28/07/2023
The Menopause and ADHD
The menopause can have a profound effect on your ADHD symptoms. As you stop ovulating you also begin producing less oestrogen and progesterone, two hormones you’ve had regulating many functions in the body and brain for your entire adult life. As the production of these hormones declines you will tend to also see an upturn in the severity of your ADHD symptoms, including problems with memory, attention, and physical fatigue.
This is because oestrogen plays an important part in your ability to regulate attention and focus. If you have ADHD this was never very good anyway, but with less of those hormones available, your ADHD is exacerbated.
Oestrogen, its effects on the body and brain
Oestrogen is one of the main s*x hormones and controls things such as puberty, the menstrual cycle, pregnancy, and bone strength. It is also a neuroprotectant which affects the development and ageing of regions of the brain responsible for higher cognitive functions such as memory.
Alongside memory, another mental faculty which is adversely affected by the menopause is your ability to maintain your attention span. Combine this with poor memory and it can seem that your brain just isn’t working properly any longer. This can be worrying as you start to feel that you can’t trust yourself, the things you do and don’t remember, and your decision-making faculties, along with your ability to function overall.
Difficulty concentrating adds to what many women in their menopause describe as “brain fog”, the feeling that your head is stuffed full of fluff, making it difficult to think clearly or logically. Add to this your increased ADHD symptoms and you can see why women with ADHD look for additional help and support when they reach the menopause.
Menopause, ADHD, and Fatigue
Many women with ADHD also experience high amounts of fatigue during the menopause. As well as regulating physical and mental development and the way the brain ages, oestrogen also regulates your body’s energy levels. When there is less oestrogen available you may start to feel tiredness unfamiliar to you from when your ADHD drove you like a motor and gave you unlimited get-up-and-go.
There are medical treatments which will help with menopausal and ADHD symptoms. Hormone replacement therapy (HRT) is a commonly used and effective method of reducing most menopause and perimenopause symptoms including hot flushes, brain fog, joint pain and mood swings. It can prevent osteoporosis from occurring, and can help improve bone density if you already have it.
Stimulant medication has been found to help improve executive function, those mental faculties such as decision making, prioritising, short- and long-term memory, attention and focus in menopausal women.
As with any medication there are side effects and your doctor will do their best during titration to find out the lowest possible dose for you. If you want to help lower your prescribed dose or want to do your best to avoid the need for medication and HRT as much as possible there are several practises you can use to manage the symptoms of ADHD during the menopause.
Getting enough sleep during the night will help with feelings of physical fatigue, and a well rested brain is also less prone to problems concerning mental focus, impaired attention spans and memory loss.
Keeping up a regular exercise routine is incredibly beneficial. High impact and weight bearing exercise can help with strength and helps with bone density. Exercise also helps by releasing endorphins which the ADHD brain struggles to produce in sufficient quantities, meaning that symptoms such as distraction and anxiety can be much reduced after a workout.
Stress aggravates many of the symptoms of ADHD, so stress management is an important thing to develop. There are a vast number of ways to manage your stress, including yoga, meditation and mindfulness, swimming, or spending time with nature.
A healthy diet helps regulate your blood sugar levels, meaning that you can avoid mood swings, sugar highs and crashes. Eating well improves your mood, and ability to sleep.