Trying to discern what’s perimenopause and what’s ADD is tricky because the same hormones are involved. ADHD is associated with lower dopamine levels, so when those levels start dropping [in perimenopause and menopause], ADHD behavior might increase,” he says. You don’t know if it’s the chicken or the egg.”Trying to discern what’s perimenopause and what’s ADD is tricky because the same hormones are involved. Perimenopause, Menopause, Other Indignities, and You.” Menopause start-ups, boutique healthcare, celebrity-owned product lines and more, Corinna points out, are stepping into the breach where a much larger body of research should be. “The algorithm is not designed to make you feel good or happy, but to feel like, if I don’t read all of this, I’ll be in danger.