11/03/2026
Could be making your migraines worse? π€π«
Hormonal fluctuations during perimenopause can trigger and worsen all sorts of migraine conditions. And some of these migraines may be misdiagnosed because they donβt always present like a typical migraine does. Hereβs what each one can look likeβ¦
βοΈ Ocular migraines: Temporary vision changes like shimmering spots, blind spots, or a βcurtainβ over one eye, sometimes with little or no headache.
βοΈ Vestibular migraines: Vertigo, dizziness, feeling off balance, and motion sensitivity, with or without head pain.
βοΈ Silent migraines: All the symptoms of a migraine, like aura, nausea, fatigue, and sensory sensitivity, but no headache at all.
βοΈ Ice pick headaches: Sudden, stabbing jolts of pain lasting a few seconds, usually in the temples or around the eyes.
βοΈ Abdominal migraines: Stomach pain, nausea, and sometimes vomiting, with little to no head pain.
βοΈ Migraine with aura: Head pain preceded by visual changes like zigzag lines, flashing lights, or blind spots, sometimes with tingling or trouble speaking.
βοΈ Migraine without aura: Moderate to severe throbbing pain with nausea and sensitivity to light and sound, but no warning signs beforehand.
βοΈ Hormonal migraines: Throbbing, often one-sided head pain that tends to show up around ovulation or right before your period, when estrogen dips or swings.
If youβre experiencing new or worsening migraine symptoms of any kind, your hormones may be playing a role. π« But because new neurological symptoms can have other causes, itβs always worth getting evaluated, especially if they come on suddenly or feel severe. π«Άπ»
π©Ίπ² If youβre in the US and curious about hormone therapy for perimenopause or menopause symptom management, go to the π in my bio to book a free 30 minute call with my team to learn how to get started. π€