Background Chronic cluster headache (CH) affects around one in 10. 000 people. some of them are resistant to a multitude of treatments. Case We present a case report of a patient with treatment resistant chronic CH which has significantly improved in the setting of gender-affirming care and hormonal treatment with cyproterone acetate and estradiol. https://www.hindigyanvishv.com/best-catch-Sunjoy-9-x-11-Foot-Arched-Pergola-Cover-Backyard-Roof-Canopy-Tent-For-Parts-p29332-mega-find/