Overlooked Intersections
Conversations about menopause are becoming more open, but one important perspective often remains underrepresented: the experiences of neurodivergent people. Neurodiversity—an umbrella term that includes autism, ADHD, dyslexia, and other cognitive variations—shapes how individuals perceive and navigate life. When menopause enters the picture, the interaction can be especially complex.
During perimenopause and menopause, many women experience changes that mimic and may be confused with symptoms associated with diagnosed or undiagnosed neurodiverse conditions. Despite increased and hugely warranted interest, there are no studies that specifically examine menopause in females with a formal diagnosis of say ADHD. However, there is research and anecdotal evidence, that relate to the hormonal effects of menopause and its impact on neurodiverse conditions.
Menopause already brings fluctuating hormones, sleep disruption, brain fog, and mood changes. For neurodivergent individuals, these shifts can amplify existing challenges. Someone with ADHD, for example, may find worsening concentration and memory lapses particularly frustrating. Autistic individuals may experience heightened sensory sensitivities or emotional overwhelm when hot flashes or night sweats disrupt routines. The overlap can make it difficult to distinguish what is “menopause” and what is part of one’s neurodivergence.
Unfortunately, many healthcare providers are not trained to recognize how menopause presents differently in neurodivergent people. Symptoms may be dismissed, misattributed, or overlooked altogether. This can delay support, leading to unnecessary distress.
Training and awareness raising, enable us to look at our workplaces and communities and support them and us to be more inclusive, and make changes and adaptations, to support understanding and inclusivity.
Building awareness is essential. Practical strategies—such as structured routines for sleep, visual reminders for memory, and self-advocacy in medical appointments—can help. Peer support groups, both online and in person, provide valuable spaces for sharing coping tools and reducing feelings of isolation. Importantly, workplaces should consider how policies can better accommodate neurodivergent employees navigating menopause, from flexible schedules to quiet spaces.
Recognizing this intersection is not just about health—it’s about dignity. By listening to neurodivergent voices and tailoring menopause support accordingly, we create more inclusive environments where people can thrive. Menopause is a universal stage, but neurodiversity reminds us that the experience is never one-size-fits-all.
For more information about training for your workplace, please contact amanda@akswellbeing.com