03/08/2026
ADHD & Women’s Hormones: Exploring the emerging research in women 🧠🚺
Researchers are beginning to explore how hormonal changes may influence ADHD symptoms in women - an important area that has historically received relatively little attention.
A 2025 systematic review examined research into ADHD symptoms and s*x hormones across puberty, the menstrual cycle, pregnancy and menopause (Osianlis et al., 2025). The review found that hormonal changes may be associated with changes in ADHD symptoms, particularly across the menstrual cycle. However, only 11 studies met the researchers’ criteria. Many had small samples, used different methods and relied heavily on self-reported symptoms. The authors concluded that the relationship appears plausible, but the current evidence remains very limited.
A recent pilot study followed 30 women taking amphetamine-based ADHD medication (Zaritsky et al., 2026). Participants completed daily surveys for 35 days, recording ADHD symptoms, mood and medication use.
ADHD symptoms were most severe during menstruation and milder during the mid-follicular phase - the period after menstruation and before ovulation. Worsening symptoms were also associated with more negative mood.
What does this mean?
The findings suggest that ADHD symptoms may not remain consistent throughout the month.
But this does not prove that hormones directly cause these changes. The pilot study was small, involved only people taking one class of stimulant medication and tracked participants for approximately one cycle. We also do not yet have strong evidence telling clinicians exactly how medication or therapy should be adjusted across the cycle. Further research is needed - though it’s exciting to see this area getting more attention!
For now, it may be helpful for some women to track symptom (including attention, motivation, sleep, mood and medication effect) across cycles. A consistent pattern can then be discussed with a GP, psychiatrist or treating health professional.
References
Osianlis, E., Thomas, E. H. X., Jenkins, L. M., & Gurvich, C. (2025). ADHD and s*x hormones in females: A systematic review. Journal of Attention Disorders, 29(9), 706–723. DOI: 10.1177/10870547251332319
Zaritsky, R., Reed, S. C., & Evans, S. M. (2026). Changes in ADHD symptoms and mood across the menstrual cycle in females treated with stimulants: A pilot study. Journal of Attention Disorders, 30(3), 329–341. DOI: 10.1177/10870547251400038