# Why Perimenopause Is Making Your Migraines Worse and What You Can Do About It Page: https://stenobird.com/podcast/migraine-heroes-chronic-migraine-hemiplegic-migraine-migraine-with-aura-vestibular-migraine-6571347/why-perimenopause-is-making-your-migraines-worse-and-what-you-can-do-about-it Text version: https://stenobird.com/podcast/migraine-heroes-chronic-migraine-hemiplegic-migraine-migraine-with-aura-vestibular-migraine-6571347/why-perimenopause-is-making-your-migraines-worse-and-what-you-can-do-about-it.md Podcast: [Migraine Heroes](https://stenobird.com/podcast/migraine-heroes-chronic-migraine-hemiplegic-migraine-migraine-with-aura-vestibular-migraine-6571347) Published: 2026-09-16T12:30:00+00:00 Episode link: https://migraineheroes.com/ Audio file: https://episodes.captivate.fm/episode/8ecb770c-deb4-4a44-bac5-3c60b85640ab.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/migraine-heroes-chronic-migraine-hemiplegic-migraine-migraine-with-aura-vestibular-migraine-6571347/episodes/why-perimenopause-is-making-your-migraines-worse-and-what-you-can-do-about-it Duration seconds: 1675 ## Resource If your migraines suddenly feel more frequent, intense, or unpredictable in midlife, hormonal instability may be playing a bigger role than you realize. In this episode, you’ll learn: πŸ’‘ Why fluctuating estrogen during perimenopause can make the migraine brain more reactive πŸ’‘ How poor sleep, hot flashes, anxiety, irregular periods, and migraine can reinforce one another πŸ’‘ How to track your personal patterns and create more stability during this hormonal transition Perimenopause may feel unpredictable, but understanding your changing rhythm can help you respond with more clarity and confidence. Ask Diane Anything β€” Live Q&A Have a migraine question? Join Diane live on September 24, 2026 to ask your questions or simply listen. πŸ‘‰ Register here: migraineheroes.com/live 🎧 New episodes every Monday and Wednesday πŸ”— Discover our work on migraineheroes.com References: Migraine Across the Menopausal Transition and Beyond: A Narrative Review (Korn & Bernstein, 2026): This review covers migraine changes and management across menopause. Read more here . Menstrual and Perimenopausal Migraine: A Narrative Review (MacGregor, 2020): This review examines hormonal changes affecting menstrual and perimenopausal migraine. Read more here . Menstrual Migraine Is Caused by Estrogen Withdrawal: Revisiting the Evidence (Raffaelli et al., 2023): This review reassesses the evidence for estrogen withdrawal as a migraine trigger. Read more here . Perimenopause and Menopause Are Associated With High Frequency Headache in Women With Migraine (Martin et al., 2016): This study found increased high-frequency headache during perimenopause. Read more here . Executive Summary of the Stages of Reproductive Aging Workshop + 10 (Harlow et al., 2012): This paper defines stages of reproductive aging and… ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/migraine-heroes-chronic-migraine-hemiplegic-migraine-migraine-with-aura-vestibular-migraine-6571347/episodes/why-perimenopause-is-making-your-migraines-worse-and-what-you-can-do-about-it/transcription-requests` β€” Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/migraine-heroes-chronic-migraine-hemiplegic-migraine-migraine-with-aura-vestibular-migraine-6571347/why-perimenopause-is-making-your-migraines-worse-and-what-you-can-do-about-it.md` β€” Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.