How Do Puberty and Menstruation Affect ADHD Symptoms in Girls and Women? 

Hormones and ADHD have a complex relationship, particularly in girls and women. Puberty and menstruation can significantly affect ADHD symptoms due to the hormonal fluctuations that occur during these stages. Oestrogen levels, for example, play a key role in regulating mood and cognition, and variations in these levels during the menstrual cycle can exacerbate symptoms of ADHD, such as inattention, impulsivity, and emotional dysregulation. 

During the menstrual cycle, many girls and women with ADHD experience a worsening of symptoms, particularly in the days leading up to menstruation. PMS is often characterised by mood swings, irritability, and fatigue, which can overlap with ADHD symptoms, making it harder to differentiate between the two. These hormonal fluctuations can lead to an increase in ADHD-related difficulties, such as poor focus, organisation problems, and emotional outbursts. 

Common Symptoms 

Mood Swings and Emotional Dysregulation 

Hormones and ADHD can cause heightened emotional sensitivity in women, particularly during PMS or menstruation. The combination of hormonal changes and ADHD can lead to more severe mood swings, irritability, and emotional instability. 

Difficulty with Focus and Organisation 

Women with ADHD may find that their ability to concentrate and stay organised is affected by their menstrual cycle. The hormonal shifts that occur during puberty or menstruation can make it harder to maintain focus, increasing the challenges associated with ADHD. 

Symptom tracking during different phases of the menstrual cycle can help women better understand how hormones and ADHD interact, allowing for better management and support. 

Visit providers like ADHD Certify for personal consultations and expert advice tailored to your needs.    

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Girls and women with ADHD.