Migraine Management in Women: Hormones, Risks & Pregnancy

Did you know migraines affect women 3x more than men—and hormones play a big role? From puberty through menopause, fluctuations in estrogen and other hormones can trigger migraine symptoms. Migraine is also linked to increased cardiovascular risks in women, especially post-menopause, including hypertension and stroke—particularly with migraine with aura. Managing risk factors like blood pressure, weight, and smoking is key. For pregnant women, migraines can overlap with conditions like preeclampsia, so clinicians must carefully monitor new or unusual symptoms and review safe treatment options. Certain migraine medications, like valproate, topiramate, and ergots, are contraindicated during pregnancy. Awareness, careful management, and tailored treatment are essential to support women through all stages of life.