After menopause, hormone replacement therapy (HRT) is often prescribed to resupply the body with the hormones it no longer produces. Discuss this with your doctor. As with any medication, there are risks and benefits, and each woman should decide if HRT is the right choice for her.
HRT typically consists of an estrogen/progestin supplement -- usually given orally or through a skin patch or gel. Estrogen is the component that treats hot flashes, vaginal dryness, and increased risk of heart disease...
A drop in the female hormone, estrogen, can also set off migraines. That's why women who get migraines often have headaches right before their period, when estrogen levels are low. During pregnancy, estrogen levels rise, bringing many women a break from these headaches. But they often start up again after the baby is born.
As you get closer to menopause, your hormone levels can swing up and down, and your periods may get more irregular. If your migraines are tied to your menstrual cycle, they may become as unpredictable as your periods.
Some women get migraines for the first time, or their headaches get more intense, in the years just before menopause. Others find that their migraines become less frequent and less intense.
Women who had their uterus and ovaries removed with surgery often have more of a problem with migraines than those who go into menopause naturally.
Treating Menopause Migraines
You have many options for relieving migraines.
Sometimes a few simple lifestyle changes can help:
Keep a diary of what you eat, and try to avoid foods that trigger your migraines. Some of these may include: aged cheese, chocolate, or artificial sweeteners.
Eat meals at regular times.
Go to sleep and wake up at the same time each day.
Cut stress using relaxation methods such as deep breathing, exercise, or massage.