Emma Ginns – GP with an interest in the menopause

Migraines and the menopause.

Migraines can become more common during the perimenopause and menopause, due to a fall in estrogen levels. Migraines can also be triggered by other perimenopausal symptoms such as hot flushes, night sweats, disturbed sleep and mood changes.

Migraines can be helped by a healthy lifestyle; regular exercise, sleeping and eating at regular times, keeping well hydrated and limiting alcohol and caffeine intake can all help.

HRT can also be effective at reducing the symptoms of migraine at this time of life. The safest way to take estrogen is through your skin – applied via a patch, gel or spray. When applied via your skin (transdermally) it does not increase your risk of a blood clot or stroke, and is safe for women who have migraines (with or without aura).

The HRT patches release a steady dose of hormones, which can be preferable for many women with migraines. Women who have not had a hysterectomy would also require progesterone hormone, which can be given orally via a capsule such as Utrogestan or via a Mirena coil fitted into your womb.

Hormone Replacement Therapy (HRT) is not a “one size fits all” treatments – the type and dosage given will vary according to your needs. There are many different combinations available, which can be taken in various ways – oral tablets, skin patches (like plasters), gels or sprays. The optimal type of HRT is body identical…

Types of Hormone Replacement Therapy (HRT)

Kate Duffy

Kate’s Story

Breast cancer is very common. Each woman in the UK has a 1 in 7 chance of developing breast cancer, regardless of whether they take HRT or not. This means that if you take HRT your risk of breast cancer is 1 in 7, and for women who do not take HRT the risk is…

Breast Cancer and HRT