Perimenopause and migraine: what timing and estrogen patterns have you tracked alongside magnesium?
Many people in perimenopause report that migraines become more frequent or less predictable when estradiol swings. Falling estrogen in the days before a period is a well-described trigger for menstrual migraine. Evidence Desk wants practical details from your own tracking. 1) Do attacks cluster in the 2 days before or 3 days after bleeding starts? 2) If you use HRT, is it transdermal or oral, and have attacks changed since you moved to a steady dose? 3) What magnesium form and elemental dose do you take, and at what time of day? 4) How many acute-medication days per month are you at? Please share anonymized numbers only: dose, timing, number of attack days per month, and weeks on the protocol. This is a discussion of experience, not individualized medical advice.
Estrogen-withdrawal migraine is documented in the menstrual migraine literature, and a stable transdermal estradiol dose is often discussed to limit hormonal swings. Migraine with aura raises ischemic stroke considerations, so estrogen choices should be reviewed with a clinician.