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Migraines are approximately three times more common in women than men.¹

Migraines are approximately three times more common in women than men.¹

Migraines are approximately three times more common in women than men.¹

Hormonal changes may be part of the picture, even if you're not experiencing other symptoms.

Drops and fluctuations in estrogen levels can trigger migraines. For some women, these hormonal changes can lead to more frequent headaches or migraines during perimenopause.

Hormonal shifts throughout life can affect migraine patterns, from menstrual cycles to perimenopause to menopause. Understanding what's changed can help you find the right next steps.

Not every headache is hormonal. Your Midi clinician considers your symptoms and health history to help you understand what might be going on.
Available in all 50 states • Self-pay visits available*
Midi clinicians support you from every angle. They start by listening — then draw on the options below to build you a personalized plan.

Labs & testing
Labs & testing
Your clinician reviews your headache & migraine history and may recommend testing based on your symptoms and individual risk factors.

Lifestyle coaching & support
Lifestyle coaching & support
Sleep, stress, nutrition, and daily habits can all influence headaches and migraines. We'll help you identify potential triggers and make changes that may help you feel better.

Hormone prescriptions
Hormone prescriptions
Hormone therapy may be an option for your menopause symptoms. Your clinician considers your headache and migraine history when recommending treatment, including the type and dose of estrogen.
More to explore:
What is HRT?
Non-hormone prescriptions
Non-hormone prescriptions
Hormones aren't the only option. Your clinician can discuss non-hormonal treatments for your symptoms or recommend specialist care when appropriate.

Supplement integration
Supplement integration
Your clinician can help you understand which supplements may be appropriate for your individual needs, based on your health history and current medications.
More to explore:
Shop Midi products
Headaches & migraines
For some women whose migraines worsen with hormonal changes, hormone therapy that provides steady estrogen levels may help. Book a visit with a Midi clinician to explore whether HRT is right for you and what to consider before starting treatment.

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Oct 23, 2024
Fluctuating estrogen levels can trigger headaches for many women, but the good news is that migraines often improve after menopause and there are options that may provide relief in the meantime.

Low Estrogen Symptoms: Top Causes and Treatments
Feb 4, 2025
Low estrogen levels can cause a wide range of symptoms, including physical issues like hot flashes and breast tenderness, and headaches & migraines.

Perimenopause Symptoms and Signs: The Midi Guide
June 18, 2026
A comprehensive, medically backed guide to perimenopause symptoms.
1. National Library of Medicine. (2023). Migraine: What you need to know. NIH MedlinePlus Magazine, 17(2), 10–11.
2. These real patients became Midi Ambassadors and may receive free products and/or swag. Individual results may vary.
*Midi is in-network with most major insurance providers nationwide, but coverage depends on your specific plan — deductibles, coinsurance, and copays vary and may still apply. Check your plan for details specific to you. Self-pay options are also available.
Hormonal changes during perimenopause can affect headaches and migraines for some women. Fluctuating estrogen levels are a known migraine trigger, but hormones aren't the only the cause. Your Midi clinician can help you understand whether perimenopause could be part of the picture.
Midi accepts most major health plans. Book a virtual visit and start feeling like yourself again.