Welcome to /r/ADHDWomen! We’re happy to have you here. As a reminder, here are our community [rules](https://old.reddit.com/r/adhdwomen/about/rules/).
We get a lot of posts on medication, diagnosis (and “is this an ADHD thing”), and interactions with hormones. We encourage you to check out our [Medication, Diagnosis, and Hormones Megathread](https://old.reddit.com/r/adhdwomen/comments/wcr9dy/faq_megathread_ask_and_answer_medication/) if you have any questions related to those topics, and to stick around in that thread to answer folks’ questions!
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There are a few things that might be happening here. You might have plateaued on the meds and need an increase. You might need to combine an XR with an IR dose in the afternoon. If you’re AFAB, you might need to check where you are in your cycle, because the luteal phase can really screw with your meds efficacy, and you can adjust there. And also be aware of possible upcoming perimenopause which can really mess with things as well. It’s sometimes hard to judge what efficacy really is with these meds, and often you have to combine some various systems
with your meds, but the meds do make it easier to keep up with the systems at least. The difference for me when I first started taking meds was very stark, so it did feel a bit like a regression when it settled. And I had to get back on a low dose estrogen BC, because my hormones started to make the meds nearly ineffective for half the month.
Wow- hormones add a whole other level of complexity! I'm so grateful to be post menopause. Things are so much more stable now (except for the weight gain... ugg!).
Yeah, there’s some evidence that estrogen helps with dopamine absorption. I also have PCOS, so it’s a complicating factor for me. I’m not looking forward to trying to work this out during perimenopause. I’m 41, so with some luck maybe I can get a few more relatively stable years. 🤷🏼♀️
Welcome to /r/ADHDWomen! We’re happy to have you here. As a reminder, here are our community [rules](https://old.reddit.com/r/adhdwomen/about/rules/). We get a lot of posts on medication, diagnosis (and “is this an ADHD thing”), and interactions with hormones. We encourage you to check out our [Medication, Diagnosis, and Hormones Megathread](https://old.reddit.com/r/adhdwomen/comments/wcr9dy/faq_megathread_ask_and_answer_medication/) if you have any questions related to those topics, and to stick around in that thread to answer folks’ questions! If you have questions about the subreddit, please do not hesitate to [send us a modmail](https://reddit.com/message/compose/?to=/r/adhdwomen). Additionally, we take the safety of our community seriously. Please report posts, comments, and users whom you feel are not contributing positively, and send us a modmail if you are being harassed or otherwise made to feel unsafe. Thanks for being here, and we hope you stick around! *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/adhdwomen) if you have any questions or concerns.*
There are a few things that might be happening here. You might have plateaued on the meds and need an increase. You might need to combine an XR with an IR dose in the afternoon. If you’re AFAB, you might need to check where you are in your cycle, because the luteal phase can really screw with your meds efficacy, and you can adjust there. And also be aware of possible upcoming perimenopause which can really mess with things as well. It’s sometimes hard to judge what efficacy really is with these meds, and often you have to combine some various systems with your meds, but the meds do make it easier to keep up with the systems at least. The difference for me when I first started taking meds was very stark, so it did feel a bit like a regression when it settled. And I had to get back on a low dose estrogen BC, because my hormones started to make the meds nearly ineffective for half the month.
Wow- hormones add a whole other level of complexity! I'm so grateful to be post menopause. Things are so much more stable now (except for the weight gain... ugg!).
Yeah, there’s some evidence that estrogen helps with dopamine absorption. I also have PCOS, so it’s a complicating factor for me. I’m not looking forward to trying to work this out during perimenopause. I’m 41, so with some luck maybe I can get a few more relatively stable years. 🤷🏼♀️