If you have ADHD and you’re in your late 30s or 40s, you might have noticed that perimenopause feels extra intense. You’re not imagining it. Research shows women with ADHD report more severe symptoms than women without ADHD, mentally, physically, and in the urogenital area. Here’s what that looks like: • Mood & brain: Anxiety, irritability, feeling “off” more often • Body: Hot flashes, exhaustion, sleep struggles • Urogenital: Vaginal dryness, bladder issues The hardest-hit age? 35–39, where dif