Headache, migraine and dizziness resources
Migraine around menopause: making sense of a changing pattern
Melbourne Headache Solutions. First published 28 July 2023. Recovered and editorially updated 28 October 2026 from our archived resource. This is general education, not an individual diagnosis.
Quick answer
Migraine can change during perimenopause and menopause, but the pattern varies. Discuss changes with your GP, particularly before changing hormone treatment. New or different headaches still need assessment rather than being automatically attributed to menopause.
What should I record?
Note headache days, cycle changes if relevant, sleep, hot flushes, medicines and the effect on work or daily activities. Include any aura or other neurological symptoms. A concise record supports a more useful consultation than trying to remember every attack.
The archived MHS article addressed hormonal changes but presented hormone therapy too broadly. Treatment decisions need an individual medical discussion, not an assumption that restoring a hormone level will resolve migraine.
What should I ask about treatment?
Ask your GP how migraine and any aura affect the options for menopausal symptoms. Discuss benefits, risks and alternatives, and when a change should be reviewed. Do not start, stop or adjust prescribed hormones on the basis of this resource.
Other parts of migraine care may need review too, including attack treatment, prevention, sleep and relevant physical symptoms. A change in life stage does not mean you must simply put up with more frequent pain.
Where can MHS fit?
Bring your symptom record and medical advice to an appointment. MHS can assess headache, neck or jaw symptoms and discuss suitable physical care and referrals alongside your GP's plan.
Agree on practical goals and a review point. The aim is clearer, coordinated care rather than a promise that one treatment can remove all menopause-related headaches.
Headache and migraine assessment in Melbourne
If recurring symptoms are disrupting your day, you can discuss your history and next steps with Melbourne Headache Solutions. We have clinics in Brunswick, Fitzroy North and Thornbury. Check the current team and appointment options before booking.
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