10 May 2019 Headaches related to changes in female hormones occur at certain stages of the reproductive cycle and may be: Migraines Other types of headache. Production of female hormones begins at puberty. It is at this point that the first headaches related to hormonal changes can occur. One sixth of women who have migraines had their first attacks during puberty. In many women, headaches are related to their menstrual cycle. They usually occur a few days before menstruation, along with other premenstrual symptoms. Migraines are related to a decrease in oestrogen , which occurs before the start of menses. Headache and hormonal contraception Headaches are also a known side effect of combined hormonal contraception , although they usually improve over time. In women who have migraines, they usually occur in the interval between doses, when levels of circulating oestrogens fall. Hormonal contraception with progesterone alone has variable effects on headaches. Headaches and pregnancy Headaches improve for most women in pregnancy and this effect may continue during breastfeeding. However, headaches sometimes worsen early in pregnancy due to: Nausea A lower intake of food and liquids. Headaches and menopause Migraines and other headaches may worsen in the years before menopause, due to irregular oestrogen production . Headaches improve after menopause, possibly because: Irregular hormone production disappears; Oestrogen production stabilizes at a level lower than before menopause. This article was written with the support of physicians and other clinical professionals from the Hospital da Luz network. The content published in the Health Guide is intended for the general public and is provided for informational and educational purposes only. It does not replace individual medical assessment, diagnosis, or personalized clinical advice from a qualified healthcare professional. The content is produced or reviewed by physicians and other healthcare professionals at Hospital da Luz and is based on the knowledge available at the time of publication or the most recent update, as indicated at the beginning of each item.
