Navigating Migraines Amid Hormonal Changes in Perimenopause

Perimenopause refers to the transitional phase preceding menopause, typically spanning a number of years, during which a woman's body undergoes hormonal changes in preparation for the cessation of menstrual cycles. It is characterized by fluctuations in estrogen and progesterone levels, leading to various physical and emotional symptoms. Women in perimenopause may experience irregular menstrual cycles, hot flashes, night sweats, mood swings, and changes in libido. Also, perimenopause is often accompanied by an unwelcome companion—migraines. Effectively understanding and managing migraines during this hormonal shift is pivotal for maintaining overall well-being.

At our functional medicine practice, we specialize in perimenopause and migraines.  With respect to migraines, we offer a more effective root-cause approach than in traditional medical practices. For many, the instinctive response to a migraine, involves reaching for medications like Ibuprofen or prescription pain medications. However, the regular use of such medications (two or more times a week) can pose risks to the stomach and intestines, as highlighted by recent FDA warnings citing an increased risk of heart attacks and strokes.  Clearly, something else is needed.  At Tendwell, we offer an individualized plan to tackle the causes of migraines and to help women navigate the perimenopausal period.

Let's delve into the various factors contributing to migraines and explore strategies to address them, especially for women in perimenopause:

1.     Perimenopause and Hormonal Fluctuations: The hormonal shifts during perimenopause, particularly the decline in estrogen levels, can trigger migraines in some women. Navigating migraines during this stage requires a nuanced understanding, and management approaches may include hormonal therapies (“HT”) or lifestyle adjustments tailored to this unique phase. At Tendwell, we offer HT to our patients where appropriate, along with broad-based lifestyle strategies tailored to each patient’s individuals needs.

2.     Insufficient Magnesium: A common factor among migraine sufferers is insufficient magnesium. This essential nutrient plays a vital role in supporting liver function, regulating hormones, and maintaining nerve and muscle health. Boosting magnesium levels can be achieved through dietary changes, incorporating magnesium-rich foods such as pumpkin seeds, spinach, kale, and Swiss chard. Additionally, regular Epsom salt baths and nightly magnesium supplements may provide relief.

3.     Food Sensitivities: Migraines can be triggered by food sensitivities. Identifying specific culprits, such as gluten, dairy, soy, alcohol, sugar, or caffeine, can be accomplished through an elimination diet. This method, guided by functional medicine doctors, like the practitioners at Tendwell, involves systematically removing and reintroducing foods to pinpoint those responsible for migraines.

4.     Stress: Both short-term and chronic stress contribute to migraines. Tension headaches or migraines may arise from short-term stress, while chronic stress can disrupt the body's detox processes and lead to inflammation, often manifesting as migraines. Effective stress management techniques, such as mindfulness and relaxation practices, become essential components of migraine prevention.

5.     Hormone Imbalances: Migraines, more prevalent in women, often correlate with hormonal imbalances, especially fluctuations in estrogen levels. Balancing hormones extends beyond reproductive organs, encompassing care for the gut, liver, and adrenal glands. A holistic approach to hormone balance can significantly impact migraine frequency and intensity.

While these factors may not singularly explain all migraines, they serve as valuable starting points for understanding and addressing the root causes of headaches. Managing migraines during perimenopause requires a tailored and comprehensive approach, acknowledging the unique challenges and changes experienced during this significant life stage.

Make an appointment today for a free consultation to discuss a Tendwell membership.