Migraine and HRT

[Tullyanne]

Has anyone suffering with chronic migraine tried HRT? I was thinking about asking for HRT gel or cream rather than oral medication.

[licorice99]

Yes been on HRT for 12 months. I am on continuous combined, the oestrogen component is Sandrena gel 1mg per day and progesterone Utrogestan 100mg. I started with the Utrogestan orally but I was getting headaches so now I take 100mg every other day vaginally. I am going for a scan to check my uterus soon. After a month the hot flushes disappeared, and then my joints and sleep improved it was at the 6 month mark I saw an improvement in migraine. I stopped vomiting and they are less intense and respond to triptans again. I am no longer on any preventatives. Hope this helps,

Good luck!

[Tullyanne in reply to licorice99]

Thank you so much for your reply, very helpful. 😊

[monster05 in reply to Tullyanne]

Hi there,

The best way of receiving HRT if you suffer from chronic migraine would be through a patch. A patch ensures even hormone delivery. Gels (and tablets) are much more variable in delivery which isn’t a problem for those who don’t suffer from migraine but those who do tend to react to fluctuations in oestrogen and progesterone. Whether or not you have continuous/combined deliver or sequential will be down to your age and where you are in terms of your menopause.

All good wishes.

[Tullyanne in reply to monster05]

Thanks you very much x

[licorice99 in reply to monster05]

That's really interesting re the patch, I would like to explore this with my Dr as I have always wondered about the gel. My mum did really well on a patch. If you have any futher info or references that would be great.

[Katiedoodle]

Yes I’ve just started estrogen patches and ugtrogestan tablets cyclically. As I have migraine they won’t give me oral estrogen and I’m ok with that. Get the Balance app there is loads of advice on there.

[Tullyanne in reply to Katiedoodle]

Thanks so much x

[Lanabfar]

Yes. HRT works for me. Patch is best as delivers constant estrogen levels.