Migraine
Migraines often change with hormones — around periods, in perimenopause and after menopause. Understanding the pattern helps find the right treatment, including whether HRT is suitable.
Hormones and migraine
Falling oestrogen can trigger migraine, which is why many women notice attacks around their period. In perimenopause, when hormone levels swing more widely, migraines often become more frequent before many women find they improve after menopause.
Is HRT safe if you have migraines?
For most women with migraine, HRT can be used, and a steady dose through the skin (patch, gel or spray) is usually preferred because it keeps hormone levels more even. We separate the myths from the evidence. Your specialist will consider your migraine type and history.
How we can help
A specialist consultation maps your migraine pattern against your cycle and hormones, reviews current treatment, and agrees a plan — including HRT options where appropriate. A letter goes to your GP after every appointment.
Sound familiar?
Our specialists assess and treat migraine at 8 UK clinics and online.
How we treat it
- Specialist consultation A 45-minute assessment of how your migraines relate to your hormones, with a written plan. About consultations
Frequently asked questions
Can perimenopause make migraines worse?
Often, yes. Wider swings in hormone levels can make migraines more frequent or severe during perimenopause.
Can I take HRT if I have migraine with aura?
Many women with migraine with aura can use HRT through the skin, which is generally preferred. It depends on your individual history, so it should be discussed with a specialist.
From our knowledge library
Myths about Migraines and Menopause Hormone Therapy
Navigating Migraines and Menopause: Debunking Myths About Hormone Therapy Among the many symptoms of menopause, migraines can be particularly challenging for those…