
OvaryActive Ep 32 | Perimenopause + Migraines: Your Brain on Hormones
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Jan 8, 2026 Struggling with migraines during perimenopause? The hosts dive into why hormonal fluctuations might turn your brain into chaos. Discover the difference between migraines with and without aura, and the myriad triggers that can worsen them. They also discuss effective treatment options, from lifestyle changes to advanced therapies like CGRP monoclonal antibodies. Plus, personal stories make the conversation relatable, reminding listeners they’re not alone in this journey of understanding and managing migraines.
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Physician's Personal Migraine Struggle
- Dr. Amy Voedisch suffered severe migraines since medical school and sometimes felt they threatened her training.
- She empathizes deeply with listeners who find migraines disabling during perimenopause.
Hormonal Rollercoaster Triggers Migraines
- Migraines often link to hormonal swings, especially estrogen drops around the period.
- Menstrual and perimenopausal changes can trigger or worsen migraines due to brain estrogen receptors.
Smell Aura And Perfume Trigger
- Dr. Rebecca Dunsmoor-Su's aura is olfactory: a specific perfume smell predicts her migraines.
- Strong scents remain ongoing triggers, so she avoids perfumes in clinical settings.
