The integration of migraine and sleep disturbance in perimenopause: a narrative review.

This narrative review explores how migraine and sleep disturbances intersect during perimenopause. Hormone fluctuations worsen both migraine and sleep issues in women. Unfortunately, clinical guidelines for managing both conditions together do not exist. This review assesses how perimenopause affects these two comorbidities. It also examines how treatments for one condition impact the other. The authors conducted a thorough search of studies and clinical guidelines in English. They searched databases like PubMed, CINAHL, Google Scholar, and ProQuest Nursing. The search included studies from 2015 to 2025 and earlier foundational research from 2003. An integrated approach to monitoring migraine and sleep disorders may reduce migraine burden. Coordinating treatment strategies could enhance the quality of life for women in perimenopause. More research is necessary to develop effective coordinated approaches to manage these interrelated conditions. Clinical relevance: This research highlights the need for integrated care of migraine and sleep disturbances during perimenopause to improve patient outcomes.