44. Hormones, ADHD & Perimenopause: What No One Tells You

Season #1

Summary:

Kate Bailey unpacks the deep and often misunderstood connection between ADHD, estrogen, progesterone, and perimenopause. In this science-backed episode and through her own story of hormonal upheaval, she demystifies what’s really happening in the body during midlife transitions and how these shifts impact motivation, mood, focus, fertility, and overall mental health. You’ll learn how estrogen supports dopamine, why ADHD medication can suddenly stop working, and how to advocate for yourself in a healthcare system that routinely overlooks women—especially neurodivergent, queer, disabled, and women of color. This episode is a must-listen for anyone navigating hormonal changes, fertility questions, or midlife fatigue, and for every woman ready to reclaim her body, voice, and brilliance through informed, inclusive care.

Keywords: ADHD and hormones, perimenopause symptoms, estrogen and dopamine, neurodivergent women, hormone replacement therapy, progesterone anxiety, fertility and perimenopause, menopause brain fog, women’s health advocacy, Kate Bailey podcast

Takeaways:
✔️ Estrogen supports dopamine—the neurotransmitter behind focus, motivation, and mood—so ADHD symptoms often worsen when estrogen drops.
✔️ Low progesterone impacts sleep, anxiety, and early pregnancy stability; it’s one of the most overlooked hormonal factors in women’s health.
✔️ Perimenopause can last 4–10 years, creating major shifts in energy, focus, and emotion that are biochemical, not personal failures.
✔️ Continuous HRT can suppress ovulation, but cyclical hormone therapy may preserve fertility while supporting hormone balance.
✔️ Neurodivergent women need hormone-informed care; medication adjustments alone aren’t enough.
✔️ Tracking your cycle, energy, and ADHD medication effectiveness can help you self-advocate and find real solutions.


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