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Hormones and Migraines

From the Menopause and Hormones Articles List

Woman with migraine headache from hormonesIs there a connection between hormones and migraines?


For women, there can be a connection between hormones and migraines. Hormonal migraines can occur in conjunction with your period, when using oral contraceptives or hormone replacement therapy (HRT), or during menopause.

You could experience a headache if your estrogen or progesterone levels are too low or from fluctuating hormone levels. The key to preventing hormonal headaches can be keeping your hormone levels steady. You may be able to keep your hormones level by using some type of hormonal treatment, but it can take some trial and error to find the right choice for you.

As with other migraines, there is no one size fits all solution for hormonal migraines. For instance, one of the surprising facts about migraines is that while some women find oral contraceptives cause or worsen their migraines, other women find oral contraceptives work to prevent or decrease their hormonal migraines. If you choose to try oral contraceptive, there are many different options you could consider. You and your doctor will also need to determine if you should use pills which are estrogen only, progestin only, or a combination of estrogen and progestin. To eliminate the drop in estrogen while using the inactive pills, you may need to supplement with another type of estrogen. Alternatively, you could eliminate the inactive pills and use the active pills continuously.

If you choose HRT, you may need to try a variety of types and hormone delivery systems to find one that will keep your hormone level steady. Some choices can cause levels to rise and fall as your body absorbs them, so you’ll want one with the least amount of fluctuations. You will also need to work with your doctor to determine if you should use estrogen only or combine it with progesterone/progestin.

As with other migraine treatments, treating your hormonal headache as early as possible can increase your chance for relief. If you still have your ovaries, keeping a detailed headache diary can help you track hormonal migraines, even if you no longer have a period following your hysterectomy. This way, you can use prophylactic treatment a day or two before a hormonal migraine would begin.


This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

07-25-2015 - 03:19 PM


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