Hormonal migraines can feel unpredictable and overwhelming, particularly when they follow a cyclical pattern linked to your menstrual cycle. This guide explores how hormonal fluctuations trigger migraines, and the evidence-based treatment options available in the UK—from perimenstrual oestrogen support to contraceptive and non-hormonal strategies—helping you understand what might work best for your body and how to approach treatment in a personalised, informed way.