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Michelle Sabia, MPH, CPH

Michelle Sabia has a passion for health equity and has dedicated her career to supporting underserved populations through education, direct service programming and advocacy. She is certified in public health and received her master's in public health from George Washington University. She has over a decade of experience in healthcare nonprofits and healthcare delivery settings. Most recently, Michelle managed federal payment programs and community health initiatives at a local health system in Washington state. Her proudest accomplishment was designing and implementing a social determinants of health program to address the social needs of patients in clinical settings.

Michelle's professional passions bleed into her volunteer work where she serves on the board of directors of the Neighborhood Clinic Tacoma, a free clinic serving those who can't access or afford healthcare services.

Though she currently resides in Washington and loves the unique natural beauty of the area, Michelle was born and raised in the Northeast and is quick to tell you that her heart will always be in New York. In her free time, she and her husband enjoy raising backyard chickens, hiking, cooking and traveling.

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Perimenopause and Migraine Disease

Perimenopause and Migraine Disease

Find out how perimenopause symptoms can change your migraine attacks

Conditions & Treatments

June is Migraine and Headache Awareness Month.

Slide 1

Perimenopause and Migraine Disease

Find out how perimenopause symptoms can change your migraine attacks 

Slide 2

Perimenopause can affect how you experience migraine disease

  • You may have a migraine attack for the first time 

  • Your symptoms could get worse

  • Your symptoms could get better 

  • There might be no change in your symptoms

Slide 3 

Hormonal upheaval

During perimenopause, estrogen and progesterone go up and down. 

These hormonal changes can trigger worse pain or more frequent migraine attacks.  

For some women, when hormone levels even out during postmenopause, their migraine attacks happen less often or stop completely. 

Slide 4

Sleep matters

Perimenopause symptoms such as hot flashes, waking up often, anxiety or depression can affect sleep quality. 

Poor sleep can trigger migraine attacks. 

Slide 5

Menstrual migraine

Some women experience heavier and/or more frequent periods than usual during perimenopause, which can trigger more attacks and more severe migraine symptoms. 

2 out of 3 women with migraine disease experience attacks during their periods.

Slide 6

Take note

Keeping track of your perimenopause symptoms and how they affect your migraine attacks can help you and your healthcare provider (HCP) come up with a treatment plan that works for you. 

Slide 7

Write down your perimenopause symptoms  

Track whether any of the following symptoms affect how often you get migraine attacks and how bad they are.

  • Anxiety

  • Depression

  • Difficulty concentrating

  • Hot flashes

  • Insomnia

Slide 8

Options for relief

There are many treatment options that can help manage migraine disease during perimenopause:

  • Oral medications

    • Triptans taken with non-steroidal anti-inflammatory drugs (NSAIDS)

    • CGRP blockers

  • Injectable medications 

  • Nasal sprays 

  • Magnesium

  • Hormone therapy 

Slide 9

Hormone therapy may help

Hormone therapy:

  • Replaces estrogen that’s lost during perimenopause

  • May help stop migraine attacks that are triggered by hormonal changes

  • Is safe and effective

Slide 10 

Involve your HCP 

If you're in perimenopause and your migraine symptoms are changing, talk to your HCP about what treatment options might help. 

This educational resource was created with support from Pfizer.

 

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