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Menopause Headaches: Why Midlife Brings New Patterns

Updated: Dec 6, 2025

Many women notice that the frequency and/or intensity of headaches and migraines shift during midlife, especially during menopause. Hormonal swings, blood pressure changes, and sleep disruption can all contribute. Understanding these midlife changes helps you take control and find effective relief.


How Hormonal Fluctuations Trigger Headaches in Midlife/Menopause

Estrogen helps regulate blood vessel responses, and when levels swing unpredictably, headaches and migraines can flare. Hot flashes, sleep disruption, and even skipped meals can make pain more intense. Subscribers can access the full guide for strategies to manage triggers, stabilize blood pressure, and protect brain health.

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©2022 by Rochelle Bernstein, MD

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