Information on ADHD/Autism in Women and the Menopause

Advice and Information - 25 February 2026

For many women, managing ADHD or autism during menopause can feel overwhelming. Symptoms may intensify, daily life can become more challenging, and receiving a new diagnosis at this stage of life can add another layer of uncertainty. A combination of medical guidance, emotional support, and practical lifestyle strategies can make a meaningful difference.
menopause

Diagnosed later in life

Many women realise they may be autistic or have ADHD for the first time during perimenopause, because the coping strategies they relied on earlier in life become harder to maintain. A late diagnosis is extremely common, and several factors contribute to this:

  • Masking and coping strategies: Women often learn to compensate for their difficulties, making symptoms less visible to others.
  • Overlapping conditions: Anxiety and depression frequently occur alongside ADHD or autism, which can lead professionals to focus on those issues instead of the underlying neurodevelopmental condition.

How menopause affects ADHD and Autism symptoms

Hormonal changes during perimenopause and menopause can significantly affect cognitive and emotional functioning. Oestrogen plays a key role in memory, attention, and mood regulation. As levels fluctuate or decline, women with ADHD or autism may notice:

  • Increased forgetfulness
  • Difficulty concentrating
  • Heightened sensory sensitivity
  • Worsening anxiety or low mood

These changes can make existing neurodevelopmental traits feel more intense or harder to manage.

The role of HRT and other support

Hormone Replacement Therapy (HRT) may help some women by stabilising hormone levels and easing menopause‑related symptoms that interact with ADHD or autism. Decisions about HRT should always be made with a healthcare professional, taking into account personal health history and preferences.

Additional ways to support wellbeing

A holistic approach often works best. Helpful strategies can include:

  • Education and understanding: Learning how menopause interacts with ADHD or autism can empower women to advocate for themselves and seek appropriate support.
  • Therapeutic support: Approaches such as cognitive behavioural therapy (CBT) can help with emotional regulation, organisation, and coping skills.
  • Medication review: Women already taking ADHD medication may benefit from adjustments during menopause, under medical supervision.
  • Lifestyle habits: Regular exercise, balanced nutrition, and good sleep routines can support both cognitive and emotional health.
  • Community and connection: Support groups, online or in person,  can reduce feelings of isolation and provide practical advice from others with similar experiences.

Navigating menopause while managing ADHD or autism can be a uniquely challenging experience. With the right combination of medical care, emotional support, and self‑care strategies, women can find relief and regain a sense of balance. No one should feel alone during this transition, and understanding the connection between these conditions can be a powerful first step.

1. Speak to your GP about an ADHD and/or Autism Assessment

You can request assessment at any time, mentioning how menopause has amplified symptoms can help frame the urgency.

2. Get onto a waiting list early

NHS waits can be long. Getting your name on the pathway now helps you and your later.

3. Consider local peer support while waiting

Groups such as First Point, GMAC or Respect for All (for groups only until April 2026) can provide validation and coping strategies. 

4. Explore specialist menopause resources

The National Autistic Society menopause guide is an excellent place to start.
Menopause

5. Keep a symptom diary

Track emotional changes, sensory overwhelm, focus issues, sleep, and cycles, helpful for GP appointments.

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