Skip to content

Survey study, 2024

How does the menstrual cycle affect ADHD symptoms in women?

This paper proposes that estrogen drops during the cycle may worsen ADHD symptoms, but this theory is untested and so we cannot yet know if it is true.

Early or limited evidence Review of existing evidence; no original study population

What they did

This paper reviews evidence and proposes a new theory about how hormonal changes during the menstrual cycle might affect ADHD symptoms in women.

What they found

The authors propose that rapid declines in estrogen may worsen ADHD symptoms at two points: mid-cycle (with increased risky and impulsive behaviors) and before the period (with increased inattention and avoidance). They suggest that hormonal changes during puberty make the brain's emotional centers overdeveloped, which may make women with ADHD especially vulnerable to monthly hormone fluctuations.

What it means for you

This is an untested theory, not original research findings, so we don't yet know if it is true. It may help explain why women with ADHD notice their symptoms change during the month, but more research is needed.

About the study

Original title
Attention-deficit/hyperactivity disorder and the menstrual cycle: Theory and evidence
Authors
Eng AG, Nirjar U, Elkins AR et al.
Journal
Hormones and behavior
Year
2024
Study design
Survey study
What was tested
Theoretical framework proposing hormone effects on ADHD symptoms
Open access
Yes

Topics