Hormones and Migraine: Understanding the Monthly Cycle

For many people with migraine—especially women—hormonal changes are one of the most powerful contributors to attacks.

Why Hormones Affect Migraine

Estrogen and progesterone fluctuations influence how the brain processes pain. Drops in estrogen, especially around menstruation, often lower the migraine threshold.

This is why many patients experience predictable “period migraines.”

Tracking Your Cycle

Keeping a journal or using an app can help you:

• Identify predictable times of higher risk
• Anticipate attacks around menstruation, ovulation, or hormone therapy changes
• Plan preventive treatments ahead of time

What Can Help

• Preventive medications timed to the menstrual cycle
• Hormone stabilization strategies (for some patients)
• Lifestyle support—hydration, sleep, and stress care during high-risk windows

Haven’s Approach

We personalize treatment plans to your cycle and biology. For some, this means cycle-specific medication adjustments. For others, it means integrating behavioral and lifestyle support during vulnerable phases.

Understanding your hormonal pattern can help you regain control.
Talk with Haven today about cycle-based migraine care.