For those who have not experienced a migraine, perhaps it would seem just another headache. But for someone like me who has suffered through migraines that will last over a week even with medication, I can definitely tell you that it's much more. The ache is not confined to the head; it's the whole experience. Nausea, sensitivity to light, and throbs so bad it makes simple tasks unbearable. It also comes with an emotional burden—the loneliness and frustration are pretty unbearable. Through the years, realizing how hormones are also implicated in triggering and exacerbating my migraines has helped change the game in my dealing with these episodes.

What are Hormonal Migraines?

Hormonal migraines are caused by fluctuations in estrogen and progesterone, the two main female hormones. These hormones are essential for the reproductive system, regulating menstrual cycles and pregnancy. They also have an effect on brain chemicals, such as serotonin and dopamine, which affect mood and pain perception. When hormone levels fluctuate, such as during menstruation, pregnancy, or menopause, they can destabilize the pathways in the brain, causing migraines.

According to Dr. Shivananda Pai, Consultant Neurology, migraines are more than a neurological disorder. "Migraines represent a complex interplay of genetic, environmental, and hormonal factors. In women, hormonal fluctuations are a critical trigger that amplifies sensitivity to pain," he explains. Hormonal headaches are particularly challenging because they are influenced by multiple life stages, from puberty to post-menopause. Common causes include:

• Menstrual periods: Estrogen levels significantly drop just before menstruation often triggers a migraine.
• Pregnancy: Hormones can act to relieve symptoms or aggravate them during different times of pregnancy.
• Menopause: The hormonal fluctuation during menopause can intensify a migraine, while some women tend to find relief.
• Hormonal therapies: Birth control and HRT tend to level off hormone balances in some individuals but will exacerbate a migraine in others.

Complex Role of Hormones in Women’s Neurological Health

Estrogen and Neurological Health

Estrogen, often called the "hormone of femininity", does more than regulate reproductive functions. It is a powerful influencer of brain health. Estrogen modulates the activity of neurotransmitters like serotonin, which regulates mood and pain perception, and dopamine, associated with reward and pleasure.

During stages of hormonal stability, like in pregnancy's latter months, women may have fewer migraines because of the steady elevation of estrogen. However, a sudden downfall in estrogen destabilizes these chemicals in the brain, sending a heightened sensitivity for migraine triggers.

Menstrual Migraines

The most common form of hormonal migraines is menstrual migraines, which occur in response to the steep decline in estrogen levels just before menstruation. These are typically more intense and less responsive to standard treatment. The timing of these migraines provides clear evidence of the role hormones play in neurological health.

Pregnancy and Hormonal Shifts

Pregnancy is a rollercoaster of hormones. Although many women experience relief from migraines as a result of the constantly elevated levels of estrogen, some women, particularly in the first trimester, worsen. This individual variability is a characteristic of hormonal migraine triggers.

Hormonal Therapies and Management of Migraine

Hormonal treatments, such as oral contraceptives and HRT, have had mixed reviews regarding their use in managing migraine. Some women fare better with the stabilization the treatment provides, whereas others suffer worsening symptoms. This will depend on the nature and dose of the hormones used.

Post-Menopause: Migraine Remission or Continued Struggles?

For most women, menopause brings relief from their migraines. The decline in frequency and severity often accompanies stability in hormone levels. Even so, the susceptibility remains with some towards other forms of triggers including stress and sleep deprivation, not to forget diet-related factors and continues the saga of migraines well after the menopausal stages.

Effect on Neurological Health Due to Hormonal Changes

The relationship of hormones to neurological health goes beyond migraines. Hormonal changes have profound effects on a woman's brain in general.

Mood Disorders: Estrogen helps stabilize mood by regulating serotonin. Its decline at menopause increases the risk of mood swings and depression.

Neurodegenerative Diseases: Estrogen is neuroprotective, stimulating the growth and repair of brain cells. Its absence in post-menopausal women has been associated with an increased risk of Alzheimer's disease and cognitive decline.

Multiple Sclerosis (MS): Hormonal cycles may affect the course of MS, a disease that occurs more frequently in women than in men. Estrogen's anti-inflammatory effects provide transient protection during pregnancy, reducing relapse rates in women with MS.

"The intricate interplay between hormones and neurological health underscores the need for gender-specific treatment approaches," says Dr. Pai.

Managing Hormonal Migraines: Practical Strategies

While hormonal changes are inevitable, several strategies can help manage migraines effectively:

1. Tracking Your Cycle

Understanding your menstrual cycle can help identify patterns and predict when migraines might occur. This knowledge allows for preventive measures, such as scheduling medications or adjusting lifestyle habits.

2. Consulting Specialists

Working with a neurologist or gynecologist can help develop a personalized treatment plan. Options might include hormonal therapies, triptans, or preventive medications tailored to your specific needs.

3. Adopting a Healthy Lifestyle

A well-balanced diet, regular exercise, and stress management are all integral parts of managing migraines. For instance, magnesium-rich foods and hydration can help reduce the frequency and severity of attacks.

4. Exploring Preventive Therapies

For people with severe or frequent migraines, preventive medications, such as beta-blockers or CGRP inhibitors, may be prescribed. These medications stabilize brain activity and therefore reduce the chances of migraine during hormonal fluctuations.

5. Mind-Body Techniques

Techniques like yoga, meditation, and biofeedback can enhance wellness and reduce the debilitating effects of stress-one of the most common migraine triggers.

Research that was once in its embryonic stage continues to shed more light on the role of hormones in migraines and other neurological conditions. Further breakthroughs in genetic testing might enable doctors to predict, at least in a way, how an individual would react to hormonal therapies. The importance of gender-specific approaches is gradually being realized, which involves differentiating between the plight of women with migraines from others.

As Dr. Pai puts it, "Empowering women with knowledge about the hormonal underpinnings of migraines can lead to better, more personalized care. With the right strategies, migraines can be effectively managed, allowing women to lead fuller, healthier lives.

Migraines are not headaches; they are a complex neurological condition that deeply impacts the lives of millions of women. Understanding the role of hormones in triggering and exacerbating migraines is a vital step toward better management and relief.

Awareness, proactive care, and advances in medical research can help women regain their lives from the grip of hormonal migraines. Whether tracking cycles, adopting healthier habits, or seeking tailored medical care, every step taken toward understanding and managing migraines is a step toward empowerment.

Dr Shivananda Pai is a Consultant Neurology at KMC Hospital Dr B R Ambedkar Circle in Mangalore, India.

Brandes JL. The Influence of Estrogen on Migraine: A Systematic Review. JAMA. 2006;295(15):1824–1830. doi:10.1001/jama.295.15.1824

Sacco S, Ricci S, Degan D, Carolei A. Migraine in women: the role of hormones and their impact on vascular diseases. J Headache Pain. 2012 Apr;13(3):177-89. doi: 10.1007/s10194-012-0424-y. Epub 2012 Feb 26. PMID: 22367631; PMCID: PMC3311830.

Every year on March 20, World Oral Health Day is observed to raise awareness about the importance of caring for your mouth at every stage of life. This means starting from birth through later years. However, a visit to dentist is usually the last thing anyone plans when they think of a doctor's visit. Dental visits happen only when extraction or something bigger is involved. More often than not people ignore a follow up or a regular dental checkup to maintain oral health. Why so?

In a previous interview with Health and Me Lt Gen Dr Vimal Arora, the Chief Clinical officer at Clove Dental, who has 40 years of experience as a dentist and also served in the Indian Army explained how oral health is not just about a pretty smile. He explained that many do not plan a regular visit to a dentist because the problems that pertains to oral health do not seem "life threatening".

Read: Exclusive: Astronaut Rakesh Sharma Had To Get His Wisdom Tooth Extracted Before His Trip To Space

However, Dr Arora told Health and Me that oral health can in fact be the first way to know if anyone is prone to a chronic disease.

Early Signs Of Disease Your Mouth Can Reveal

“There is now scientific evidence, published in top medical journals, that shows how oral infections can significantly worsen pre-existing systemic diseases,” says Dr. Arora. This isn’t just a theory — it’s a medically established fact.

Take diabetes, for instance. People with gum infections often find it harder to control their blood sugar levels. “If you're suffering from diabetes and you have a gum infection, your diabetes will not be well controlled. In fact, it may worsen,” he adds. The same applies to heart diseases. Oral infections can increase inflammation in the body, potentially triggering or worsening cardiovascular problems.

This is concerning especially for those people who may already be managing conditions like hypertensions, arthritis, or respiratory illness. Poor oral health can actually sabotage their efforts to stay stable.

“Your tongue is a true mirror of your oral and general health,” says Dr. Arora. The correlation therefore goes beyond just gums and teeth. Dentists are trained to detect early signs of systemic disorders simply by examining the tongue's color, coating and texture.

A pale tongue might indicate iron deficiency, while a coated tongue could be a sign of digestive issues or a viral illness. “Sometimes, we ask patients if they've had their blood work done, based purely on what we see on their tongue,” he adds. In some cases, dentists can even detect undiagnosed diabetes or early signs of nutritional deficiencies.

What Mother's Oral Health Can Predict About Their Babies

Dr. Arora also highlights the overlooked risks that pregnant women face when they neglect their dental hygiene. “If you are pregnant and suffer from periodontitis or even gingivitis — essentially poor gum health — you are at risk of having a preterm or low-birth-weight baby,” he says.

This isn’t just theory; it’s a well-documented risk in obstetric dentistry. Pregnant women are encouraged to get dental check-ups not just for themselves, but for the health of their unborn child.

Despite these evidences, oral health remains one of the most neglected aspects of personal healthcare. Dr. Arora believes this is partly due to a lack of awareness and the perception that dental problems are not "serious enough."

“People often wait until they’re in pain before they see a dentist, but by then, the damage might already be affecting other parts of the body,” he says. Preventive check-ups, regular cleaning, and treating gum infections early on can go a long way in improving not just oral health, but overall wellness.

Most people reach for sunscreen when heading to the beach or stepping out for a long day in the sun. But skincare experts say sun protection should not be limited to vacations or outdoor activities. Sunscreen is meant to be part of a daily skincare routine.

This often raises a common question. If you are staying indoors all day, do you still need sunscreen?

Dermatologists say the answer depends on your surroundings and daily habits.

Sunlight can still reach you indoors

Many people assume that staying inside completely protects their skin from sunlight. But this is not always true.

Dr Khushboo Jha, MBBS, MD, Chief Dermatologist Consultant at Metro Hospital and Founder of One Skin Clinic, explains that sunlight entering through windows can still affect the skin.

“While standard window glass blocks most UVB rays, which cause sunburn, UVA rays can still pass through. These rays penetrate deeper into the skin and are linked to long term concerns such as premature aging, uneven pigmentation and loss of skin elasticity,” she says.

These UVA rays are often overlooked because they do not cause immediate redness or burning like UVB rays. However, over time they can lead to visible signs of skin aging and pigmentation.

When sunscreen indoors becomes important

Dermatologists say sunscreen indoors is particularly useful for people who spend long hours near windows or in well lit spaces.

Dr Jha notes that individuals who work near windows, sit in sunlit rooms or spend time driving during the day may still be exposed to sunlight. “Even short periods of daily exposure to sunlight over time can contribute to cumulative skin damage,” she explains.

In such situations, applying sunscreen in the morning can offer an added layer of protection. A broad spectrum sunscreen with at least SPF 30 is generally recommended.

This approach is especially relevant for people working in offices with large windows or those who frequently commute during daylight hours.

What if you are away from windows?

Experts also say sunscreen use indoors is not always equally necessary for everyone.

If you spend most of the day inside a room with minimal natural light and away from windows, your exposure to ultraviolet radiation becomes much lower.

Dr Jha says that in such cases the urgency of frequent sunscreen reapplication becomes less important. The risk of sun related skin damage is significantly reduced when there is little to no direct daylight entering the space.

This means sunscreen indoors should not be treated as a strict rule but rather as a flexible part of skincare based on lifestyle and environment.

What about blue light from screens?

Another topic that often comes up is blue light exposure from digital devices such as phones, laptops and tablets.

Some studies suggest that prolonged exposure to visible light may contribute to pigmentation, especially in individuals with deeper skin tones. However, dermatologists point out that the amount of blue light from electronic screens is much lower than what we receive from natural sunlight.

Dr Jha says the effect of digital screens on the skin is still being studied, but compared to sun exposure, the impact remains minimal.

A practical approach to daily skincare

Dermatologists suggest viewing sunscreen as a preventive skincare habit rather than a rigid rule.

Dr Jha recommends incorporating sunscreen into your morning routine, particularly if your day includes stepping outdoors or spending time in naturally lit environments.

In simple terms, if daylight reaches your workspace or you plan to go outside later in the day, applying sunscreen in the morning is a small step that can help protect your skin over time.

At the age of 28, Courtney Paton realized she could never have children. She was medically infertile. This was after years of repeated surgeries, a total of seven, for 'suspected' endometriosis, due to which Dr Simon Gordon, Melbourne-based gynecologist removed both her ovaries and eventually her uterus.

Also Read: Menopause Can Raise Alzheimer Risk In Women, Neurologist Warns

Her story came to light through an investigation by the Australian Broadcasting Company or ABC's Four Corners, an investigation that looked at the treatment she received from Dr Gordon.

Courtney says she trusted the doctor completely. Now she says that trust has been shattered. “I feel completely betrayed by not only Simon Gordon, but by Epworth, by the healthcare system,” she told the program.

A Wrong Diagnosis That Led to Repeated Surgeries

Courtney first had laparoscopic surgery in 2018 with another surgeon, which confirmed she had endometriosis. The condition affects about one in seven Australian women and can cause severe pelvic pain and fertility problems.

Still struggling with pain, she began seeing Gordon in 2019 when she was 21.

Over the next several years she underwent seven surgeries with him. Gordon told her the procedures were necessary to treat severe endometriosis. Courtney and her family paid more than 32,000 Australian dollars for these surgeries alone.

But when investigators asked her to obtain her pathology reports, the results told a very different story. The tissue tests from most of her surgeries showed no evidence of endometriosis.

Despite this, operation reports written by Gordon continued to describe findings consistent with the disease.

Read: A Woman Lost Her Ovary To Endometriosis Surgery After Receiving An Ultimatum From Gynecologist

Removal of Both Ovaries

In 2021 Gordon removed one of Courtney’s ovaries, saying it was stuck to the pelvic wall. Later he removed the second ovary as well.

Independent specialists who reviewed the pathology for the investigation said the ovary appeared normal and there was no clear justification for removing it. One expert described the treatment as “unbelievable” after reviewing the medical records.

Medical guidelines generally advise caution when removing ovaries from young women who may want children in the future.

Read: This Is Endometriosis, A Short Film On Debilitating Health Condition Wins BAFTA Award 2026, Know More

A Hysterectomy At 25

Despite losing both ovaries, Courtney continued to experience pelvic pain. Gordon later advised that she should undergo a hysterectomy.

Concerned, she sought a second opinion from another gynecologist who said the procedure was unnecessary and suggested non surgical treatments.

But after years of pain and repeated surgeries, Courtney says she felt desperate for relief and trusted the doctor who had treated her for so long. Her uterus was removed in 2023 when she was just 25.

Again, pathology results found no evidence of endometriosis.

Investigation and Legal Action

Courtney is now pursuing legal action through a medical negligence claim. The case has also drawn attention from regulators, with investigations underway into Gordon’s conduct.

Australia’s federal health minister Mark Butler described the allegations as “physically sickening”.

For Courtney, the emotional impact remains overwhelming.

“No woman should ever have to endure what I’ve endured,” she said. “I’ve had the opportunity to have a family taken away from me.”