Treating ADHD and Perimenopause

When managing ADHD during perimenopause, treatment options may include increasing ADHD medication or initiating a trial of hormone replacement therapy (HRT) for three months to assess its impact on symptoms. Engaging with a gynecologist is essential to explore the possibility of HRT, which is primarily effective for mood and cognition issues during perimenopause but is less beneficial postmenopause. If symptoms worsen after starting HRT, ADHD treatment should continue, and the HRT's efficacy can inform future adjustments in ADHD medication. The interplay of hormonal changes and ADHD complicates treatment, especially if there are additional issues such as heightened anxiety or major depressive episodes, which also require attention, given their potential to exacerbate cognitive symptoms. Overall, treatment for women experiencing ADHD and perimenopause must be tailored, often relying on clinical experience due to a lack of extensive research in this area.