Menopause, headaches at night?

Health Professional

Full Question:

Since I started going through menopause and experiencing hot flashes (7 years ago), I have been frequently experiencing night time headaches. I wake feeling a lot of pressure in my head, especially in my sinuses. Keeping the room cool at night helps most nights, but I still get them. I have been tested with just about every kind of test there is and was told that there is nothing wrong. Do you have any recommendations of what else I can do? Kim.

Full Answer:

Dear Kim;

In women, estradiol fluctuates and although the literature is confusing, I wonder if there is enough fluctuation (i.e., a drop in the hormone level) to allow you to have a night-time headache. This is what happens with perimenstrual Migraines, when the level drops just before menses. Alternatively, laying flat also increases intracranial fluid pressure, which can allow headaches to wake people up at night or to start the day with them, and intracranial pressure (ICP) fluctuations are likely also under the influence of estradiol.

Good luck,
John Claude Krusz and Teri Robert

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