ADD/ADHD in Women and Sex

ADHD is not gender-exclusive, yet its symptom presentations and consequences can differ between men and women. Women with ADHD often find themselves dealing with a myriad of symptoms extending beyond what most people think ADHD is. From managing emotional dysregulation to coping with executive function deficits, ADHD symptoms can have effects on sexuality.

While attention-deficit/hyperactivity disorder (ADHD) is often associated with challenges in attention, focus, and impulsivity, its impact on sexual health and relationships is an area that needs more exploration. In this article, we delve into the unique experiences of women with ADHD and their intimate lives.

Despite its importance, discussions about ADD/ADHD and sex are often sidelined, especially when considering its impact on females. This lack of discourse led to misconceptions, stigma, and a shortage of accessible resources for ADHD women. Our goal is to address this gap by offering insight, validation, and practical strategies for women with ADHD seeking fulfilling and empowering sex lives.

adhd in women

How does ADD or ADHD affect a woman’s sex life?

Focus and Libido

Women with ADHD may struggle to maintain focus during sexual activity, which can interfere with arousal, libido, and enjoyment. Distractions, racing thoughts, and difficulty staying present in the moment can make it challenging to fully engage in sexual experiences.

Impulsivity and Risky Behavior

Impulsivity, a common trait in ADHD, can lead to risky sexual behaviors. This includes unprotected sex or engaging in sexual activities without proper consideration of consequences. As a result, women with ADD might experience more unintended pregnancies, sexually transmitted infections, and other health concerns.

Emotional dysregulation

ADHD can contribute to emotional dysregulation, causing mood swings, irritability, and difficulty managing emotions. These fluctuations in mood can impact sexual desire, intimacy, and overall satisfaction in relationships.

Sensory issues

Another effect ADD can have on a woman’s sexuality is it can cause them to be very sensitive. Some women don’t enjoy the act of receiving oral sex because the sensations feel more painful and/or irritating than anything else. These are all completely normal symptoms.

ADD/ADHD can also cause hypersexuality or hyposexuality

Hypersexuality is the desire to have sex too much, and hyposexuality is the lack of desire to have sex. And these things are also a symptom of depression and anxiety, which can sometimes go hand-in-hand with ADD. All of these symptoms can wreak havoc on relationships or sex in general.

Executive Functioning Challenges

Executive functioning deficits, such as difficulties with organization, planning, and time management, can affect various aspects of sexual relationships. Women with ADHD may struggle with initiating sexual activity, maintaining routines for contraception, or communicating their needs and desires to their partners effectively.

Self-Esteem and Body Image Issues

ADHD and ADD can contribute to low self-esteem and body image issues, which impact a woman’s confidence and comfort level during sex. Negative self-talk, feelings of inadequacy, or concerns about performance can diminish sexual satisfaction and hinder intimacy.

Medication Side Effects

Some medications commonly prescribed for ADHD, such as stimulants, can have side effects that affect sexual function. These may include decreased libido, difficulty achieving orgasm, or changes in sexual arousal.

Coexisting Conditions

Women with ADHD often have coexisting mental health conditions such as depression, anxiety, or trauma-related disorders, which can further complicate their experiences with sexuality. These conditions may exacerbate symptoms of ADHD or introduce additional challenges in sexual relationships.


There is no cut and dry or quick solution for any of this. It all takes a lot of time, communication, and patience. But if there is a desire to try and improve one’s sex life while suffering from ADD, communication is one of the most important aspects of receiving treatment.

Whether you simply communicate with your partner or a professional sex therapist, it can help a great deal. After discussing with a partner, there are relaxation methods a couple can try together.

Once knowing the issues, a sexual partner will also be more aware and less likely to do the things that may cause irritation or discomfort during sex. Smells, sounds, even the texture of bedsheets can distract a person with ADD during intimate moments.

Once a partner knows this, they’re more likely to avoid using those things that might cause sensitivity. Or at least they might try to be more understanding when the intimate nights don’t go exactly as planned.