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As for the peri or postmenopausal stage, of the 218 participants, the climacteric symptom burden was again, higher in the ADHD group. The climacteric symptom burden, as per an NIH report, refers to: “the overall impact, severity, and frequency of physical, psychological, and urogenital symptoms a woman experiences during the climacteric phase (the transition into and out of menopause). It measures how severely these combined complaints disrupt daily life and lower her overall quality of life.”