Some improve while others find their headaches are worse. To reduce the risk of uterine cancer, progesterone is often given along with estrogen to those women who still have a uterus. The topical form gives a more limited dose and is not protective against osteoporosis or cardiovascular disease. Instead, triggers are events that activate or bring on a headache in a headache-prone person. Recognizing and modifying events that trigger headaches can be very helpful in reducing headache frequency and the need for medication.
Stress is by far the most common headache trigger.
Most women and men report that they are more likely to have headaches during or after periods of stress. The fact that stress can trigger headache attacks does not mean the headaches are a psychological problem. As you may know, stress can also trigger heart attacks in someone who has pre-existing heart disease, such as coronary artery disease. The illness is biological but its severity is influenced by environment, lifestyle and other non-biological factors. Women are likely to have multiple role stress due to juggling many different roles and responsibilities.