deserves is the link between ADHD and hormones, especially during perimenopause.
ADHD is a condition that’s strongly influenced by the nervous system and brain chemistry. Dopamine, in particular, plays a huge role in focus, motivation, and emotional regulation. What many don’t realise is that oestrogen directly supports dopamine function. When oestrogen levels fluctuate, as they naturally do throughout the menstrual cycle, ADHD symptoms can worsen. That’s why some women notice their ADHD feels more intense just before a period, when hormone levels drop.
Now, let’s layer in perimenopause. This transition, which can begin in the late 30s or 40s, is marked by unpredictable and declining hormone levels. Oestrogen and progesterone no longer follow a neat monthly pattern. Instead, they swing and dip, often dramatically. For women with ADHD, this can mean:
- Increased brain fog and forgetfulness
- More difficulty managing emotions
- Lower stress tolerance
- Disrupted sleep, which further intensifies ADHD symptoms
- Heightened anxiety or low mood
Dr Louise Newson and other leading women’s health experts have highlighted how perimenopause can unmask undiagnosed ADHD, with many women only receiving an ADHD diagnosis in midlife when symptoms suddenly feel unmanageable.
So, what can help? A holistic approach is key:
✨ Medical support – For some, hormone replacement therapy (HRT) can stabilise hormone fluctuations, improving both perimenopausal symptoms and ADHD regulation.
🌿 Lifestyle support – Prioritising sleep, movement, and balanced nutrition can help calm the nervous system and reduce overwhelm.
💆 Mind-body therapies – Approaches like chiropractic, bodywork, and mindfulness can regulate stress and support better focus.
🧠 Psychological support – Coaching, therapy, and structured strategies can make day-to-day life more manageable.
If you’re a woman with ADHD navigating perimenopause, it’s not “all in your head.” Your hormones really do play a powerful role. Understanding this connection can be life-changing, helping you find the right mix of medical, lifestyle, and therapeutic support.