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What’s the ADHD and PCOS (PMOS) Link?

Wooden letter blocks that spell out "PCOS"

“What’s the ADHD and PCOS Link?” was written by Nirositha Gunaratnam and edited/reviewed by Maurya Hart, BSc, RD and Jackie Silver MHSc, RD.

Medical Disclaimer: The information in this article is meant for educational purposes only. It is not intended to be personalized medical or nutrition advice. For a plan tailored to your needs, please consult with a Registered Dietitian or qualified healthcare professional.
Disclosure: This post may contain affiliate links with which I may earn a small commission but at no additional cost to you. Affiliate links help bloggers like me to provide you with free content. All opinions expressed here are genuine. 

Last updated: July 25, 2026

Introduction to ADHD and PCOS (PMOS): What’s the Link?

ADHD and PCOS (PMOS) may seem like very different conditions, but research suggests there could be a connection between them. In this blog, we will take a closer look at what ADHD and PCOS / PMOS are, and then explore what the research says about how they may be linked. 

We will also discuss some of the unique challenges people with ADHD may face when living with PCOS. Finally, we will share practical, supportive strategies for managing PCOS alongside ADHD. 

What is ADHD?

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental condition that affects how the brain develops and functions. Symptoms often begin in childhood and typically persist into adulthood, affecting focus, organization, impulse control, and emotional regulation. Although there is no cure for ADHD, behavioral therapies and medications can help manage symptoms and support one’s daily functioning.

What is PCOS (PMOS)?

The condition previously known as Polycystic Ovary Syndrome (PCOS), which was recently renamed as Polyendocrine Metabolic Ovarian Syndrome (PMOS) in May 2026, is one of the most common hormonal disorders in people of reproductive age, approximately affecting 1 in 8 (approx. 12%) people assigned female at birth (AFAB).

A cutout in the shape of an ovary with scrabble letters that spell out PCOS

Diagnosis is commonly based on the Rotterdam Criteria. In adults aged 20 years and older, at least two of the following must be present:

  1. Irregular periods or issues with ovulation (the monthly release of an egg from the ovaries) 
  2. Signs of high androgens (a group of hormones typically found in high amounts in males and lower amounts in females, e.g., testosterone)
  3. Appearance of polycystic ovaries on ultrasound or elevated anti-Müllerian hormone (AMH) levels on bloodwork. 

Polycystic ovaries refer to the appearance of the ovaries on an ultrasound. They may look larger than usual and contain many small, fluid-filled sacs (follicles) around the edges, often linked to irregular ovulation.

Anti-Müllerian hormone (AMH) is made by the ovaries in females and can be measured with a blood test to estimate the ovarian reserve (the number of eggs remaining). AMH levels naturally decrease with age and may also be used, along with other information, to help assess conditions such as PMOS.

In adolescents, ages 10-19 years, the first two criteria must be present for a diagnosis.

The Lancet introduced the name change to better reflect this condition’s effects on hormones, metabolism, and overall health, rather than focusing solely on the ovaries. Although “PMOS” is becoming more common in research and healthcare, “PCOS” remains the most recognizable, so we will use both terms for better clarity and visibility.

What Causes PCOS (PMOS)?

PMOS is a complex condition without a known single cause. Current evidence suggests that it develops from a mix of genetics, hormonal, metabolic, and environmental factors. One important mechanism seen in many individuals is insulin resistance, which may explain several features of PMOS. 

We will explore a few causes in this section:

An infographic explaining the different causes of PCOS
  1. Insulin resistance

Insulin resistance occurs when our cells do not respond effectively to insulin. Insulin is a hormone made by the pancreas that helps move glucose (sugar) from the blood into cells for energy.

Without enough insulin or when our cells become less responsive to insulin, sugar can increase in the blood, causing the pancreas to produce more insulin to help lower blood sugar levels. High insulin can stimulate the ovaries to produce more androgens, which helps explain some of the hormonal imbalances related to PMOS

The rates of insulin resistance are high among people with PMOS, with a reported prevalence ranging from 75-95% based on body weight. Insulin resistance also increases your risk of developing type 2 diabetes, but it does not always indicate that you currently have diabetes or high blood sugar.

  1. Genetic link

Research has identified hundreds of gene differences associated with PMOS risk (about 241). Some of these genes control hormones such as insulin, testosterone, estrogen, and reproductive-related hormones (e.g., Follicle-Stimulating Hormone (FSH)). Inheriting these genetic differences from your parents can increase your chance of developing PMOS.

  1. Prenatal hormonal exposure

Pregnant individuals with PMOS often have higher levels of hormones such as AMH and testosterone. Research suggests that when a fetus is exposed to these higher hormone levels during pregnancy, it can affect fetal development and increase the risk of developing PMOS later in life

Animal studies support this idea; for example, Tata et al. (2018) found that injecting pregnant mice with AMH led to higher testosterone levels in utero, and the offspring had PCOS-like symptoms after birth.

A pregnant woman has her hands on her belly - ADHD and PCOS
  1. Prenatal chemical exposure

Exposure to certain chemicals during pregnancy, like BPA (a hormone disruptor), may influence PMOS development in children by affecting fetal development

BPA stands for bisphenol A, a type of chemical commonly found in certain plastics and resins. Some common products containing BPA include water bottles, plastic food containers, food cans, and dental sealants

Higher BPA levels have been observed in individuals with PMOS, including adolescents, and these levels are associated with higher androgen levels. Thus, BPA may increase the risk of PMOS by increasing androgen levels.

  1. High androgen levels

Androgens refer to a group of sex hormones. One of the most common hormones is testosterone. Androgens play a key role in reproductive health and development, bone density, muscle growth, and puberty. They are naturally more in males, but everyone has androgens

Many individuals with PMOS have higher levels of androgens for unknown reasons. High levels of androgens may be linked with the presence of insulin resistance. This hormonal imbalance can contribute to symptoms such as acne, excess hair growth, hair thinning, and irregular periods. It can also disrupt ovulation, contributing to the development of polycystic ovaries.

  1. Oxidative stress and inflammation

Oxidative stress occurs in our bodies when there are too many chemicals called reactive oxygen species (ROS). These chemicals can damage the body’s DNA, proteins, and cells.

In PCOS/PMOS, oxidative stress may be driven by factors such as insulin resistance, high blood sugar, obesity, and long-term inflammation. Oxidative stress can worsen PMOS symptoms like infertility, insulin resistance, inflammation, and androgen levels, and it can increase the risk of ovarian and endometrial cancer.

A woman with ADHD and PCOS is laying on her couch and grabbing her stomach

What are the Symptoms of PCOS (PMOS)?

Here is a brief list of common symptoms of PMOS. Symptoms can vary significantly from person to person, so your symptoms may align or differ from this list.

An infographic listing the various symptoms of PCOS
  1. Weight changes and higher body weight

About 40-50% of people with PMOS experience a higher body weight or difficulties maintaining a weight that feels healthy and sustainable for them. A major reason for this is underlying insulin resistance, and it is not because of an individual’s lifestyle habits (e.g., diet, exercise). 

Insulin resistance can contribute to weight gain because excess sugar in the blood is more likely to be stored as body fat. This is the body’s way of preventing high blood sugar levels from causing damage.

  1. Darkening of the skin (acanthosis nigricans)

This condition appears as darker patches of skin, commonly found around the neck, armpits, groin, or under the breasts.

  1. Polycystic ovaries

Small underdeveloped follicles (“baby eggs”) may collect in the ovaries instead of fully maturing and being released during ovulation. These are not cancerous and generally do not need removal. 

  1. Skin tags

Small flaps of extra skin may develop, particularly around the neck or underarms.

A close up of someone's neck with skin tags
  1. Hair thinning

Some individuals may notice signs of thinning hair, including patches of hair loss, a widening middle part, or a receding hairline.

  1. Hirsutism

This condition refers to excessive, thick, dark hair growth in areas such as the face, chest, or back, in a pattern more commonly associated with males, as it is driven by androgens.

  1. Infertility

Refers to difficulty with getting pregnant. PMOS is one of the most common causes of infertility in people AFAB (assigned female at birth).

  1. Irregular periods

Periods may become irregular, infrequent, or completely absent due to less ovulation.

Both ADHD and PCOS/PMOS are chronic conditions that cannot be cured, but both can be managed with the support of healthcare professionals and individualized treatment.

Someone is crossing out dates in their calendar, keeping track of their period cycle

What are Treatment Options for PCOS (PMOS)?

Since PMOS presents differently for all individuals, without surprise, treatment is highly specific to the person’s symptoms, goals, and overall health. Management often includes a combination of lifestyle approaches, medications, and other therapies.

Managing insulin resistance

Metformin

A common medication often used to support insulin resistance or treat diabetes, it may also help with irregular periods in PMOS. It can be associated with GI symptoms (such as loose stool) in some patients and the potential risk of low vitamin B12 levels, especially in those with diabetes, vegan diets, or pernicious anemia.

Glucagon-like peptide-1 (GLP) Medications

These are a category of medications used to help reduce blood sugar levels and promote weight loss; some types include: semaglutide, liraglutide, dulaglutide. They may be beneficial for some with PMOS. Studies show promising benefits such as:

  • Lower blood sugar levels
  • Help with weight loss
  • Reduced blood pressure

Diet and Lifestyle Modifications

Diet changes, such as selecting foods that cause a slower rise in blood sugar and increasing protein and fiber, can help stabilize blood sugar levels. Regular exercise can also help the body better use sugar by moving it into the muscles for energy. We’ll explore these strategies in more detail later in this blog.

A woman is running up the stairs, a good exercise for managing ADHD and PCOS

Managing irregular periods

Combined contraception (contains both estrogen + progesterone)

Commonly prescribed to help regulate periods and improve hormonal imbalances in both adults and adolescents.

Progestin-only contraception

It may be preferred when estrogen cannot be used or is not desired. 

Managing hirsutism

Spironolactone medication

Often used at doses of 25-100 mg/day and is generally well-tolerated. There is a risk of potassium toxicity, especially for those with compromised kidneys or taking certain medications. Spiranolactone is a type of anti-androgen that works by blocking some androgens from attaching to cells, preventing the growth of thick, coarse hair. 

Eflornithine hydrochloride

A topical cream, which is used daily to slow new hair growth in unwanted areas.

Cosmetic and skincare approaches: bleaching, shaving, waxing, electrolysis, and laser hair removal may be used.

Managing acne

Topical treatments (e.g., retinoids, prescription-strength benzoyl peroxide, and topical antibiotics)

Spiranolactone medication

Over-the-counter products such as cleansers, gels, foams, and spot treatments may help manage mild to moderate acne. Common ingredients include benzoyl peroxide, adapalene, salicylic acid, azelaic acid, and alpha hydroxy acids.

A close up of a woman's skin with acne

Managing alopecia (hair loss)

Anti-androgen medications (e.g., Spironolactone)

Minoxidil

It is available as an oral prescription pill or an over-the-counter topical treatment.

Fertility and ovulation support

Letrozole medication

Considered a first-line medication to help people with PCOS who do not have other infertility factors. It may improve fertility by lowering estrogen levels, which can support the growth and development of ovarian follicles through better hormone balance. It may also improve the thickness of the uterine lining and make it more supportive for an embryo to attach

What is the link between ADHD and PCOS (PMOS)?

Research suggests that there may be a connection between ADHD and PCOS, although the relationship is not currently fully understood.

An infographic explaining the link between ADHD and PCOS

1. People with PCOS may experience higher ADHD symptoms

A study by Herguner et al. (2015) found that people with PCOS reported higher levels of hyperactivity and impulsivity symptoms in both childhood and adulthood compared to those without PCOS. Interestingly, the researchers did not find significant differences in inattention symptoms between groups. The authors suggest that higher androgen levels may affect brain dopamine pathways, potentially increasing symptoms of hyperactivity and impulsivity.

However, the role of hormones in ADHD development is mixed. For example, a study by Dinkelbach et al. (2024) found no causal relationship between active testosterone and ADHD in both males and females. 

More research is needed to understand whether hormones directly contribute to ADHD symptoms in people with PCOS

2. People with PCOS are more likely to have children with ADHD

Research suggests that children of individuals with PCOS may have a higher risk of ADHD, autism spectrum disorder (ASD), behavioral difficulties, and schizophrenia

One possible reason is that higher maternal androgen exposure may impact fetal brain development. Researchers also suggest that obesity, insulin resistance, inflammation, oxidative stress, and chronic stress during pregnancy may affect brain and emotional development in offspring.

Print outs of letters that spell out PCOS on a yellow background - ADHD and PCOS

3. ADHD and PCOS can share overlapping challenges

ADHD and PCOS can overlap in symptoms and daily challenges, making both conditions harder to manage together.

Both ADHD and PCOS can increase the risk of sleep difficulties such as obstructive sleep apnea (OSA), insomnia, or delayed sleep phase disorder. You may notice that a lack of sleep is causing long-term tiredness, which can impact your memory, mood, and emotional control. These symptoms can worsen ADHD symptoms throughout the day.

ADHD and PCOS are associated with a higher risk of comorbidities (conditions that occur together), such as depression, anxiety, obesity, and diabetes. Managing multiple conditions at the same time can make it more difficult to follow treatment plans, including maintaining a nutritious diet and taking medications as prescribed. 

How can lifestyle help manage PCOS (PMOS)?

There isn’t one single “PCOS diet” or “PCOS exercise”, but certain lifestyle habits may help support blood sugar balance, inflammation, and hormones to manage PCOS / PMOS symptoms, such as the following:

An infograhpic explaining how lifestyle can help manage ADHD and PCOS

1. Choosing more low glycemic index foods

The glycemic index (GI) measures how quickly carbohydrate-containing foods raise blood sugar levels. Low GI foods cause a slower rise in blood sugar, which may improve insulin sensitivity (make your cells respond better to insulin) and reduce high androgens. This can help support symptoms such as acne, hirsutism, and irregular periods.

For example, a study by Sordia-Hernández et al. (2016) found that women with PCOS who ate a low-GI (higher fiber) diet for 3 months had more ovulatory cycles (periods during which an egg was released) than those on a normal-GI diet.

Examples of low GI foods include:

  • Whole grains (oats, quinoa, barley)
  • Legumes (beans, lentils)
  • Fruits (berries, apples, pears)
  • Vegetables (broccoli, leafy greens, cauliflower)

Simple swaps can help increase low-GI foods without eliminating your favorite or preferred foods:

  • White bread → whole grain bread
  • White rice → brown rice or a mix of white rice and beans

High GI foods do not need to be completely removed; they can be enjoyed occasionally or mixed with low GI alternatives. For example, you can have ½ brown rice with ½  cup white rice, rather than a whole cup of white rice. Also, whole grains may have a stronger flavor, so adding your favorite sauces, spreads, or seasonings can improve their taste and make them easier to include regularly. 

Combining high-GI foods with healthy fats and protein can help reduce blood sugar spikes. For example, you can pair white bread with avocados and a fried egg for a more blood-friendly and nourishing meal!

Various whole grains, great for managing ADHD and PCOS

2. Prioritize fiber and protein

Meals higher in protein and fiber can slow sugar absorption and help prevent blood sugar spikes, which can support better hormonal balance and insulin sensitivity, too. 

High-fiber foods include:

  • Vegetables (broccoli, spinach, carrots)
  • Fruits (berries, apples, pears)
  • Whole grains (brown rice, oats, barley)
  • Legumes (lentils, chickpeas, black beans)
  • Nuts and seeds (chia, flax, almonds)

High-protein foods include:

  • Meat and poultry (chicken, turkey, beef, pork)
  • Dairy products (cheese, Greek yogurt, cottage cheese)
  • Legumes (lentils, beans)
  • Soy-based products (tofu, tempeh, soy milk)
  • Eggs

Including high-protein and fiber foods in meals does not have to be complicated. It can be as simple as adding cubed chicken and canned beans to a salad, or having your morning toast with a side of eggs and fruit.

Simple meal ideas include: 

  • Lentil Bolognese
    • Can add lentils and a handful of frozen veggies (e.g., carrot and broccoli) to the tomato sauce to add extra protein and fiber
    • Can also use high fiber or protein pasta 
  • Chia Seed Pudding
    • Can combine chia seeds with milk of choice, yogurt, and sweetener (e.g., honey, maple syrup) and fruit to make a delicious chia seed pudding high in fiber
      • Pro-tip: You can use Greek yogurt for a protein boost
    • If you need some recipe inspiration, check out our blog post on protein chia seed puddings in three different ways!
3 different flavours of high protein chia pudding, a great type of food to manage ADHD and PCOS

3. Including omega-3-rich foods or supplements

Omega-3 fats can help reduce inflammation, improve insulin sensitivity, and support hormonal balance. A study by Khani et al. (2017) found that omega-3 supplementation for 6 months improved cholesterol levels, waist circumference, and period regularity in people with PCOS compared with placebo.

Sources of omega-3s include:

  • Fatty fish (salmon, sardines, trout, mackerel)
  • Flaxseed, chia seeds, and walnuts
  1. Regular physical activity

Aerobic activities (e.g., brisk walking, running, cycling, and swimming) help muscles use glucose (a simple sugar from carbohydrate foods and our primary source of fuel) more effectively, which helps maintain stable blood sugar levels. International guidelines recommend at least (18-64 year olds):

  • 250 minutes/week of moderate-intensity activity, or
  • 150 minutes/week of vigorous-intensity activity, or
  • A combination of both

Muscle-strengthening exercises should be performed at least two non-consecutive days per week, which may also help with PCOS.

If you are interested in learning more about managing ADHD and PCOS / PMOS through nutrition, our team of experienced dietitian nutritionists at Jackie Silver Nutrition is here to support you with our virtual nutrition counseling. Book a free 15-minute discovery call to learn more.*

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*Currently serving Canadian residents in Ontario, New Brunswick, and Nova Scotia, as well as U.S. residents in select states, including (but not limited to) New York (New York City and New York State), New Jersey, Connecticut, Massachusetts, Pennsylvania, Texas, and California.

How can ADHD and PCOS make it harder to follow a PCOS/PMOS-friendly diet?

If you have both ADHD and PCOS/PMOS, you may find it more challenging to follow dietary patterns that support PCOS. Here are a few potential reasons why:

  1. Appetite changes from stimulant medications

Some ADHD medications can reduce appetite, which may lead to skipped meals. However, regular meals are important in PCOS to support steady blood sugar levels and energy throughout the day. Skipping meals can also lead to fatigue and reduced focus, making it harder to plan and prepare balanced meals.

  1. Executive functioning challenges

ADHD symptoms, such as difficulty with attention, organization, and finishing tasks, can make it harder to plan, shop for, and prepare meals consistently. This can impact key aspects of a PCOS-friendly diet, including regular meals and prioritizing high-fiber, high-protein, low-GI foods.

  1. Cravings for quick dopamine rewards

ADHD can be associated with seeking quick sources of reward, such as sugary foods. While these foods may temporarily boost dopamine and energy, they can make it harder to maintain stable blood sugar levels, which is essential for PCOS management.

An infographic explaining how ADHD and PCOS can make it harder to follow a PCOS-friendly diet

What are some practical tips for managing ADHD and PCOS (PMOS)?

Managing both ADHD and PCOS/PMOS can feel challenging. These strategies aim to make healthy eating more structured, accessible, and ADHD-friendly: 

1. Mechanical eating

This approach uses set times for meals and snacks rather than relying on hunger cues.

A common structure is 3 balanced meals and 2-3 snacks spaced no more than 4 hours apart. This can help support stable blood sugar, steady energy, and prevent extreme hunger later in the day. This method can certainly be adjusted based on your individual needs and preferences (e.g., fewer meals or splitting meals into 2 snacks).

2. Batch cooking and planning ahead

Preparing meals in bulk or making extra portions can reduce decision fatigue, making healthy eating easier on low-energy days. Also, it may be helpful to design a specific schedule for when you will plan meals, shop, and cook.

Using reminders on your phone or a calendar can help you stick to your schedule. An app like Flipp can also make weekly meal planning easier by comparing prices across different grocery stores to find the best deals and by letting you create and manage your grocery list directly in the app.

3 clear Tupperwares with the same food in each

3. Keep no-cook, PCOS-friendly meals and snacks on hand

Having simple no-cook options can reduce barriers to healthy eating when energy or focus is low. 

Meal and snack ideas include:

  • Tuna & Crunch Veg Wrap, with:
    • Canned tuna (in water or olive oil)
    • Pre-washed salad greens
    • Whole-grain wrap
    • Favorite low-sugar dressing/ light mayo/ olive oil + lemon juice + seasonings
    • Optional: cucumber, tomatoes, avocado slices, or canned beans
  • Savory Smoked Salmon Toast, with:
    • Whole-grain bread 
    • Avocado
    • Everything Bagel seasoning
    • Cream cheese
    • Smoked salmon
  • Hard-boiled eggs (store-bought or precooked) with veggie sticks
  • Greek yogurt cups (unsweetened or low sugar) with berries

If you need some more ideas for quick and hassle-free snack and meal options filled with fiber and protein, check out our free Neurodivergent Grab and Go Foods List.

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4. Make PCOS-friendly foods more visible and accessible

Keeping PCOS-friendly foods at the front of the fridge or pantry can make them easier to choose. Less supportive foods can be placed out of sight or purchased less often.

5. Use convenience foods and tools

This can include frozen vegetables, pre-cut produce, canned proteins, and microwaveable grains, making it easier to whip up a nutritious meal.

Appliances like slow cookers, air fryers, and Instant Pots can support meal preparation by requiring less focused attention and reducing the number of cooking steps.

6. Support dopamine in other ways

There are other ways to increase dopamine naturally without the mental and physical effects linked with high sugar intake.

If you have ADHD, you may find the following strategies from our blog post helpful for naturally increasing dopamine: 

  • Eat brain-supporting foods: dopamine is made from an amino acid (protein building block) called tyrosine. Foods rich in tyrosine include eggs, chicken, tofu, dairy, and bananas
  • Engage in physical activity (e.g., going on walks, dancing to songs, running, lifting weights)
  • Participate in enjoyable hobbies (e.g., sports, painting, playing an instrument, gardening)
  • Spending time in natural light
An infographic listing various tips for managing ADHD and PCOS

What type of nutritional supplements can support PCOS/PMOS?

Supplements can be a useful way to address nutritional gaps to support PCOS management. It is important to speak with a healthcare professional first to determine which supplements best support your needs and health.

SupplementNatural sourcesKey role(s) in the bodyPotential importance in PCOS/PMOS
Vitamin DSun exposure, dairy products, and fatty fish (e.g., salmon, sardines, mackerel)Supports bone, metabolic, and hormone healthDeficiency is common among those with PCOS (especially in northern climates)
Low vitamin D may be linked with insulin resistance, heart disease, and metabolic syndrome. It is also important for fertility and lowering androgen levels
Omega-3sFatty fish, tuna, canola oil, chia seeds, flax seeds, walnuts, and edamameComponents of cells, an energy source, and support systems like the heart and hormonesLinked to improved inflammation, lipid levels, insulin resistance, blood pressure, and heart health
Myo- & D-chiro-inositolNaturally produced 
Found in meats, fruits, corn, grains, and legumes
Supports cell development and growth. It supports insulin signaling, which allows glucose to enter cellsEvidence suggests myoinositol allows our cells to respond better to insulin 
Positive effects on improving insulin resistance, ovulation, and egg quality
MagnesiumPumpkin seeds, almonds, cashews, beans, cooked spinach/Swiss chard, and white potato with skinInvolved in building strong bones, regulating blood sugar, blood pressure, and muscle and nerve functionPeople with PCOS may be more likely to have low levels
May also support sleep and anxiety-related symptoms
Vitamin B12Poultry, meat (e.g., beef, pork, lamb), eggs, dairy products, and fortified foods (e.g., dairy alternatives, nutritional yeast)Used to make and support healthy nerve cells, blood cells, and genetic material (DNA)Long-term use of metformin may lower B12 levels, increasing the risk of deficiency
Probiotics / prebioticsSources of probiotics: Fermented foods (e.g., yogurt, kefir, kimchi, sauerkraut)
Sources of prebiotics: Legumes, fruits, certain nuts, seeds, and grains
Probiotics are live microorganisms that have a temporary, beneficial impact. Can include managing antibiotic-related diarrhea and IBS symptoms (e.g., bloating, changes in bowel habits)
Prebiotics are a type of fiber that ferments in the colon and feed beneficial gut bacteria, supporting our gut health, immune system, and more
Probiotics and synbiotics (probiotics combined with prebiotics) have been shown to improve insulin resistance, lipid levels, and hormone balance 
CoQ10Organ meats (heart, liver, kidney), beef, soya oil, sardines, mackerel, and peanutsInvolved in making energy for our body and acts as an antioxidant
An antioxidant is a substance that removes free radicals, which are unstable molecules in the body that can cause damage.
People with PCOS often experience greater inflammation. CoQ10 supplementation in patients with PCOS has been shown to reduce inflammatory compounds in the body.
N-Acetyl Cysteine (NAC)Poultry, yogurt, cheese, eggs, sunflower seeds, and legumesImportant in replenishing glutathione, a type of antioxidant. It can also help in your body’s detoxification process.May improve reproductive function by enhancing progesterone levels and endometrial thickness, which can be crucial in achieving pregnancy.

If you are interested in personalized help navigating supplements for ADHD and PCOS/PMOS, our team of experienced dietitian nutritionists at Jackie Silver Nutrition is here to support you with our virtual nutrition counseling. Book a free 15-minute discovery call to learn more.*

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*Currently serving Canadian residents in Ontario, New Brunswick, and Nova Scotia, as well as U.S. residents in select states, including (but not limited to) New York (New York City and New York State), New Jersey, Connecticut, Massachusetts, Pennsylvania, Texas, and California.

ADHD and PCOS: TL;DR

ADHD is a condition that affects attention, impulse control, organization, and emotional regulation. PCOS (PMOS) is a hormonal and metabolic condition that can affect periods, hormone levels, and insulin. Both are long-term conditions that can be managed but not cured.

There may be a link between ADHD and PCOS, but it is not well understood. Some studies suggest people with PCOS report more ADHD-related symptoms, especially hyperactivity and impulsivity. However, the evidence is mixed, and no clear cause is available. Some research also suggests children of people with PCOS may have a higher risk of ADHD, but more studies are needed.

Both conditions can affect daily life in similar ways, including sleep problems, fatigue, and increased risk of anxiety or depression. When they occur together, these challenges can make it harder to manage both conditions.

ADHD may also make PCOS harder to manage due to:

  • Irregular eating or skipped meals due to stimulant medications
  • Difficulty planning and preparing food
  • Cravings for dopamine-increasing, sugary foods, which affect blood sugar

Helpful strategies to follow a PCOS-friendly diet include:

  • Eating meals and snacks at consistent times
  • Batch cooking and planning meals 
  • Keep no-cook meals and snacks on hand
  • Have the most supportive foods visible and accessible
  • Find alternatives that support dopamine (e.g., tyrosine-rich foods, physical activity, hobbies, and time in sunlight)

PCOS treatment depends on symptoms and may include hormonal birth control, metformin, or medications for acne, hair growth, or fertility support. Some supplements, such as vitamin D, inositol, omega-3s, magnesium, and probiotics, may help but should be discussed with a healthcare provider.

Hands holding out a cutout of an ovary

ADHD and PCOS: Frequently Asked Questions (FAQ)

What is PCOS (PMOS)?

PCOS is a common condition, affecting our bodies’ metabolism, hormones, reproduction, and more. This condition is found in people who are assigned female at birth (AFAB), and affects about 1 in 8 AFAB people.

Common symptoms of PCOS include:
– Weight changes and obesity
– Darkening of the skin (acanthosis nigricans)
– Polycystic ovaries
– Skin tags
– Hair thinning
– Excess, male-pattern hair growth (hirsutism)
– Infertility
– Irregular periods

What are some treatments for PCOS (PMOS)?

Treatment options for PCOS depend on your symptoms, goals, and health conditions. It often involves a combination of medications, lifestyle changes, and other treatments.
Irregular periods: 
– Combined hormonal contraception, progestin-only contraception, and/or metformin 
Excess hair growth (hirsutism):
– Hormonal contraception, spiranolactone, and/or topical treatments like eflornithine cream
– Cosmetic methods, such as waxing, laser, or electrolysis, may also be used
Acne: 
– Hormonal contraception and/or topical skincare treatments such as retinoids, benzoyl peroxide, or antibiotics
Hair thinning (alopecia): 
– Hormonal contraception, anti-androgen medications (e.g., spironolactone), or minoxidil (topical or oral)
Fertility support: 
– Letrozole is often used to help stimulate ovulation in people trying to conceive.
Nutritious diet:
– Focus on low-glycemic index foods, and foods high in protein, fiber, and omega-3s
– Nutritional supplements such as inositol, vitamin D, and magnesium may help with PCOS symptoms
Physical activity:
– As an adult (18-64 years old), aim for: 
– Aerobic activity (e.g., brisk walking, jogging, biking, swimming)
– 250 minutes/week of moderate-intensity activity, or
– 150 minutes/week of vigorous-intensity activity, or
– A combination of both
– Muscle-strengthening exercises (e.g., lifting weights) at least 2 times a week, on non-consecutive days

Is there a link between ADHD and PCOS (PMOS)?

There may be a link between ADHD and PCOS, but it is not well understood. Some studies suggest people with PCOS report more ADHD-related symptoms, especially hyperactivity and impulsivity. However, the evidence is mixed, and no clear cause is available. Some research also suggests children of people with PCOS may have a higher risk of ADHD, but more studies are needed.

Both conditions can affect daily life in similar ways, including sleep problems, fatigue, and increased risk of anxiety or depression. When they occur together, these challenges can make it harder to manage both conditions.

Why is it harder to manage PCOS when having ADHD (PMOS)?

Reduced appetite from medication: Some ADHD medications can reduce appetite and lead to skipped meals, which can affect blood sugar stability and energy levels needed for PCOS management
Executive functioning challenges: Difficulties with planning, organization, and task completion can make it harder to shop for and prepare PCOS-friendly meals regularly
Cravings for high-sugar foods: ADHD may increase the desire for quick dopamine-boosting, sugary foods, which can temporarily boost energy but make blood sugar control more difficult- essential in PCOS management

What helps manage both ADHD and PCOS (PMOS)?

Helpful strategies to follow a PCOS-friendly diet include:
– Eating meals and snacks at consistent times
– Batch cooking and planning meals 
– Keep no-cook meals and snacks on hand
– Have the most supportive foods visible and accessible
– Find alternatives that support dopamine (e.g., tyrosine-rich foods, physical activity, hobbies, and time in sunlight)

Blog Recommendations

Wooden letter blocks that spell out "PCOS"

References

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