Living with attention deficit hyperactivity disorder (ADHD) can be utterly debilitating. It affects every aspect of our lives. But did you know that your menstrual cycle can have an impact on ADHD symptoms? Like, a HUGE impact.

Have you found yourself wondering…

“Why does it seem like my ADHD medication isn’t working right around my period?”

I’ve only just learned the relationship between your menstrual cycle and ADHD, and how hormonal fluctuations can influence your ADHD symptoms after having my buddy Shani join me to discuss it on Episode 11 of the Focus for Fuck’s Sake Podcast.

If you don’t know what ADHD is…
ADHD (attention deficit hyperactivity disorder) is a complex neurodevelopmental disorder that impacts approximately 11% of children and almost 5% of adults in the U.S. ADHD is a developmental impairment of the brain’s executive functions. People with ADHD have trouble with sleep, impulse control, regulating focus, organization, and a whole bunch of other things that make our lives really, really tough. Especially as adults.

Your Period
Your menstrual cycle causes hormonal changes that prepare the body for potential pregnancy. On average, a menstrual cycle lasts about 28 days, although it can vary from person to person. The cycle is divided into distinct phases: the menstrual phase, follicular phase, ovulation, and luteal phase.

Impact of Hormonal Fluctuations on ADHD

During the menstrual cycle, levels of estrogen and progesterone, two key hormones, rise and fall at different stages. These hormonal fluctuations can affect neurotransmitters, the chemical messengers in your brain that regulate various functions, including attention and mood.

1. Follicular Phase: This phase begins on the first day of your period and lasts until ovulation. Estrogen levels start to rise, and some individuals with ADHD may experience an improvement in symptoms during this time. Increased estrogen can have a positive impact on neurotransmitters related to attention and mood, leading to a temporary alleviation of ADHD symptoms.
2. Ovulation: Ovulation occurs around the middle of the menstrual cycle when an egg is released from the ovaries. Estrogen levels continue to rise, and some individuals may still experience improved ADHD symptoms. However, it’s important to note that not everyone will have the same response.
3. Luteal Phase: After ovulation, the luteal phase begins and lasts until the start of the next menstrual cycle. During this phase, both estrogen and progesterone levels increase. This hormonal shift can lead to an exacerbation of ADHD symptoms for some individuals. Common challenges may include increased difficulty in maintaining focus, heightened emotional sensitivity, and changes in energy levels.

Managing ADHD and the Menstrual Cycle:

Navigating the impact of the menstrual cycle on ADHD requires self-awareness and proactive strategies. Here are a few tips to help manage symptoms during different phases:

1. Tracking: Maintain a menstrual cycle tracker to monitor changes in ADHD symptoms throughout the month. This will help identify patterns and prepare for potential challenges.
2. Communication: Inform your healthcare provider about any observed changes in ADHD symptoms during different menstrual phases. They can help tailor your treatment plan accordingly or explore adjustments to medication dosages if needed.
3. Self-Care: Prioritize self-care practices such as regular exercise, a balanced diet, sufficient sleep, and stress reduction techniques. These practices can help support overall well-being and potentially mitigate the impact of hormonal fluctuations.
4. Support System: Reach out to a support network, whether it’s friends, family, or ADHD-focused communities. Sharing experiences and strategies can provide valuable insights and emotional support.

Understanding the relationship between your menstrual cycle and ADHD symptoms can empower you to better manage your condition. While the menstrual cycle’s influence on ADHD is not universal and varies from person to person, tracking and being proactive can contribute to a more balanced and informed approach to self-care. Remember, everyone’s journey with ADHD is unique, if you have questions about yours, talk to your doctor.