Courtney T

Actual Nurtec ODT Patient

Women and Migraine

Understanding how migraine affects women

Women are 3 times more likely to suffer from migraine than men. And hormonal changes could be a factor.

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How do hormones affect migraine?

Fluctuations in hormones — specifically estrogen — throughout different stages in life, can bring about new migraine symptoms and changes in symptom severity.

During Menstruation

Two days before your period and in the first three days after it starts, you may experience migraine attacks which are likely triggered by hormonal changes related to menstruation.

This is due to changing estrogen and progesterone levels, that can result in longer and more intense attacks.

During Pregnancy

Many people have reported that their migraine symptoms improved during pregnancy, most notably during the last six months.

After giving birth, hormone levels either increase or decrease which can intensify migraine attacks.

To better understand the connection between your hormonal changes and migraine attacks, consider keeping a journal to document your symptoms and their timing. This information can be invaluable when discussing potential solutions with your doctor.

Changes in hormone levels & migraine

Changes in hormone levels can directly affect migraine severity. Take a look at how different hormonal stages can affect migraine symptoms.

1. Perimenopause

Perimenopause is the stage right before your body begins menopause.

As your hormones fluctuate and estrogen levels drop, your periods become more irregular. This can result in longer and more intense migraine attacks.

2. Menopause

Menopause is the stage right after perimenopause.

Your periods will stop permanently after your estrogen levels go through a sudden decline at the end of perimenopause. Once you enter menopause, hormone levels become stable and remain low. Many people find that their migraine attacks become less frequent or go away completely once their periods stop.

3. Hormone Replacement Therapy

Hormone replacement therapy (HRT) which usually contains estrogen and progestin, can be used to treat symptoms brought on by menopause.

HRT for treating menopause raises estrogen levels, which may cause migraine symptoms to get worse. On the other hand, research shows that HRT can reduce the frequency of attacks in people with migraine who are triggered by fluctuations in hormone levels.

People on HRT for gender-affirming therapy may experience a change in the frequency or severity of their migraine attacks.

Nearly 2 out of 3 women with migraine experience attacks while on their period

If you know the pain of migraine while being on your period, you’re not alone. Get ahead of migraine attacks triggered by menstruation with a few helpful tips.

how to cope