ADHD Symptoms and Hormonal Changes

Do your ADHD symptoms get worse during certain parts of the month? Do you get organized and efficient after your period, and forgetful the week before your period starts? Experts on ADHD noticed that there seems to be a relation between hormonal fluctuations and the severity of ADHD symptoms. Hormones' influence on ADHD doesn't just happen every cycle; they can last over an entire lifetime. In fact, the average age a female adult gets diagnosed for ADHD is between ages 36 to 38.

Doctors who evaluate women with ADHD rarely factor in hormonal fluctuations when they construct a treatment plan. But an increased awareness of ADHD and the effect of hormones are starting to change this. Here are the four major stages of a woman's life, the hormonal changes that occur at these periods, and the best ways to manage symptoms.

Adolescence

During puberty, the female body produces higher levels of the sex hormones estrogen and progesterone. These "raging hormones" often lead to risky behavior, rebellion, and increased impulsivity. During their early teen years, girls with ADHD are more likely to experience academic problems, experiment with drugs, and display aggressive behavior. You can help your daughter by keeping an eye out for signs of worsening symptoms. When you notice this happening, encourage her to accomplish tasks, study for a big test, or write a paper a week in advance. Identify her strengths and skills, and emphasizing these during the emotional lows of her cycle. Try to patient with her if she begins to get argumentative; instead of yelling, show her a better way to handle the situation.

The reproductive years

During the first two weeks of the menstrual cycle, estrogen levels rise. This hormone is responsible for the release of neurotransmitters dopamine and serotonin, and can explain why women are better at managing their ADHD symptoms at this point of the cycle. At the third and fourth week, progesterone levels increase and start canceling out the benefits of estrogen. Experts believe that women with ADHD are more likely to experience severe pre-menstrual syndrome (PMS) than women who do not. The good news is that proper ADHD management gets rid of PMS too.

Pregnancy and childbirth

Pregnancy is a period of hormonal change. Not only does the placenta produce more hormones; it stimulates the thyroid and adrenal glands to increase hormonal production as well. During the first few months of pregnancy, expectant moms with ADHD are more likely to experience anxiety, mood swings, and fatigue. The good news is that these symptoms improve as the pregnancy progresses. After childbirth, hormone levels drop and can cause postpartum depression or mood swings. Make sure that any ADHD treatment you are taking is safe while pregnant or nursing.

Menopause

During menopause, or the last period, your estrogen levels would have dropped by 65%. This drop in hormones does not occur immediately; rather, it is a gradual decrease that takes place during perimenopause, or the ten years before menopause. Women with ADHD going through perimenopause tend to experience fatigue, memory lapses, irritability, and moodiness more than women without. Look for natural ways to stabilize your hormone levels, such as eating food with phytoestrogens (plant estrogens). Get a lot of exercise as well. While it might be tempting to seek hormone replacement therapy, this may actually cause a hormonal imbalance that will aggravate the effects of perimenopause and contribute to your ADHD symptoms.