{"podcast":{"title":"Migraine Heroes","slug":"migraine-heroes-chronic-migraine-hemiplegic-migraine-migraine-with-aura-vestibular-migraine-6571347","podcast_index_feed_id":6571347,"rss_url":"https://feeds.captivate.fm/migraine-heroes-chron/","website_url":"https://migraineheroes.com/","image_url":"https://artwork.captivate.fm/74760d54-a6c6-4e17-9ad8-521131ac3a47/b2sF4xQCZn_YtoBrWvkKP8sR.png","author":"Diane Ducarme","episode_count":193,"summary":"Are you doing everything right - avoiding triggers, taking your medication - and still experiencing migraine episodes that steal your day? You're not alone, and you're not broken. Deep dives into the science behind migraine, from food and hormones to sleep, stress, and the unexpected triggers few people talk about. Every topic holds a tension: is ginger a trigger or a remedy? Is stress the cause or the symptom? What does perimenopause actually change? There's rarely a simple answer, so each episode looks at the knowledge and science from different angles, East and West, and turns it into practical advice rooted in context. Migraine Heroes started when Diane Ducarme began helping her sister, then friends, then increasingly more people living with migraine. That work became a method, now used by over 3,000 people, to identify your own unique patterns and find real solutions. This podcast is where that thinking happens out loud. Curious what your own starting pattern looks like? Find out with the Migraine Heroes app: migraineheroes.com/qr-download","last_synced_at":"2026-09-22T12:20:55.825952+00:00","page_url":"https://stenobird.com/podcast/migraine-heroes-chronic-migraine-hemiplegic-migraine-migraine-with-aura-vestibular-migraine-6571347"},"episode":{"title":"Why Perimenopause Is Making Your Migraines Worse and What You Can Do About It","slug":"why-perimenopause-is-making-your-migraines-worse-and-what-you-can-do-about-it","published_at":"2026-09-16T12:30:00+00:00","page_url":"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","show_page_url":"https://stenobird.com/podcast/migraine-heroes-chronic-migraine-hemiplegic-migraine-migraine-with-aura-vestibular-migraine-6571347","url":"https://migraineheroes.com/","audio_url":"https://episodes.captivate.fm/episode/8ecb770c-deb4-4a44-bac5-3c60b85640ab.mp3","summary":"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: 💡 Why fluctuating estrogen during perimenopause can make the migraine brain more reactive 💡 How poor sleep, hot flashes, anxiety, irregular periods, and migraine can reinforce one another 💡 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 — Live Q&A Have a migraine question? Join Diane live on September 24, 2026 to ask your questions or simply listen. 👉 Register here: migraineheroes.com/live 🎧 New episodes every Monday and Wednesday 🔗 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…","meta_description":"If your migraines suddenly feel more frequent, intense, or unpredictable in midlife, hormonal instability may be playing a bigger role than you realize. I…","key_points":[],"chapters":[],"topics":[],"duration_seconds":1675,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"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","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"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","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}