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The Hidden Hormone-ADHD Connection Every Woman Needs to Know
Episode 54th February 2025 • Femme on Fire, The ADHD Career Advantage • Sonja Lekahena
00:00:00 00:10:27

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From puberty to menopause, discover the shocking truth about how hormones affect ADHD in women.

Learn why 94% of women experience stronger symptoms during menopause and why your ADHD medication might stop working at certain times of the month.

Essential viewing for every woman navigating the complex dance between hormones and neurodivergence

Transcripts

Sonja:

Welcome back to another episode of Femme on Fire.

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Today I want to talk to you about

understanding ADHD and hormones in women.

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So why don't you grab your favorite

drink and get comfy and let's chat about

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something that affects so many of us.

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So, let's start with the big picture.

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You know how sometimes your brain feels

like it's in a fog, and sometimes,

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other times, it's just super focused.

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Well, for women with ADHD, this

journey is like a rollercoaster.

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And it's because of our hormones.

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Hormones are basically

our essence of being.

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We need them to make everything in our

bodies and in our minds work properly.

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But at the same time, they are our curse.

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And let me break this down

in a way that makes sense.

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So, let's first start

talking about puberty.

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This is our first stop

on our hormone journey.

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It's puberty, and this is when

a lot of girls first, really

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notice their ADHD symptoms.

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During this time, about 70 percent

of girls experience more sadness and

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anxiety than they have ever done before.

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And it's like our brain is going

through a major update, but

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nobody gave you the user manual.

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And where boys are always bouncing

around, even when they are small, girl

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symptoms have been more subtle until now.

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Now girls start showing signs in

school which are often misinterpreted

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as daydreaming, or lack of

motivation, or just being lazy.

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And nowadays, neurodivergence has more

attention and schools might pay more

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attention to the needs of the girls.

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But if not, then depression and extreme

behavior might lure around the corner.

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So as a parent, you really need to,

um, look at that and understand.

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So during puberty, we also start the

monthly dance, which is fantastic.

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Not.

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And here's something super interesting.

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Every month, our hormones do this

beautiful but complicated dance.

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Yeah.

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In the first two weeks of our cycle,

many women actually feel pretty great.

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And that's because estrogen, which

is our friend here, is really rising.

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But then, in weeks three and four,

things become a little bit tricky.

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Some women find that their ADHD

medication might not work as well.

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And they might feel more

scattered and emotional.

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So do be very careful when you

think that your medication doesn't

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work, or it should be upped.

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And check where you are in your

cycle before you change anything.

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And then we have the

next hormonal hurricane.

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It's the pregnancy adventure.

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Wow, what a ride this is.

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I've done it four times, so I know.

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Now let me share something

really important about pregnancy

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risk when you have ADHD.

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And I want you to know what to look

out for because knowledge is power.

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So during pregnancy, many women

with ADHD notice that their symptoms

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are becoming more challenging.

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About 36 percent of women say

that ADHD makes it worse, and 20

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percent actually feel much better.

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So, 44 percent doesn't notice

anything at all, which is great.

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Everyone's experience in this

is different, so do be aware.

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If you are in the 36 percent

that notices negative changes,

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here's what you might notice.

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It might be harder for you to keep track

of your appointment, to remember to

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take your vitamins and to stay organized

with all those pregnancy related tasks.

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So some women also struggle with focusing

and time management, but what's really

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important is that research has shown

that during pregnancy, women with A DHD

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might face some additional challenges.

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They often experience, for

instance, higher stress levels

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and more symptoms of depression.

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They might have less social support

from friends and family, or at

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least experience it like that.

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And it might be more difficult maintaining

healthy eating habits and keeping

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up with prenatal care appointments.

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Medical research has also ADHD

have slightly higher chances of

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having some medical problems.

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I don't want you to worry

too much about this.

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The good news is that understanding these

risks helps doctors provide better care.

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So when your healthcare team

knows about your ADHD, they can

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give you the extra support and

monitoring during your pregnancy.

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And they can help you develop

strategies to stay on track with

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your prenatal care and make sure that

both you and the baby stay healthy.

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And remember, every pregnancy is unique.

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And many women with ADHD have perfectly

healthy pregnancies and babies.

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The key is being aware, and

getting the right support, and

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taking good care of yourself.

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So the next hurdle we have as

women, of course, is the menopause.

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And here is where things

get really interesting.

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Because during menopause, 94

percent of women say that their

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ADHD symptoms are getting stronger.

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Which explains also why more adult

women get diagnosed later in life.

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I mean, 94%, that's huge.

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It's like your brain is going

through another puberty, but this

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time with more life experience

and probably much more coffee.

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And for more than half of these

women, their 40s and 50s become

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the time when ADHD has the

greatest impact on their lives.

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So let me explain what's really happening.

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In a super simple way, you have to think

of estrogen as your brain's little helper.

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It makes important brain chemicals like

dopamine, which is your focus friend,

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and serotonin, which makes you happy.

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So during perimenopause, which typically

starts around the age of 45, your estrogen

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levels start doing this wild dance.

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They go up, they go

down, they go all around.

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And then in menopause.

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Those levels drop significantly,

which can make your ADHD symptoms

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feel like they're on overdrive.

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Many women tell me that they

feel like they're losing

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their mind during this time.

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They are experiencing brain fog, memory

issues, and feel completely overwhelmed.

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And some, like me, even worry that

they're developing early dementia.

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But let me reassure you, this is a normal

part of the hormone ADHD connection.

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You're not getting dementia at this stage.

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And what's really interesting is that some

women don't even realize they have ADHD

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until they hit perimenopause, when these

symptoms becomes too obvious to ignore.

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There is some good news as well.

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Understanding all this helps us

take better care of ourselves.

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It's like having a weather

forecast on your brain.

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When you know what's coming,

you can better prepare.

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So you are not alone in this journey and

there are ways to manage these changes.

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Some women find success with adjusting

their ADHD medication, while others

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benefit from hormone replacement

therapy, or even a combination of both.

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The key is working with health

care providers who understand

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both ADHD and hormones.

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Because trust me, this combination

needs special attention.

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And remember, this is a

natural transition, of course.

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But it doesn't mean that you have to

white knuckle your way through it.

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Understanding what's happening

in your body is the first step to

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taking control of the symptoms and

finding strategies that work for you.

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I also want to share some practical stuff

that might help with raging hormones.

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First of all, keep track of your

symptoms throughout the month.

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You have to understand what's

happening in your body.

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Secondly, talk to your doctor

about adjusting medication

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during different hormonal phases.

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So, pregnancy, puberty, uh, menopause.

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Be kind to yourself during

these big hormonal changes.

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Know that it's not you, it's your

hormones that are going berserk.

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And you should create a support

system for those tough days.

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Remember, everyone's experience is

different, and that's totally okay.

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What matters is understanding your own

pattern and finding what works for you.

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Before we end today's episode, I

want you to know that if you are

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struggling with these changes,

You are definitely not alone.

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Millions of women are on the

same journey, and together we're

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learning more every single day.

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And that's all for today's episode.

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If you found this helpful, don't forget

to like, subscribe, and share with

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someone who might need to hear this.

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I will see you next time.

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Take care.

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