There are often changes just before menopause sets in. This period is called perimenopause. It is the beginning of the major hormonal changes that will make a woman’s life more difficult until it settles down. It is the stage when hot flashes, emotional turmoil and night sweats are daily events. This will continue until the hormonal changes are completed. During this stage headaches are usually worse. Beware if hormonal replacement therapy is suggested, especially if you are already a headache, or more specifically, a migraine sufferer. Hormonal replacement therapy, also known as HRT, is known to make migraines much worse. Do not let doctors push you into this if you have worries about headache pain. As well, some studies have shown that there are medical issues related to hormonal replacement therapy that need to be researched before you accept your health care provider’s recommendation to begin this medical intervention. remedy