Can perimenopause make ADHD feel like a disability?

Personal experience only. I could mask ADHD until peri hit; then work reviews piled up. Official accommodations plus peri treatment helped me function again, not either alone. I waited until I had more than a few dramatic days before I raised it. Some weeks were fine if I slept; other weeks the same routine collapsed. I did not start, stop, or split medicines on my own. Clinic review was slower than I wanted, but safer. This is anecdotal, not a recommendation.

Personal only. I felt broken at 45. Turns out sleep debt plus untreated hot flushes were crushing me on top of ADHD I already had. My notes looked different. Sleep or flushes changed, but the focus pattern still looked like my usual ADHD. I told my clinician I did not want a forum story treated as a protocol. We left ADHD treatment in place and reviewed hormones only for the symptoms they are actually used for. Personal only, not advice.