Migraines are more than just headaches for many women, they can become an unrelenting burden that intensifies during the perimenopausal and menopausal years. Yet, the connection between hormonal changes and migraine is often under-acknowledged.
Hormones & Headaches: What's the Connection?
Oestrogen plays a critical role in regulating neurotransmitters involved in pain pathways. As oestrogen levels begin to fluctuate during perimenopause, some women experience an uptick in migraine frequency or severity. Conversely, others find their migraines improve after menopause when hormones stabilise at lower levels.
Medication and Management
If you're managing both menopause and migraine, it’s important to choose medications carefully. Some migraine treatments may interact with hormone replacement therapy (HRT), particularly if you have a history of aura migraines. For women with migraine with aura, transdermal oestrogen (via patch or gel) is often preferred over oral HRT due to a lower associated risk of blood clots.
Non-hormonal options like magnesium, riboflavin (vitamin B2), and cognitive behavioural therapy for chronic pain may also be considered. Always consult your GP or menopause specialist before starting any treatment.
Lifestyle Triggers
Keeping a migraine diary can help identify triggers such as:
Poor sleep
Dehydration
Caffeine or alcohol
Stress or skipped meals
Maintaining a regular sleep routine, staying hydrated, eating balanced meals, and managing stress can make a significant difference.
When to Seek Specialist Advice
If your migraines are worsening or affecting your quality of life, seek support. A menopause aware GP or neurologist can guide you through treatment options safely.
Bottom Line: Migraines and menopause can go hand-in-hand, but with tailored care and awareness, you don’t have to suffer in silence.
If you’re struggling with migraines during menopause, our specialist team at Bristol Menopause Clinic is here to help. Book a consultation with one of our experts today and take control of your health.