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ADHD in Women - Getting an Accurate Diagnosis and Treatment Women who aren't attentive ADHD may have difficulty maintaining their daily obligations. This can lead to problems at school and work. The symptoms may be worsened by hormonal changes that occur during the menstrual cycle, pregnancy or menopause. This can make diagnosis, and treatment difficult. Rating scales that employ normative samples dominated by males or mixed samples could be harmful for female patients. Other tools, such as Nadeau and Quinn checklists, offer female norms that can improve diagnostic a