Ann, aged 47 years, says she is getting more headaches than in the past. She thinks they may be related to the menopause. Think about:

• What questions would you ask Ann?
• What could be causing Ann's headache? Don't necessarily assume that Ann's headaches are caused by the menopause
• How often has Ann had headaches in the past and what did she associate with those headaches?
• Could this be a case of a hormonal headache? What other questions might you need to ask?
• What other type of headache might this be?
• Could you ask Ann to keep a headache diary? See: Migraine Diary. Are you confident enough to help Ann fill in this diary?
• What treatment might you offer Ann?
• What lifestyle tips might you suggest?