Hi jacmar, welcome to the forum. I've always suffered from migraines (since childhood) had been pretty stable on contraceptive pill (although had few weeks of cluster headaches & started on propranalol by GP a few years back), after starting HRT I was having migraines one/two days before bleeding, now on a new regime & was initially having headaches & break through bleeds (they were bareable) not now. Four years ago I had two episodes (a week apart) of fainting both in the shower, I have been left with a large unsightly bruise to my lower leg. No further episodes but most likely peri related although my more debilitating symptoms started 3 years ago looking back before that I wasn't keeping good health with odd things going on! Have a read through the forum & website get yourself armed with as much info as you can & make a decision from there re HRT. If you think it's tension/anxiety related this can be a menopausal symptom or you could try alternative therapies, exercise etc to see if that helps. Take care. x