Some unwanted effects of hrt: headache

SOME UNWANTED EFFECTS OF HRT: HEADACHE
Nearly a third of women aged forty-five to fifty-five who participated in the Melbourne Women's Midlife Health Study complained of headaches. Given this prevalence, it is surprising how little research has been done on the relationship between headaches and hormones. For a small number of women, their first experience of headache seems to occur around the time of menopause, while for others they become less frequent. It is not known why this is so.
If you begin to have severe headaches, including migraine and visual or sensory disturbance, at about the time you start on HRT, you should stop and have the problem investigated. If you already had a headache problem and are on HRT, the situation should be watched closely. Be sure to check that your doctor is prescribing a 'natural' rather than a 'synthetic' oestrogen and a form of progestogen that is least likely to make headaches worse. Changing the brand of oral oestrogen or changing from a pill to a patch or implant may also help.
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