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Migraine and HRT

amcd71amcd71 Posts: 2

Hi, I’m new here and looking for some advice with migraines. Prior to starting hrt my migraines had all but disappeared during the peri menopause though I didn’t realise that is what I was going through at the time. I was prescribed Premique and then the migraines returned. I took that for 6 months then my doctor changed me to Kliovance and I’ve been on that for 4 months still getting migraines. My doctor did agree that patches would probably be better but they’re not available at the moment in my chemist. After not having migraines and now getting them again where I’m probably losing about 4/5 days of the month do I continue with hrt or should I look at any other options?



  • Blanka_CBlanka_C Posts: 406 Community Admin

    Hi @amcd71,

    Welcome to the forum!

    I'm not an expert myself, however I wanted to share this article with you. It explains why migraines & headaches happen during the menopause & lists a couple of options to deal with them:

    These two discussions are quite similar to your question and are also full of tips from ladies:

    We actually have a menopause nurse on here, @DianePorterfield-Bourne - she's a HRT specialist. Diane, can migraines be linked to HRT? Do you have any advice as to what can help?

    Hope this helps in the meantime.



  • MenopauseorjustmeMenopauseorjustme Posts: 431 Menopause Nurse Practitioner


    Hello and thank you for posting on Live Better With Menopause. Thank you @Blanka_C for including me here.

    Migraines are common during the peri/menopause due to hormone changes. But you said you didn't have any until you started HRT. Headaches are common when you first start HRT as your hormone levels are increasing. Full blown migraines are very debilitating....

    How long have you been taking HRT? Oestrogen that is absorbed via the skin in a patch or gel is a better way of getting your Oestrogen. There are issues around patches, the shortages do not seem to be resolving but there is not an issue with the gel. Maybe ask your GP to prescribe this instead?

    Once you start HRT, its better to stick to the same route/make etc. But migraines are common within the first few months, not for everyone but something to note. If you can, try to persevere. The benefits of HRT for the majority of women outweigh risks.

    Let us know how you get on.

    Best Wishes

    Diane Porterfield Bourne.

  • amcd71amcd71 Posts: 2
    edited June 2020

    @DianePorterfield-Bourne I have suffered from migraines since I was in my early 20s but found they had gone when I was peri menopausal but have come back with a vengeance since I started on hrt, I’ve been on hrt for about 10 months now. I will say to my dr about the gel but would an increase in dose make a difference ?

  • Blanka_CBlanka_C Posts: 406 Community Admin

    Hi @amcd71,

    How are you holding up? Did your migraine get any better?

    Also just wanted to let you know that we have a live menopause Q&A with @DianePorterfield-Bourne over Zoom this Friday! Thought you might be interested in joining.

    We will be covering a range of topics, including:

     ✅ The stages and common symptoms of the menopause

     ✅ Anxiety, mood changes and feeling stressed

     ✅ HRT - facts, risks and benefits

     ✅ Lifestyle choices to live better with the menopause

    You will have the opportunity to listen in and ask questions live, using the chat function - don’t worry, you won’t need to use your camera or mic. 😏

    Date and time: 6pm - 6.30pm BST, Friday 26th June

    Where: Zoom

    How to join: Simply click on the following link at 6pm on the day: https://us02web.zoom.us/j/84236189200

    Hope to see you there.

    Let me know if you have questions!

    Blanka x

    Community Admin

  • Julie20Julie20 Posts: 345 mod

    Hi @amcd71 nothing worse than migraine so I feel your pain. Its unconventional but the daith ear piercing has been proven to work in stopping migraine. If you like piercings it may be worth getting it done once the lock down is over and tattoo shops reopen.

    I will definitely be getting it done as soon as I can so I will let you know how it goes. X

  • MenopauseorjustmeMenopauseorjustme Posts: 431 Menopause Nurse Practitioner


    Apologies for for the late reply!

    Migraines can be very difficult to manage and for many women worsen at the menopause. Yours had improved but since starting on HRT have worsened again. Migraines are very debilitating and affect your quality of life.

    Migraines are common when starting on HRT but once you have reached a certain level your body adjusts and your symptoms reduce. We are all different and it is vital you discuss this with your GP, as there maybe other factors too.

    Please let us know if you have altered your HRT to gel or patch variety. Also is there is any difference to your symptoms and or migraines?

    Best wishes

    Diane Porterfield Bourne.

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