Migraines can feel unpredictable and overwhelming but for many women, they actually follow a pattern rooted in hormone fluctuations. Unfortunately, this connection is often overlooked, leading to years of frustration and trial-and-error treatments that don’t address the real issue.
Estrogen and progesterone, two key reproductive hormones, naturally rise and fall throughout the menstrual cycle. In the follicular phase (the first half of the cycle), estrogen gradually rises, peaking just before ovulation. After ovulation, during the luteal phase, progesterone increases while estrogen begins to drop. This drop in estrogen, especially if it’s steep or sudden, and/or insufficient progesterone levels can trigger a cascade of symptoms, including intense migraines.
I see this pattern often in my practice. Many women who suffer from recurrent premenstrual migraines respond extremely well to bioidentical progesterone support during the luteal phase, typically from day 15 or 18 to 25 of their cycle. For those who experience migraines at the onset of their period, using a small dose of transdermal estradiol from days 1 to 4 can help stabilize estrogen levels and dramatically reduce symptoms.
What’s empowering is that when we understand your cycle and use targeted hormone support, these debilitating migraines no longer have to feel random or untreatable. If you’ve been struggling with recurring headaches, especially ones that show up around your period, you should know that your hormones might be the missing piece. By testing hormone levels and tailoring treatment accordingly, we can offer relief that’s both natural and long-lasting.
If this sounds like you or someone you love, let’s talk. Your hormones may be talking and you just need someone to help you listen. We’re here for you.
Book an appointment at drwellnessscottsdale.com or give Dr. Musset a call at (480) 608-4808.
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