ADHD in Women

PMS and ADHD: How the Menstrual Cycle Intensifies Symptoms

“As an OB-GYN nurse, I can tell you that when progesterone levels are high, dopamine levels drop. So, for women with ADHD, the week leading up to menstruation is an awful time to try and get anything done.”

female, PMS, menstrual cycle, emotions
Round flat avatars. Sadness, joy, anger, fear, love. Vector cartoon illustration.

PMS and ADHD share a volatile relationship. Due to hormonal fluctuations during the menstrual cycle, an individual may see their productivity and focus climb in lockstep with her estrogen during the second week of her cycle. Then, the humming motor comes grinding to a halt as estrogen plummets and PMS kicks in following ovulation. During the week before menstruation begins, increasing progesterone and declining dopamine can provoke and exasperate ADHD symptoms such as irritability, forgetfulness, and impulsivity (often at the same time) and heighten emotional dysregulation.

Recently, ADDitude readers told us how the menstrual cycle impacts their ADHD symptoms in ways that are both pleasant and painful during a typical 30-day cycle. Do your ADHD symptoms worsen or improve at certain times of the month? We’d love to hear from you! Share your thoughts in the Comment section below.

My working memory is most severely affected three days before my period. I can’t remember what I’m doing, and I’ll walk into the kitchen 100 times. I’m terrified that when my estrogen drops during perimenopause and menopause, I won’t be able to hide my symptoms at work anymore, and it will impact my ability to have a career.” — Kay, Scotland

“I definitely notice a difference in my ability to regulate my attention as I move through my cycle. I find it easier to be mindful when I am in the middle of my cycle (before ovulation). I am much more likely to forget everyday things or have lapses in attention as I get closer to my period.” — Ryland

“My ADHD symptoms become more intrusive the week leading up to my period. My executive functioning dips, my distractibility increases, and my energy levels are lower. First, I’ll be completely unfocused at work. Then I’ll look at my calendar and realize where I’m at in my cycle, and it’ll click.” — Chloe B

[Self-Test: What Does ADHD Look Like in Women?]

“I find that as my first week (flow) subsides, my ADHD symptoms are so much better — I get so much more done on those days. I’m more stable, motivated, focused, and mentally competent. The closer ovulation gets, though, the worse my symptoms become. I am more agitated and struggle to focus. Then the symptoms drop miserably right before my flow, where I can barely concentrate. I am even more forgetful, and I struggle significantly with emotional dysregulation and motivation. I feel terrible for my kids and husband, who have to tolerate my unpredictability. Learning about hormonal fluctuations throughout a woman’s cycle has helped me understand what I experience. However, I’m still trying to figure out how to work with my body and lessen my symptoms. I hope more studies will be conducted to help women like me thrive — not just scrape by — based on hormonal patterns!” — An ADDitude Reader

I’m more anxious and have trouble sleeping in the week leading up to my period. It’s also more challenging to articulate my thoughts, concentrate, and stick to a routine. I also react more emotionally at work. I feel out of control. Over the years, I’ve gotten a better handle on my symptoms, but one week out of the month, I feel like my old self — not in a good way.” — An ADDitude Reader

“My hormone cycle and ADHD have always been cumbersome. At peak ovulation, I think I am a superhero and over-estimate everything that I want to do and can do. Then it wanes as I get closer to my period. My emotional dysregulation gets the best of me, and I am a basket case with no focus. I do irrational things like quit my job and a week later think, ‘That job wasn’t so bad.’” — Michelle, New York

“The day or two before I get my period, I have difficulty regulating my emotions and impulse control. This creates situations where I binge eat and struggle to keep my opinions to myself, leading to arguments at home. As an OB-GYN nurse, I can tell you that when progesterone levels are high, dopamine levels drop. So, for women with ADHD, the week leading up to menstruation is an awful time to try and get anything done.” — Emily, Minnesota

[How Your Hormones Affect — and Worsen — Your ADHD]

“Just before my cycle, I experience mood dysregulation and pinchy headaches. Also, for a few days after my period, I experience low arousal and a severe lack of motivation.” — Kami, Washington

“The week before my period, my ADHD would be so bad that I couldn’t perform certain parts of my job, like correcting tests and calculating students’ grades. Thank goodness I’m post-menopausal!— An ADDitude Reader

“A week before I am due for my period, my brain goes to complete peanut butter. It is an utter mission to focus and stay on task. Sensory overload is at its peak. Impatience rules the days, and I get so overwhelmed.” — Charlie, Australia

“My ADHD symptoms worsen a week before my period starts. I’m more stressed and scatter-brained. I can’t remember anything! My anxiety can get out of hand. I feel like after my period ends, I’m more clear-headed. I can get things done easier and faster, and I’m more ‘with it.’”— An ADDitude Reader

“Oh, my word, YES! Common ADHD symptoms like being easily distracted and sensitive to noise and touch are amplified during PMS. I become extremely irritated by dishes lying around, the cats meowing, and my partner touching me.” — Tina

“Right before and at the beginning of my cycle, I stumble over my words or can’t think of the right one. I am more forgetful and much more emotional. Once, I cried when I forgot why I walked into the kitchen. I never really noticed how my mind changes so drastically during my menstrual cycle until I read about it, and now, I can’t not notice it.” — An ADDitude Reader

PMS and ADHD: Next Steps

Thank you for reading ADDitude. To support our mission of providing ADHD education and support, please consider subscribing. Your readership and support help make our content and outreach possible. Thank you.