How ADHD can worsen before menses, and how to help. 

The medical model of ADHD says the condition is caused by a general reduction of specific neurotransmitters, namely dopamine and noradrenaline. Toward the later end of the luteal phase of the menstrual cycle, estrogen levels are at their lowest. Estrogen increases dopamine synthesis and so when in shorter supply, it impacts already low dopamine stores. This can exacerbate memory difficulties, brain fog, organisation and emotion regulation even if ADHD medication is normally effective during the majority of the cycle. Temporarily increasing the dose of ADHD medication, as and when required, can bring great relief to women and girls who are most affected by the above. 

Image attributed to: Isometrik – Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=8703107 

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