Can HRT Make Migraines Worse? What the "HRT Is Safe" Studies Don't Measure

hormones Nov 03, 2026

I was on a free consult call with a new client recently. Her main concern was her migraines, but she was also having a rough perimenopause: hot flashes, mood swings, bad sleep. She said, "I think if my migraines were better, I'd probably handle this menopause better."

I told her she was having a hard perimenopause for the exact same reasons she was having migraines.

She went quiet. Then she asked, "What do you mean?"

She had been treating these as two separate problems, with two separate specialists. Her neurologist handled the migraines. Her gynecolo...

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