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Bipolar disorder is a mental health condition that involves ificant changes in mood and other symptoms. Some characteristics of the condition and its impact can be different for females, compared with males. Bipolar disorder can start at any age, and it develops in males and females at equal rates. However, there are differences. For example, the condition may start later in females, who may have longer periods of depression symptoms, and these may follow different seasonal patterns than similar symptoms in males.

And if a person mainly experiences depression, it can make their bipolar disorder harder to diagnose. Females may also have a higher risk of conditions that can accompany bipolar disorder, such as migraine, thyroid problems, obesity, and anxiety disorders. In addition, and crucially, pregnancy, menstruation, and menopause can affect symptoms and treatment options for bipolar disorder.

Symptoms of mania or hypomania in males and females include :. Researchers have not found that symptoms of mania affect females differently from males. Many people with bipolar disorder also experience at least one episode of depression , which can be severe. Bipolar psychosis , which may involve delusions, paranoia, or hallucinations, can happen when episodes of mania or depression are severe.

Learn more about the symptoms of bipolar disorder. In females, research suggests that bipolar II is more common than bipolar I. A person with bipolar II experiences depression and hypomania, a less extreme form of mania. In females with bipolar disorder generally, depressive symptoms are more likely to be dominant.

In fact, females with the condition are twice as likely to experience depression as males. Females are also more likely to experience psychosis with depression. Because depressive symptoms tend to be dominant, females with bipolar disorder often receive an incorrect diagnosis of depression. Learn more about the different types of bipolar disorder.

Some studies have suggested that mixed episodes are more common among females. Rapid cycling, in which moods change quickly in a short period, also seems to be more common among females. According to the DSM-5 , a female with bipolar II is more likely to alternate rapidly between episodes. What causes rapid mood changes? Females are more likely to need hospital treatment for bipolar disorder in the spring and fall, compared with males, whose symptoms are more likely to peak in the spring.

Females may also have a higher risk of depressive symptoms in the fall and winter, compared with the spring and summer. The DSM-5 reports that females with bipolar disorder are more likely to have a higher genetic risk of alcohol use disorder and a higher rate of lifetime eating disorders than males. Other conditions and factors affecting health more commonly linked to bipolar disorder in females include:.

A review found that females with bipolar disorder were two to three times more likely to attempt suicide than males. Research from also reviewed the risk of suicide in males and females with bipolar disorder. The team found that predictors of suicide risk in females included:.

What is the difference between borderline personality disorder and bipolar disorder? Research confirms that the social, as well as the more clinical, effects of bipolar disorder can be different for females. A review concluded that females are more likely than males to face:. Economic factors also influenced the experience of bipolar disorder among the study participants. Those who reported having a safe place to live and help with childcare and family responsibilities tended to manage better.

Participants with less privileged socioeconomic backgrounds and participants from marginalized groups, including Black Americans, were more likely to face abuse and experience other risk factors for psychosis. These participants were also more likely to work full-time and have full responsibility for caring for their families. A lack of support and safe living conditions, abuse, and other factors can increase the risk of severe symptoms of bipolar disorder and make the symptoms harder to manage.

Learn more about how race affects the experience of bipolar disorder. Do people who are gay have a different experience of bipolar disorder? Bipolar disorder usually starts in early adulthood, though the symptoms can develop at any time. Research indicates that the symptoms tend to emerge later in females than in males and that females are more likely to experience the first symptoms in their 50s.

Research suggests that among females with bipolar disorder:. One study found that becoming a new parent strongly increased the risk of a severe episode among females with bipolar disorder, but not males. This supports the idea that hormonal factors may play a role. However, the authors noted that females are also more likely than males to experience sleep problems in the early days as a parent, which can also be a trigger.

Anyone with bipolar disorder who is pregnant or planning to become pregnant should discuss the possible effects and any necessary changes to treatment with their healthcare team. Research suggests that symptoms of bipolar disorder may worsen at the premenstrual stage of the menstrual cycle. The hormones present around menstruation may slightly alter the effect of lithium Eskalith, Lithobid , a treatment for bipolar disorder. This may reduce the effectiveness of the medication. Some research has found that females over 40 may have higher dosages of medication than younger females.

In addition, females who use hormone-based treatment for menopause symptoms seem less likely to have a worsening of bipolar disorder symptoms. Options include :. Some medications for bipolar disorder, such as carbamazepine Tegretol , can affect how birth control pills work because they increase the production of liver enzymes. While there are clear reasons for some differences in treatment, some experts in Sweden have suggested that gender bias may lead to other disparities.

Here, learn more about treatments for bipolar disorder. Bipolar disorder itself does not appear to affect the safety of a pregnancy. However, some treatments can pose a risk to the unborn or breastfeeding baby. On the other hand, stopping treatment may increase the risk to the pregnant person. In some cases, medications can worsen or trigger symptoms of bipolar disorder. For example, treating postpartum depression with antidepressants may increase the risk of psychosis, mania, and rapid cycling.

In people with a family history of bipolar disorder, it may trigger the first symptoms. It is crucial for a person and their doctor to weigh the risk of symptoms with the risk of adverse effects when developing a treatment plan. This may change before, during, and after pregnancy. For a person with severe symptoms, a doctor may recommend ECT, but experts recommend this only as a last resort.

Anyone with bipolar disorder who is considering pregnancy or pregnant should speak with their healthcare team, especially if bipolar symptoms are present. Can natural remedies help manage bipolar disorder? Bipolar disorder affects females and males at equal rates. However, the characteristics and the effects of the condition can be different for females, who are more likely to experience depressive symptoms and a range of linked conditions.

Menstruation, pregnancy, and menopause can all affect bipolar disorder symptoms and the treatment options. In addition, females may face additional pressures, especially if they have little support and are otherwise marginalized or underprivileged. Bipolar disorder usually appears in young adulthood, but it can arise in teens and children. Here, learn about characteristics, support strategies…. Bipolar disorder blogs are written by mental health professionals and individuals who are living with bipolar disorder. We have selected the best…. Research finds deep links between biological aging, bipolar disorder, and brain structure.

Telomere length may be a new marker for psychiatric…. Scientists have identified a brain mechanism making siblings of bipolar people resilient to the disorder and hope it will be the key to its prevention. Bipolar II disorder involves episodes of elevated mood and depression. Learn how it differs from bipolar I, how to recognize it, and which treatments…. s of bipolar disorder in women and treatment options. Symptoms in women Can it start later in life? Hormonal changes Treatments Treatment around pregnancy Summary Bipolar disorder is a mental health condition that involves ificant changes in mood and other symptoms.

Bipolar disorder symptoms in females. Can bipolar disorder start later in life? Menstruation, pregnancy, and menopause. Bipolar treatment risks around pregnancy. Latest news Does gluten sensitivity exist? Cholesterol-lowering jab could save over 30, lives. Related Coverage. The 10 best bipolar blogs Bipolar disorder blogs are written by mental health professionals and individuals who are living with bipolar disorder. Bipolar disorder speeds up biological aging Research finds deep links between biological aging, bipolar disorder, and brain structure.

Bipolar disorder: Brain mechanism could be key for prevention Scientists have identified a brain mechanism making siblings of bipolar people resilient to the disorder and hope it will be the key to its prevention.

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