ADHD and Estrogen — ADHD Tip O the Day 952

ADHD is Different for Women

Two contributors brought this up and it was a new area for me.  Thank you to Susan and Eva.  You can see their comments on Post 950.  

I knew that typically, girls have Inattentive type ADHD, and quietly underachieve, cause nobody any problems and don’t get diagnosed.  Then in adulthood, they run into new and different demands and start having problems.  

But these articles say that many girls have difficulty in adolescence, which is probably related to hormones and may or may not have anything to do with ADHD.

Then women may have fluctuating symptoms related to their menstrual cycles.  

Then with perimenopause and menopause, there may be a flare of symptoms, again maybe mimicking or exacerbating ADHD.

I think the picture is confusing and the articles say that it is not clear because there has not been much research on this.  Until recently, women have tended not to be included in scientific research.



“Estrogen and the Prefrontal Cortex: Towards A New Understanding of Estrogen’s Effects on Executive Functions in the Menopause Transition” from Eva

ADHD and Hormones

Hormones and ADHD


An ADHD Brain

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About doug with ADHD

I am a psychiatric physician. I learned I have ADHD at age 64, and then wrote two ADHD books for adults, focusing on strategies for making your life better. I just published my first novel, Alma Means Soul. Your Life Can Be Better; strategies for adults with ADD/ADHD available at, or (for e books) Living Daily With Adult ADD or ADHD: 365 Tips O the Day ( e-book). This is one tip at a time, one page at a time, at your own pace. It's meant to last a year. As a child, I was a bully. Then there was a transformation. Now I am committed to helping people instead abusing them. The Bully was published in January, 2016. It's in print or e book, on Amazon.
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2 Responses to ADHD and Estrogen — ADHD Tip O the Day 952

  1. rammkatze says:

    I had read part of the articles when I found them in the comments of the last post. I remember one in particular being a sumation of several scientific articles while pointing out contradictory outcomes and theorizing that the different responses to estrogen therapy could be the result of >when< they were applied after menopause. I also remember reading that, neurologically speaking, the said fogginess and forgetfulness were measured and accounted for as too minimal. It made me think that forgetfulness is also sometimes quite unobjective. What comes to mind is when I tried telling a friend about being diagnosed with ADHD and describing how forgetful I was, only to have her neurotypical self going "Yeah, but that happens to me too. I'm totally forgetful!" :p

    I'm not sure why women are less included in the studies – and I strongly dislike the assumption that the big-bad-white-man-wolf is to blame – but in this case, I wonder: what benefit do we get from knowing whether women are protected from estrogen or not? We're not going to therapize ADHD-men with estrogen (not really viable) and estrogen replacement therapy in the menopause is controversial enough that the case isn't going to be brought up again for ADHD. For my part: I've always suffered from massively agressive pre-menstrual syndromes, despite the fact that I don't get the physical symptoms of PMS that so many women complain about. Ever since I was diagnosed with ADHD, I've considered it the cause of of my over-the-top PMS. So I for one don't feel very sheltered by estrogen. :p But of course, that's anecdotal evidence.

    Liked by 1 person

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