Does anyone have any info on whether MAV might settle down post menopause? If hormones play a role, has anyone seen any articles or specialists who believe it MAV will improve later in life?
I havenāt seen any articles that I can think of off-hand. That said, my neurologist made an off-the-cuff comment when I saw her last (I changed neurologists, so Iāve only seen her once) and when she was confirming that yes, my MAV was likely triggered by perimenopausal hormone changes, she said something to the effect that we just needed to āget me through the next couple of yearsā or something to that effect. Of course, that said, first, perimenopause can last up to 10 years and Iād really rather not have to wait that long to feel good again 
plus, if you poke around on the website here, youāll find some folks who said that for them it didnāt go away after menopause. I suspect that since everyoneās different that may or may not be the case. Just have to ride out this horrible storm called āMAVā to see what happens in the long runā¦ (Sighā¦)
Menopause, Perimenopause + MAV = Hell! I just needed to say that!! How can it be survived?? Anyway, my doctors have discouraged any thought of MAV going away afterā¦ will there be an after. Iām nearly 50ā¦ what purpose can it serve for taking so long! 
I was one of those who was told my MAV would be gone after menopause but unfortunately it isnāt. Iāve had it since 19 and was told perimenopause was likely responsible for a severe increase in symptoms around the age of 45. Fifteen years on, itās better than it was but thatās because I changed my diet, not so much that MAV per se took a hike.
Brenda
Brenda,
When mav started 2 years ago (Ć nd Trigeminal Neuralgia type 1 Ć nd pulsatile tinnitus), and after a while I started to realise it was a sign of the onset of menopause, Iāve had the same mindbreaking question.
When I read Erikaās post, I understand it can end up either way. It feels like Iām in a waiting room were I have to stay for years, not knowing what Iām waiting for: good or staying badā¦
The bad is very bad (at times I canāt eat, touch my face, talk etc, due to the TN) and thatās why I keep on wondering and searching for any relief in any way. No other option than hope!
Elis
Hi folks -
So, I was recently diagnosed with MAV by an Ear, Nose and Throat specialist at Mass Eye and Ear in Boston - one of the preeminent ENT hospitals in the country. I had āpregnancy induced hypertensionā when pregnant with both of my kids, and it caused headaches/migraines, but never vertigo. Now, I am 50 years old and have been perimenopausal for 10 years, and just this year started to skip periods. I think I have had periods about 9 out of the past 12 months. I started to have vertigo about two months ago - coinciding with a new job and lots of stress in my personal life.
Long story short, my ENT doctor told me that I could expect to have vertigo for the next couple of years, or I could try and reduce the triggers and get it under control sooner.
I canāt change my new job, I can try and manage my personal life stressors, but the one thing that was all new to me was the concept of changing oneās diet. In addition to this website, he recommended books called *Heal your Headache the 1-2-3 Program *by David Buchholz and *The Migraine Brain *by Dr. Carolyn Bernstein and an article called āMigraine - More than a Headacheā by Drs. Michael Teixido and John Carey.
Hope that helps. I am reading the article for the first time today, have the books on order, and have a lot to learn, so I decided to post here and see if anyone else out there is experiencing similar issues and can shed some light on what else I can/should do.