Perimenopause is a time during which women first begin skipping menstrual periods and experience low levels of estrogen.

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Female hormonal changes such as estrogen and progesterone during the perimenopause might trigger increased migraine headaches during this time.
The menopausal years include both the perimenopause and menopause. Menopause begins when women have not had a menstrual period for one year. Symptoms such as hot flashes, irritability, depression and insomnia are common during both.
"Changes in female hormones such as estrogen and progesterone that occur during the perimenopause might trigger increased headaches during this time," noted Richard Lipton, professor at Albert Einstein College of Medicine in US.
Women who participated in the study also reported that high frequency headache increased by 76 percent during menopause, the findings showed.
Researchers identified the group of 3,664 women aged 35 to 65 who experienced migraine before and during their menopausal years.
Based on the characteristics of their menstrual cycles they were placed into one of three groups: pre-menopause (normally cycling), perimenopause (irregularly cycling) and menopause (no cycling).
Source-IANS
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