Perimenopause headaches and migraines: why they get worse

Many women hit a headache wall in perimenopause because estrogen withdrawal triggers migraines, often around the drop right before a period, and sometimes for days at a time.

What helps: keep a simple trigger diary (Luma can hold it in your note). Food, wine, sleep, and stress patterns show up fast. Magnesium (400mg daily) and staying hydrated help many women. If migraines are new or much worse, raise it with your doctor. There are good preventive options, and a low-dose continuous hormone approach helps some women enormously.