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Migraine headaches, menopause and MHT/HRT

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KEY POINTS

  • Migraine is not a contraindication to using menopausal hormone therapy
  • Migraine without aura is more sensitive to hormonal flux than migraine with aura
  • Falling oestrogen commonly triggers the onset of a hormonally sensitive migraine
  • Maintaining stable oestrogen levels is important and transdermal delivery is preferable