{"id":1305,"date":"2026-01-16T18:55:00","date_gmt":"2026-01-16T18:55:00","guid":{"rendered":"https:\/\/mariahchic.com\/menopause\/?p=1305"},"modified":"2026-06-04T09:28:02","modified_gmt":"2026-06-04T09:28:02","slug":"headache-perimenopause","status":"publish","type":"post","link":"https:\/\/mariahchic.com\/menopause\/headache-perimenopause\/","title":{"rendered":"Headache in Perimenopause: Why It Happens &amp; How to Stop It \u2013 Pharmacist"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1305\" class=\"elementor elementor-1305\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2e4322c e-flex e-con-boxed e-con e-parent\" data-id=\"2e4322c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-858ef76 elementor-widget elementor-widget-text-editor\" data-id=\"858ef76\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>This post contains affiliate links. As an Amazon Associate I earn from qualifying purchases at no extra cost to you<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fe3aab5 e-flex e-con-boxed e-con e-parent\" data-id=\"fe3aab5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b0e784c elementor-widget elementor-widget-image\" data-id=\"b0e784c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/mariahchic.com\/wp-content\/uploads\/elementor\/thumbs\/BLOG-1200X675-_1_-rhr2bujofya3oqiazm3z7giy5xzxcgpbs64909d8pq.webp\" title=\"headache-perimenopause\" alt=\"headache-perimenopause\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e04ce45 e-flex e-con-boxed e-con e-parent\" data-id=\"e04ce45\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7ca0e03 elementor-widget elementor-widget-text-editor\" data-id=\"7ca0e03\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"618\" data-end=\"915\">\u00a0<\/p><p data-start=\"618\" data-end=\"915\">Perimenopause is the transitional phase before menopause and is marked by significant hormonal fluctuations. These hormonal changes can affect multiple systems in the body\u00a0 including the nervous and vascular systems\u00a0 which may <strong data-start=\"847\" data-end=\"914\">increase the frequency and intensity of headaches and migraines<\/strong>.<\/p><p data-start=\"917\" data-end=\"1213\">Some women experience headaches for the first time during perimenopause, while others notice that pre-existing migraines become more frequent or more severe. In this article, you\u2019ll learn <strong data-start=\"1105\" data-end=\"1212\">why headaches happen during perimenopause, the most common symptoms, and how to manage them effectively<\/strong>. \ud83d\udc49 Related article: <a href=\"https:\/\/mariahchic.com\/menopause\/what-is-menopause\/\">https:\/\/mariahchic.com\/menopause\/what-is-menopause\/<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8a6ec35 e-flex e-con-boxed e-con e-parent\" data-id=\"8a6ec35\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6332e25 elementor-widget elementor-widget-text-editor\" data-id=\"6332e25\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 data-start=\"1220\" data-end=\"1258\"><strong data-start=\"1223\" data-end=\"1258\">What Is Perimenopause?<\/strong><\/h2><p data-start=\"1260\" data-end=\"1481\">Perimenopause is the stage leading up to menopause and can begin several years before the final menstrual period. During this time, levels of estrogen and progesterone fluctuate irregularly rather than declining steadily.<\/p><p data-start=\"1483\" data-end=\"1620\">These hormonal changes are responsible for many common symptoms, including hot flashes, sleep disturbances, mood changes \u2014 and headaches.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a5d3515 e-flex e-con-boxed e-con e-parent\" data-id=\"a5d3515\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6e78e7b elementor-widget elementor-widget-heading\" data-id=\"6e78e7b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">How Perimenopause Affects Headaches\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fcf4cb7 e-flex e-con-boxed e-con e-parent\" data-id=\"fcf4cb7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca9711b elementor-widget elementor-widget-image\" data-id=\"ca9711b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/mariahchic.com\/wp-content\/uploads\/elementor\/thumbs\/BLOG-1200X675-rhr2brq5vg68pwmeg2w3hz8kdsdtpde4rs5skfhf8e.webp\" title=\"headache perimenopause\" alt=\"headache perimenopause\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-218b0d1 e-flex e-con-boxed e-con e-parent\" data-id=\"218b0d1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c60dc98 elementor-widget elementor-widget-text-editor\" data-id=\"c60dc98\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3 data-start=\"1680\" data-end=\"1731\"><strong data-start=\"1684\" data-end=\"1731\">Hormonal Fluctuations as a Trigger<\/strong><\/h3><p data-start=\"1733\" data-end=\"1940\">Estrogen plays a key role in regulating neurotransmitters involved in pain perception. During perimenopause, estrogen levels may rise and fall unpredictably, making the nervous system more sensitive to pain.<\/p><p data-start=\"1942\" data-end=\"2081\">Women with a history of migraines are particularly vulnerable, but even those without previous headaches may experience new-onset symptoms.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a416653 e-flex e-con-boxed e-con e-parent\" data-id=\"a416653\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b358edd elementor-widget elementor-widget-text-editor\" data-id=\"b358edd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3 data-start=\"2088\" data-end=\"2136\"><strong data-start=\"2092\" data-end=\"2136\">Tension Headaches vs. Migraines<\/strong><\/h3><p data-start=\"2138\" data-end=\"2209\">Two main types of headaches are commonly reported during perimenopause:<\/p><ul data-start=\"2211\" data-end=\"2489\"><li data-start=\"2211\" data-end=\"2329\"><p data-start=\"2213\" data-end=\"2329\"><strong data-start=\"2213\" data-end=\"2235\">Tension headaches:<\/strong> A dull, pressure-like pain around the head or neck, often linked to stress or muscle tension.<\/p><\/li><li data-start=\"2330\" data-end=\"2489\"><p data-start=\"2332\" data-end=\"2489\"><strong data-start=\"2332\" data-end=\"2346\">Migraines:<\/strong> More intense, often pulsating pain, usually on one side of the head, sometimes accompanied by nausea, light sensitivity, or sound sensitivity.<\/p><\/li><\/ul><p data-start=\"2491\" data-end=\"2603\">Studies suggest that many women experience worsening migraines during perimenopause due to hormonal instability. \ud83d\udc49 Related article: <a href=\"https:\/\/mariahchic.com\/menopause\/natural-remedies-and-menopause-symptoms\">https:\/\/mariahchic.com\/menopause\/natural-remedies-and-menopause-symptoms<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-255e1ae e-flex e-con-boxed e-con e-parent\" data-id=\"255e1ae\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c3f1eaa elementor-widget elementor-widget-heading\" data-id=\"c3f1eaa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Why Headaches Become More Frequent in Perimenopause<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7fb67dc e-flex e-con-boxed e-con e-parent\" data-id=\"7fb67dc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7103bae elementor-widget elementor-widget-image\" data-id=\"7103bae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/mariahchic.com\/wp-content\/uploads\/elementor\/thumbs\/rosto_de_uma_mulher_com_express_o_de-rhr3622y39mutkmll67buc39gr3lq9mrlox19ekqqm.webp\" title=\"perimenopause relief\" alt=\"perimenopause relief\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8392fca e-flex e-con-boxed e-con e-parent\" data-id=\"8392fca\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1dcd258 elementor-widget elementor-widget-text-editor\" data-id=\"1dcd258\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3 data-start=\"2679\" data-end=\"2728\"><strong data-start=\"2683\" data-end=\"2728\">Estrogen Decline and Instability<\/strong><\/h3><p data-start=\"2730\" data-end=\"2907\">Sudden drops in estrogen can activate pain pathways in the brain. This explains why headaches may appear unpredictably and feel different from those experienced earlier in life.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-59ac660 e-flex e-con-boxed e-con e-parent\" data-id=\"59ac660\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-eeec19f elementor-widget elementor-widget-text-editor\" data-id=\"eeec19f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3 data-start=\"2914\" data-end=\"2956\"><strong data-start=\"2918\" data-end=\"2956\">Sleep Problems and Stress<\/strong><\/h3><p data-start=\"2958\" data-end=\"3130\">Sleep disturbances are common during perimenopause and are a well-known trigger for headaches. Increased stress levels can also worsen both tension headaches and migraines.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-25867e3 e-flex e-con-boxed e-con e-parent\" data-id=\"25867e3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a99e562 elementor-widget elementor-widget-text-editor\" data-id=\"a99e562\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3 data-start=\"3137\" data-end=\"3185\"><strong data-start=\"3141\" data-end=\"3185\">Interaction With Other Symptoms<\/strong><\/h3><p data-start=\"3187\" data-end=\"3217\">Headaches may occur alongside:<\/p><ul data-start=\"3218\" data-end=\"3287\"><li data-start=\"3218\" data-end=\"3231\"><p data-start=\"3220\" data-end=\"3231\">Hot flashes<\/p><\/li><li data-start=\"3232\" data-end=\"3256\"><p data-start=\"3234\" data-end=\"3256\">Anxiety or mood swings<\/p><\/li><li data-start=\"3257\" data-end=\"3266\"><p data-start=\"3259\" data-end=\"3266\">Fatigue<\/p><\/li><li data-start=\"3267\" data-end=\"3287\"><p data-start=\"3269\" data-end=\"3287\">Heart palpitations<\/p><\/li><\/ul><p data-start=\"3289\" data-end=\"3340\">These symptoms can interact and amplify discomfort.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-883a4f6 e-flex e-con-boxed e-con e-parent\" data-id=\"883a4f6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ea4a485 elementor-widget elementor-widget-heading\" data-id=\"ea4a485\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Common Headache Symptoms in Perimenopause<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f272430 e-flex e-con-boxed e-con e-parent\" data-id=\"f272430\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e7bc7b4 elementor-widget elementor-widget-image\" data-id=\"e7bc7b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/mariahchic.com\/wp-content\/uploads\/elementor\/thumbs\/rosto_de_uma_mulher_de_40_anos-_1_-rhr36079plka6cpbw5e2pckc9zcvavfaxfm2aunj32.webp\" title=\"menopause headache causes\" alt=\"menopause headache causes\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1e8ef0e e-flex e-con-boxed e-con e-parent\" data-id=\"1e8ef0e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a73e2b8 elementor-widget elementor-widget-text-editor\" data-id=\"a73e2b8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3 data-start=\"3406\" data-end=\"3445\"><strong data-start=\"3410\" data-end=\"3445\">Location and Sensation<\/strong><\/h3><p data-start=\"3447\" data-end=\"3459\">Pain may be:<\/p><ul data-start=\"3460\" data-end=\"3557\"><li data-start=\"3460\" data-end=\"3507\"><p data-start=\"3462\" data-end=\"3507\">One-sided or throbbing (typical of migraines)<\/p><\/li><li data-start=\"3508\" data-end=\"3557\"><p data-start=\"3510\" data-end=\"3557\">Band-like or pressure-based (tension headaches)<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-059f062 e-flex e-con-boxed e-con e-parent\" data-id=\"059f062\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-96b2aec elementor-widget elementor-widget-text-editor\" data-id=\"96b2aec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3 data-start=\"3564\" data-end=\"3600\"><strong data-start=\"3568\" data-end=\"3600\">Associated Symptoms<\/strong><\/h3><p data-start=\"3602\" data-end=\"3728\">Many women report headaches occurring together with hormonal symptoms such as night sweats, irritability, or sleep disruption. \ud83d\udc49 Related article: <a href=\"https:\/\/mariahchic.com\/menopause\/anxiety-in-menopause-2\">https:\/\/mariahchic.com\/menopause\/anxiety-in-menopause-2<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-25964d0 e-flex e-con-boxed e-con e-parent\" data-id=\"25964d0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9155406 elementor-widget elementor-widget-heading\" data-id=\"9155406\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">When to Seek Medical Attention<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b1b02db e-flex e-con-boxed e-con e-parent\" data-id=\"b1b02db\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f74531c elementor-widget elementor-widget-image\" data-id=\"f74531c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/mariahchic.com\/wp-content\/uploads\/elementor\/thumbs\/huperzine-a-benefits-ra22k0mtkuh8x4jvfdm8ia0rsplv4ss136bpkc9sv2.webp\" title=\"huperzine a benefits\" alt=\"Why Does Memory Weaken During Menopause?\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1cd2609 elementor-widget elementor-widget-text-editor\" data-id=\"1cd2609\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Seek medical attention if your headaches are:<\/p><p>Sudden and extremely intense<\/p><p>Accompanied by changes in vision, mental confusion, or weakness<\/p><p>Associated with neck stiffness or fever<\/p><p>These symptoms may indicate conditions unrelated to perimenopause.<\/p><p>Supplements such as <a href=\"https:\/\/amzn.to\/3RMPMGR\">magnesium glycinate<\/a> help relax the body&#8217;s muscles and blood vessels.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3c9da25 e-flex e-con-boxed e-con e-parent\" data-id=\"3c9da25\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9a9683a elementor-widget elementor-widget-heading\" data-id=\"9a9683a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">How to Manage Headaches During Perimenopause<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5ff8fa8 e-flex e-con-boxed e-con e-parent\" data-id=\"5ff8fa8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-588d0fe elementor-widget elementor-widget-image\" data-id=\"588d0fe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/mariahchic.com\/wp-content\/uploads\/elementor\/thumbs\/07-woman-meditating-mindfulness-rhqx8lwc4nfsdcoazeo84p617t5ysn9397qn0d25pa.png\" title=\"Estrogen Decline\" alt=\"Estrogen Decline\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a72c283 e-flex e-con-boxed e-con e-parent\" data-id=\"a72c283\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b949346 elementor-widget elementor-widget-text-editor\" data-id=\"b949346\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3 data-start=\"4074\" data-end=\"4111\"><strong data-start=\"4078\" data-end=\"4111\">Lifestyle Strategies<\/strong><\/h3><p data-start=\"4113\" data-end=\"4140\">Helpful approaches include:<\/p><ul data-start=\"4141\" data-end=\"4265\"><li data-start=\"4141\" data-end=\"4164\"><p data-start=\"4143\" data-end=\"4164\">Staying well hydrated<\/p><\/li><li data-start=\"4165\" data-end=\"4201\"><p data-start=\"4167\" data-end=\"4201\">Maintaining regular sleep patterns<\/p><\/li><li data-start=\"4202\" data-end=\"4265\"><p data-start=\"4204\" data-end=\"4265\">Managing stress with gentle exercise or relaxation techniques<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4fd7d40 e-flex e-con-boxed e-con e-parent\" data-id=\"4fd7d40\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2d46b3b elementor-widget elementor-widget-text-editor\" data-id=\"2d46b3b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Medications and Medical Options<\/p><p>Occasional use of analgesics may help with mild headaches. For frequent or severe headaches, YOUR DOCTOR may recommend specific treatments or evaluate hormone therapy options.<\/p><p>\u26a0\ufe0f Avoid frequent use of analgesics without medical guidance, as this can lead to rebound headaches.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-64b9614 e-flex e-con-boxed e-con e-parent\" data-id=\"64b9614\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8c85402 elementor-widget elementor-widget-heading\" data-id=\"8c85402\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Conclusion<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a6925d7 e-flex e-con-boxed e-con e-parent\" data-id=\"a6925d7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7583e1e elementor-widget elementor-widget-text-editor\" data-id=\"7583e1e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"4650\" data-end=\"4875\">Headaches during perimenopause are common and often linked to hormonal fluctuations, sleep disruption, and stress. Understanding the underlying causes can help women take proactive steps to reduce both frequency and severity.<\/p><p data-start=\"4877\" data-end=\"4986\">With proper lifestyle adjustments and medical guidance, headache management during perimenopause is possible.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2200157 e-flex e-con-boxed e-con e-parent\" data-id=\"2200157\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f32ac71 elementor-widget elementor-widget-text-editor\" data-id=\"f32ac71\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Scientific studies: <strong class=\"Yjhzub\">Study:<\/strong>\u00a0Martin, V. T., Pavlovic, J., Fanning, K. M., Buse, D. C., Reed, M. L., &amp; Lipton, R. B. (2016).\u00a0<a class=\"GI370e\" href=\"https:\/\/www.google.com\/search?q=Perimenopause+and+menopause+are+associated+with+high+frequency+headache+in+women+with+migraine%3A+results+of+the+American+Migraine+Prevalence+and+Prevention+Study&amp;sca_esv=e4930b54a8b6c4ed&amp;sxsrf=ANbL-n6WmYABAM_Q0ikteVO-8_z1LIDh4w%3A1768588906167&amp;ei=aoZqaf3uCbyTxc8PvN_KmAM&amp;ved=2ahUKEwiA3-y625CSAxVaQ_EDHRuzDu8QgK4QegQIBBAB&amp;uact=5&amp;oq=Give+me+two+scientific+studies+on+headaches+during+menopause%2C+and+where+and+when+they+were+published.&amp;gs_lp=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_iAwUSATEgQPEFSKlidqfMOSK6BgQIARgKkgcDMS4xoAf3BLIHAzAuMbgHqAHCBwMzLTLIBxeACAA&amp;sclient=gws-wiz-serp&amp;mstk=AUtExfDaxxJaO0kA1z9t6NSQ9nO0aHSRq2yAQlW1BXUeU1fZl-NgNhKTt9cjkY_LI2c0-3q8Vgpxd9sm9zwa1wrFKW3n8gRdaczwcnfE9pTr_OOVH7dNVMxVr34zuWM3MphHJM7Sb1_xnNANliyF5qwrYJqiy_F_alX4LB1Ar-iJlINoi-phNNX7OuEnvVzHqJNzbvm7QF99s46Fi6Sm4kKhT240sHU72cKefbvmiIABdRPktjyBzxg1s5vhAN-bNKwWqOh7Tpf0TOz3yB2xzzSpcV2Id9pH6qbtrHAMnGhPtUudIA&amp;csui=3\" data-ved=\"2ahUKEwiA3-y625CSAxVaQ_EDHRuzDu8QgK4QegQIBBAB\" data-hveid=\"CAQQAQ\">Perimenopause and menopause are associated with high frequency headache in women with migraine: results of the American Migraine Prevalence and Prevention Study<\/a>.<\/p><p><strong class=\"Yjhzub\">Published:<\/strong>\u00a0<em class=\"eujQNb\"><a class=\"GI370e\" href=\"https:\/\/www.google.com\/search?q=Headache&amp;sca_esv=e4930b54a8b6c4ed&amp;sxsrf=ANbL-n6WmYABAM_Q0ikteVO-8_z1LIDh4w%3A1768588906167&amp;ei=aoZqaf3uCbyTxc8PvN_KmAM&amp;ved=2ahUKEwiA3-y625CSAxVaQ_EDHRuzDu8QgK4QegQIBBAD&amp;uact=5&amp;oq=Give+me+two+scientific+studies+on+headaches+during+menopause%2C+and+where+and+when+they+were+published.&amp;gs_lp=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_iAwUSATEgQPEFSKlidqfMOSK6BgQIARgKkgcDMS4xoAf3BLIHAzAuMbgHqAHCBwMzLTLIBxeACAA&amp;sclient=gws-wiz-serp&amp;mstk=AUtExfDaxxJaO0kA1z9t6NSQ9nO0aHSRq2yAQlW1BXUeU1fZl-NgNhKTt9cjkY_LI2c0-3q8Vgpxd9sm9zwa1wrFKW3n8gRdaczwcnfE9pTr_OOVH7dNVMxVr34zuWM3MphHJM7Sb1_xnNANliyF5qwrYJqiy_F_alX4LB1Ar-iJlINoi-phNNX7OuEnvVzHqJNzbvm7QF99s46Fi6Sm4kKhT240sHU72cKefbvmiIABdRPktjyBzxg1s5vhAN-bNKwWqOh7Tpf0TOz3yB2xzzSpcV2Id9pH6qbtrHAMnGhPtUudIA&amp;csui=3\" data-ved=\"2ahUKEwiA3-y625CSAxVaQ_EDHRuzDu8QgK4QegQIBBAD\" data-hveid=\"CAQQAw\">Headache<\/a><\/em>, 2016<\/p><p><span class=\"T286Pc\" data-sfc-cp=\"\"><strong class=\"Yjhzub\">Study:<\/strong>\u00a0<a class=\"GI370e\" href=\"https:\/\/www.google.com\/search?q=Kim%2C+C.%2C+et+al.&amp;sca_esv=e4930b54a8b6c4ed&amp;sxsrf=ANbL-n6WmYABAM_Q0ikteVO-8_z1LIDh4w%3A1768588906167&amp;ei=aoZqaf3uCbyTxc8PvN_KmAM&amp;ved=2ahUKEwiA3-y625CSAxVaQ_EDHRuzDu8QgK4QegQIBBAG&amp;uact=5&amp;oq=Give+me+two+scientific+studies+on+headaches+during+menopause%2C+and+where+and+when+they+were+published.&amp;gs_lp=Egxnd3Mtd2l6LXNlcnAaAhgDImVHaXZlIG1lIHR3byBzY2llbnRpZmljIHN0dWRpZXMgb24gaGVhZGFjaGVzIGR1cmluZyBtZW5vcGF1c2UsIGFuZCB3aGVyZSBhbmQgd2hlbiB0aGV5IHdlcmUgcHVibGlzaGVkLjIGELMBGIUEMhAQABgDGLQCGOoCGI8B2AEBMhAQABgDGLQCGOoCGI8B2AEBMhAQABgDGLQCGOoCGI8B2AEBMhAQABgDGLQCGOoCGI8B2AEBMhkQABgDGLQCGKgDGOoCGJoDGIsDGI8B2AEBMhAQABgDGLQCGOoCGI8B2AEBMhwQABgDGLQCGKgDGOoCGJoDGIsDGJsDGI8B2AEBMhAQABgDGLQCGOoCGI8B2AEBMhAQABgDGLQCGOoCGI8B2AEBMhAQABgDGLQCGOoCGI8B2AEBSN4sUABYiiRwAXgBkAEAmAGXAaABlwGqAQMwLjG4AQPIAQD4AQH4AQKYAgKgArcBqAILwgIGEAAYBxgewgIUEAAYgAQYsQMYgwEYqAMYiwMYnQPCAgsQABiABBixAxiDAcICBRAAGIAEwgIXEAAYgAQYsQMYqAMYmAMYmgMYiwMYmwOYAw_iAwUSATEgQPEFSKlidqfMOSK6BgQIARgKkgcDMS4xoAf3BLIHAzAuMbgHqAHCBwMzLTLIBxeACAA&amp;sclient=gws-wiz-serp&amp;mstk=AUtExfDaxxJaO0kA1z9t6NSQ9nO0aHSRq2yAQlW1BXUeU1fZl-NgNhKTt9cjkY_LI2c0-3q8Vgpxd9sm9zwa1wrFKW3n8gRdaczwcnfE9pTr_OOVH7dNVMxVr34zuWM3MphHJM7Sb1_xnNANliyF5qwrYJqiy_F_alX4LB1Ar-iJlINoi-phNNX7OuEnvVzHqJNzbvm7QF99s46Fi6Sm4kKhT240sHU72cKefbvmiIABdRPktjyBzxg1s5vhAN-bNKwWqOh7Tpf0TOz3yB2xzzSpcV2Id9pH6qbtrHAMnGhPtUudIA&amp;csui=3\" data-ved=\"2ahUKEwiA3-y625CSAxVaQ_EDHRuzDu8QgK4QegQIBBAG\" data-hveid=\"CAQQBg\">Kim, C., et al.<\/a>\u00a0(2024). (Focus on cardiovascular risk).<\/span><\/p><ul class=\"KsbFXc U6u95\"><li data-hveid=\"CAQQBw\"><span class=\"T286Pc\" data-sfc-cp=\"\"><strong class=\"Yjhzub\">Published:<\/strong>\u00a0The journal\u00a0<em class=\"eujQNb\"><a class=\"GI370e\" href=\"https:\/\/www.google.com\/search?q=Menopause&amp;sca_esv=e4930b54a8b6c4ed&amp;sxsrf=ANbL-n6WmYABAM_Q0ikteVO-8_z1LIDh4w%3A1768588906167&amp;ei=aoZqaf3uCbyTxc8PvN_KmAM&amp;ved=2ahUKEwiA3-y625CSAxVaQ_EDHRuzDu8QgK4QegQIBBAI&amp;uact=5&amp;oq=Give+me+two+scientific+studies+on+headaches+during+menopause%2C+and+where+and+when+they+were+published.&amp;gs_lp=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_iAwUSATEgQPEFSKlidqfMOSK6BgQIARgKkgcDMS4xoAf3BLIHAzAuMbgHqAHCBwMzLTLIBxeACAA&amp;sclient=gws-wiz-serp&amp;mstk=AUtExfDaxxJaO0kA1z9t6NSQ9nO0aHSRq2yAQlW1BXUeU1fZl-NgNhKTt9cjkY_LI2c0-3q8Vgpxd9sm9zwa1wrFKW3n8gRdaczwcnfE9pTr_OOVH7dNVMxVr34zuWM3MphHJM7Sb1_xnNANliyF5qwrYJqiy_F_alX4LB1Ar-iJlINoi-phNNX7OuEnvVzHqJNzbvm7QF99s46Fi6Sm4kKhT240sHU72cKefbvmiIABdRPktjyBzxg1s5vhAN-bNKwWqOh7Tpf0TOz3yB2xzzSpcV2Id9pH6qbtrHAMnGhPtUudIA&amp;csui=3\" data-ved=\"2ahUKEwiA3-y625CSAxVaQ_EDHRuzDu8QgK4QegQIBBAI\" data-hveid=\"CAQQCA\">Menopause<\/a><\/em>, 2024<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-89a3217 e-flex e-con-boxed e-con e-parent\" data-id=\"89a3217\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-01e0958 elementor-widget elementor-widget-text-editor\" data-id=\"01e0958\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Written and reviewed by: Dr. Wilma Mendon\u00e7a<br \/>Images from: Pexels<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>This post contains affiliate links. As an Amazon Associate I earn from qualifying purchases at no extra cost to you \u00a0 Perimenopause is the transitional phase before menopause and is marked by significant hormonal fluctuations. These hormonal changes can affect multiple systems in the body\u00a0 including the nervous and vascular systems\u00a0 which may increase the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1307,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[335,339,341,338,342,336,337,209,340],"class_list":["post-1305","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-highlights","tag-headache-perimenopause","tag-headache-treatment-perimenopause","tag-hormonal-headaches","tag-menopause-headache-causes","tag-menopause-health","tag-perimenopause-migraine","tag-perimenopause-relief","tag-perimenopause-symptoms","tag-womens-health-45"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Headache in Perimenopause: Why It Happens &amp; How to Stop It \u2013 Pharmacist<\/title>\n<meta name=\"description\" content=\"Hormonal headaches during perimenopause are common but treatable. 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