I generally get a headache the day before or the day that I start. Usually the only thing that works for me is a sinus pill. Never lasts as long as yours. Tylenol, aspirin, none of that worked for me. Yes, I do believe it is hormonal.

I've had tons of migraines during perimenopause. In fact, for a year and a half, I had them every day! Then, maybe like you, I got into having rebound headaches from all the pain med I was taking. Some of us are just lucky, I guess, and develop these hormonal headaches!
I'm thinking you should be seeing a headache specialist (neuro doc, who is a headache specialist), rather than an endocrinologist. But if he can't find anything wrong, you might try the neuro doc. My headaches were usually a week before my period and a week or 2 afterwards. Now, I'm almost through menopause, and still get them occasionally. But.......what finally saved me was being put on a beta blocker for my high BP. Many people are put on them for headaches. About a week after I was put on Toprol LX, my headaches were GONE. It was like a miracle for me.
I recently went down on the Toprol, because it was making me very dumb. I'm not as dumb now........but I'm getting some of the headaches back.
One thing that works for some women is to start taking an NSAID a couple days before your period is supposed to start, and take it for a few days afterwards.
Just be careful not to take a medication that has a very high rebound potential (like Fiorinal). Good luck, and feel free to ask me more questions. I can so empathize with you!

My headaches are ABSOLUTELY hormone related. You'll find an amazingly slim bit of information about hormonal headaches out there, considering how many women get them. Mine are absolutely tied to my menstrual cycle. Not much I can offer you as advice for fixing them, I use Anaprox right before and during my period to prevent bad menstrual cramps, which has lessened the headaches somewhat, since there are prostglandins released during your period that can contribute to cramps and headaches. But I still get a headache as a result of rapidly shifting hormones, either up or down, so I'm sure they'll get worse with menopause. I use painkillers judiciously and correctly (before the pain gets really bad) and when things get really bad, I snort Imitrex. A good book to get on the subject is "Screaming to Be Heard" which is about how hormones can affect women's health and how little the hormone connection is acknowledged by most doctors, (probably because they don't have many effective treatments). There's a whole chapter on hormonal headaches and menopause and the treatment of hormonal headaches. Good luck.

I notice the day before my period, I get what I call a "crying headache", because it hurts so much, I want to go in a corner and cry.

lpinkmountain,
You're right about docs not making the hormone/headache connection. I even went to a reproductive specialist, who supposedly deals with all sorts of hormone problems, and when I told her I was having uncontrollable migraine headaches associated with my hormones, she looked at me like she'd never heard of that before!! She had nothing to offer me. I just couldn't believe it!!

An update from me ~ the endocrinologist put me on a very low dose of Prozac (10 mg.) for the headaches and PMS. The truth is I didn't have a headache as long as I took the Prozac, but I didn't like the insomnia and the 'depressed' blah feeling it gave me, so I tapered off for a week, then quit 2 days ago. I've had a headache off and on since stopping the Prozac.

Might be something to look into if you can tolerate the Prozac. It obviously does help a lot of women with these headaches. It just wasn't worth the side effects for me.

I just got the book "Screaming to be Heard" suggested by 1pinkmountain. I'm finding it very interesting reading. I go back to the endo next month and will see if he has any other ideas. He did run a hormonal blood tests, but since I didn't get a phone call, I'm guessing nothing was too far from normal.

I am menopausal and never had headaches until menopause started. Mine are relieved with estrogen. I am on a higher then I wanta be dose, but cannot tolerate these headaches they term "vaso-motor". They are incapacitating. I don't know what I will do when I have to taper off the estrogen.

Hi byrdlady,
I was "addicted" to HRT, and would get so sick and get horrible headaches if I tried to come off it. Can you try to wean yourself off very slowly, and take something like Exedrine to get you through? How about a beta blocker? I'm on Toprol for high BP, but discovered that it took care of my migraines too. I think it allowed me to come off my HRT. But now I think I need the Toprol to keep from getting the headaches.......although I am on a lower dose. Weaning off HRT should take awhile. I was on a patch, and I took 3 months to slowly cut it down. Good luck.

Natural progesterone cream has worked wonders for me and my hormonal headaches. A very good website with information if www.johnleemd.com Dr. Lee also had a great book "What your doctor may not tell you about Menopause" It goes into detail about hormones, pros and cons of estrogen and that decrease of progesterone after age of 35 contributes to many problems. I didn't check with my local library, just ordered it from Amazon.com. My DD had a copy loaned to her by a friend and I had started reading it and found it so interesting I bought one for me and one for her so she could return the borrowed one.
I am a retired RN and wish I had had this book when I was counseling patients with problems. Try it you will like it!
Please feel free to e-mail me with any questions.
Donna

Donna: I just bought the book from Amazon as well; looking forward to reading it.

I am still reading mine. I have two books going at once! The other one is "The Greatest Experiment Ever Performed on Women" and this is written by Barbara Seaman, and explores the estrogen myth. The author is a well known women's health advocate and writes for many popular magazines. I got this one real reasonable from www.EdwardRHamilton.com I ordered one for my daughter and one to donate to the local health dept. also. This site has great books at reasonable prices.
As I stated before wish I had all this information about the history of estrogen and other hormones. Things they sure didn't teach in nursing school.
Donna

I suffered from hormone related headaches for over 25 years and like all of you, my doctor didn't believe me. At age 52, I went on HRT for 5 years and my headaches disappeared. When I came off HRT I went immediately on natural progesterone cream and have absolutely no headaches. By the way, I was told that when you come off HRT, you should do so gradually. If you have been on for 5 years, take 5 months to come off, 3 years - 3 months etc.

Hey Guys, glad I found you. I to get headaches, it wakes me up at nights leaving alot of pressure in my head, it feels like I have a tight shower cap on my head and I feel like my head is going to explore. Anyone else feel this way.Can anyone tell me what kind of progesterone cream they use that works cause here in Canada is hard to find one that Dr. John lee recommends.I have his book and read it, it's a must for every women to read for sure.

Alice

Altenative practitioners can help a lot with endocrine problems, speaking from experience. They don't look at womens cycles and menopause as a disease to be cured, they work with it instead. In my late 20s-early 30s, I had a lot of headaches that became worse with each passing year and doctors would just tell me I was depressed and do nothing. A friend introduced me to alternative medicine and I took a class to learn more about it and the teacher was a naturopath. After just a couple of classes, I decided to go to him and I improved so much after just one month and the headaches were gone and haven't come back, even with the menopausal phase, knock on wood!! Like any doctors, there are good ones and bad ones, so ask at a natural foods store for suggestions.

Sometime during the summer my headaches just went away - no treatment. I still have an occasional headache, but not the constant lingering ones like I was having before.

The endocrinologist told me I wasn't yet in perimenopause according to my hormone levels. I haven't been on any HRT or BC pills for over 20 years so no connection there either.

I am 49 and suffer from chronic migrain headaches. I know they are hormonal but my doctor looked at me like I was crazy when I told her. I used to get them only once a month during my menstral cycle and now I get them almost daily and I am perimenopausal. I take hrt, and Imitrex. but im tired of the constant pain or having to take a pill that makes me nauseaus and sleepy. I wish that doctors would look into this more so they would understand. Then maybe we could get the help that we deserve.

Several years ago I had migraines that were stress related. The only thing that helped them was Imitrex injections. The migraines went away after my life became less stressful, but about 2 years ago I started getting migraines on the day that I started my period. These migraines were not as bad as the ones I had in the past and I could control them with Excederin. I knew that they were hormone related. When I had my ovaries removed and was thrown into menopause as a result of it, I had terrible hormonal headaches. I've been in surgical menopause for about 1.5 months and the migraines have slowed down. Most of the time I can control them with Excederin.

Has anyone tried bioidentical HRT what do you think about them and what kind of doctor is prescribing them?

I have been having hormonal related migraines for years and in recent months it has become almost unbearable. Like many of you, I found no relief from my doctor. All the prescription meds, worked for a short time but lost their effectiveness. About a month ago on this site I saw the suggestion of natural progesterone cream and I bought some that day. I will tell you that I haven't have a headache since! I think it's a miracle. I found the cream at a health food store and it was $15. Not only have my headaches ceased, I feel so much better. My mood is improved and my sex drive has returned. I'm only 45 and I have not started menopause yet so I didn't think I needed hormones but I guess I was wrong. I don't know if this will work for all of you, but I am a believer!