Menstrual Migraine

13 min read

Menstrual migraine is a type of migraine headache that occurs in women during their menstrual cycle. It is estimated that up to 60% of women who suffer from migraines experience menstrual migraine. It is a common form of migraine, and can be debilitating for those who suffer from it.

What Causes Menstrual Migraine?

The exact cause of menstrual migraine is not known, but it is believed to be related to the hormonal changes that occur during the menstrual cycle. Fluctuations in estrogen and progesterone levels can trigger the onset of a migraine. Other factors that may contribute to menstrual migraine include stress, lack of sleep, and certain foods.

Who Is at Risk for Menstrual Migraine?

Women who suffer from migraines are more likely to experience menstrual migraine. Women who have a family history of migraines are also at an increased risk. Additionally, women who have a history of depression or anxiety may be more likely to experience menstrual migraine.

Diagnosing Menstrual Migraine

If you experience migraine headaches during your menstrual cycle, it is important to speak to your doctor. Your doctor will ask about your symptoms and medical history, and may order tests to rule out other conditions. Your doctor may also recommend keeping a headache diary to help identify triggers and patterns.

Managing Menstrual Migraine

There are several strategies that can help manage menstrual migraine. These include avoiding triggers, getting enough sleep, and managing stress. Additionally, medications such as triptans and non-steroidal anti-inflammatory drugs (NSAIDs) can be used to treat menstrual migraine.

Conclusion

Menstrual migraine is a common form of migraine that affects many women. It is important to speak to your doctor if you experience migraine headaches during your menstrual cycle. There are several strategies that can help manage menstrual migraine, including avoiding triggers, getting enough sleep, and managing stress. Additionally, medications can be used to treat menstrual migraine.

Take the Menstrual Migraine Assessment

Symptoms

Common Symptoms of Menstrual Migraine

  • Throbbing or pulsing pain on one side of the head
  • Nausea
  • Vomiting
  • Sensitivity to light and sound
  • Fatigue
  • Blurred vision
  • Difficulty concentrating
  • Mood changes

When Do Symptoms Occur?

Menstrual migraine symptoms typically occur in the two days before the start of a woman’s period and can last up to three days. Some women may experience symptoms during the entire menstrual cycle.

Treatment Options

Treatment for menstrual migraine can include lifestyle changes, such as avoiding triggers, getting regular exercise, and eating a healthy diet. Medications, such as triptans, can also be used to treat menstrual migraine. If you are experiencing symptoms of menstrual migraine, it is important to talk to your doctor to determine the best treatment plan for you.

Causes

Hormonal Changes

Hormonal changes that occur during the menstrual cycle are thought to be a major factor in the onset of menstrual migraine. During the menstrual cycle, levels of estrogen and progesterone fluctuate. These fluctuations can cause changes in the brain’s chemistry, which can trigger a migraine. Additionally, some women may be more sensitive to these changes than others.

Stress

Stress is another potential trigger for menstrual migraine. Stress can cause changes in the body’s hormones, which can lead to a migraine. Additionally, stress can cause muscle tension, which can also contribute to migraine pain.

Diet

Certain foods and drinks can also trigger menstrual migraine. Common triggers include caffeine, alcohol, aged cheeses, processed meats, and chocolate. Additionally, skipping meals or fasting can also trigger a migraine.

Sleep Patterns

Changes in sleep patterns can also trigger menstrual migraine. Not getting enough sleep or sleeping too much can both contribute to migraine pain. Additionally, changes in the body’s circadian rhythm, such as jet lag or shift work, can also trigger a migraine.

Environmental Factors

Environmental factors, such as bright lights, loud noises, and strong smells, can also trigger menstrual migraine. Additionally, changes in the weather, such as barometric pressure changes, can also contribute to migraine pain.

Conclusion

Menstrual migraine is a type of migraine headache that occurs in women during their menstrual cycle. While the exact cause of menstrual migraine is unknown, there are several factors that may contribute to its onset, including hormonal changes, stress, diet, sleep patterns, and environmental factors.

Getting a Diagnosis

Symptoms of Menstrual Migraine

The symptoms of menstrual migraine are similar to those of other types of migraine headaches. These include throbbing or pulsing pain on one side of the head, nausea, vomiting, sensitivity to light and sound, and fatigue. However, menstrual migraine is distinguished by its timing. It typically occurs within two days before the start of a woman’s period and can last up to three days after the start of her period. It is also more likely to occur in women who have a history of migraine headaches.

Triggers of Menstrual Migraine

Menstrual migraine is often triggered by hormonal changes that occur during a woman’s menstrual cycle. These changes can cause a drop in estrogen levels, which can trigger a migraine. Other triggers of menstrual migraine include stress, lack of sleep, certain foods, and changes in the weather. It is important to identify and avoid triggers in order to reduce the frequency and severity of menstrual migraine.

Diagnosing Menstrual Migraine

In order to diagnose menstrual migraine, a doctor will typically ask questions about the patient’s medical history and symptoms. The doctor may also order tests to rule out other conditions that could be causing the headaches. If the doctor suspects menstrual migraine, they may recommend lifestyle changes, such as avoiding triggers and getting enough sleep, as well as medications to help reduce the frequency and severity of the headaches.

Conclusion

Menstrual migraine is a type of migraine headache that occurs in women during their menstrual cycle. It is important to understand the symptoms and triggers of menstrual migraine in order to properly diagnose and treat it. Diagnosing menstrual migraine involves asking questions about the patient’s medical history and symptoms, as well as ordering tests to rule out other conditions. If the doctor suspects menstrual migraine, they may recommend lifestyle changes and medications to help reduce the frequency and severity of the headaches.

Questions for Your Doctor

What to Discuss with Your Doctor

  • Your menstrual cycle and how it affects your migraine headaches.
  • Any medications you are taking for your migraine headaches.
  • Any lifestyle changes you can make to reduce the frequency and severity of your menstrual migraine.
  • Any other medical conditions you may have that could be contributing to your menstrual migraine.
  • Any alternative treatments you may be interested in trying.

What Not to Discuss with Your Doctor

  • Your own diagnosis of your menstrual migraine.
  • Any treatments you have tried without consulting your doctor.
  • Any advice you have received from friends or family.

It is important to discuss your menstrual migraine with your doctor in order to get the best treatment. Your doctor can help you identify the triggers of your menstrual migraine and develop a treatment plan that is tailored to your individual needs.

Treatment

Medications

Medications are the most common treatment for menstrual migraine. Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen are often used to reduce the pain and inflammation associated with menstrual migraine. Other medications such as triptans, ergotamines, and opioids may also be prescribed to help manage the symptoms of menstrual migraine.

Hormone Therapy

Hormone therapy is another treatment option for menstrual migraine. This type of therapy involves taking hormones such as estrogen or progesterone to help regulate the hormones in the body and reduce the frequency and severity of menstrual migraine attacks. Hormone therapy is usually prescribed for women who have severe menstrual migraine symptoms that are not responding to other treatments.

Lifestyle Changes

Making lifestyle changes can also help reduce the frequency and severity of menstrual migraine attacks. Eating a healthy diet, getting regular exercise, and avoiding triggers such as stress, caffeine, and alcohol can all help reduce the symptoms of menstrual migraine. Additionally, getting enough sleep and managing stress levels can also help reduce the frequency and severity of menstrual migraine attacks.

Alternative Treatments

In addition to medications and lifestyle changes, there are also a variety of alternative treatments that may be helpful in managing the symptoms of menstrual migraine. Acupuncture, massage, and relaxation techniques such as yoga and meditation can all help reduce the frequency and severity of menstrual migraine attacks. Additionally, herbal remedies such as feverfew and butterbur may also be helpful in reducing the symptoms of menstrual migraine.

Drugs & Medications

Non-steroidal Anti-inflammatory Drugs (NSAIDs)

Non-steroidal anti-inflammatory drugs (NSAIDs) are the most commonly prescribed medications for menstrual migraine. NSAIDs work by blocking the production of certain hormones that can trigger migraine headaches. Commonly prescribed NSAIDs include ibuprofen, naproxen, and aspirin. NSAIDs are generally well-tolerated and have few side effects. However, they should not be taken for more than 10 days in a row, as this can increase the risk of stomach ulcers and other gastrointestinal problems.

Triptans

Triptans are a class of medications specifically designed to treat migraine headaches. They work by narrowing the blood vessels in the brain, which can help reduce the intensity of the headache. Commonly prescribed triptans include sumatriptan, rizatriptan, and zolmitriptan. Triptans are generally well-tolerated, but they can cause side effects such as nausea, dizziness, and fatigue. They should not be taken more than twice a week, as this can increase the risk of rebound headaches.

Antidepressants

Antidepressants are sometimes prescribed to help manage the symptoms of menstrual migraine. They work by altering the levels of certain hormones in the brain, which can help reduce the intensity of the headache. Commonly prescribed antidepressants include amitriptyline, fluoxetine, and venlafaxine. Antidepressants can cause side effects such as nausea, dry mouth, and drowsiness. They should not be taken for more than a few weeks at a time, as this can increase the risk of dependency.

Hormone Therapy

Hormone therapy is sometimes used to help manage the symptoms of menstrual migraine. It works by altering the levels of certain hormones in the body, which can help reduce the intensity of the headache. Commonly prescribed hormone therapies include birth control pills, progesterone injections, and gonadotropin-releasing hormone agonists. Hormone therapy can cause side effects such as weight gain, mood swings, and acne. It should not be taken for more than a few months at a time, as this can increase the risk of long-term side effects.

Conclusion

Menstrual migraine is a type of migraine headache that occurs during a woman’s menstrual cycle. Fortunately, there are a variety of medications available to help manage the symptoms of menstrual migraine. These include non-steroidal anti-inflammatory drugs (NSAIDs), triptans, antidepressants, and hormone therapy. It is important to talk to your doctor about the risks and benefits of each medication before starting any treatment.

Diet

Foods to Eat

Eating a balanced diet that is rich in fruits, vegetables, whole grains, and lean proteins can help reduce the frequency and severity of menstrual migraine attacks. Some foods that may be beneficial for menstrual migraine include:

  • Leafy green vegetables, such as spinach and kale
  • Berries, such as blueberries and strawberries
  • Whole grains, such as oats and quinoa
  • Lean proteins, such as fish, chicken, and beans
  • Nuts and seeds, such as almonds and chia seeds
  • Healthy fats, such as olive oil and avocados

Foods to Avoid

Certain foods and drinks can trigger migraine attacks in some people. It is important to identify and avoid any foods that may trigger your menstrual migraine. Common migraine triggers include:

  • Processed foods, such as chips and crackers
  • Foods high in sugar, such as candy and soda
  • Foods high in salt, such as processed meats and canned soups
  • Foods containing MSG, such as Chinese food and some canned soups
  • Alcohol, especially red wine
  • Caffeine, such as coffee and energy drinks

Conclusion

Eating a balanced diet that is rich in fruits, vegetables, whole grains, and lean proteins can help reduce the frequency and severity of menstrual migraine attacks. It is also important to identify and avoid any foods that may trigger your menstrual migraine. If you are unsure which foods may be triggering your migraine attacks, it is best to speak to your doctor or a registered dietitian.

Lifestyle

Get Enough Sleep

Getting enough sleep is essential for managing menstrual migraine. Aim for 7-8 hours of sleep each night and try to go to bed and wake up at the same time each day. Avoid caffeine and alcohol before bed, as these can disrupt your sleep. If you have trouble sleeping, try relaxation techniques such as deep breathing or meditation.

Eat a Balanced Diet

Eating a balanced diet can help reduce the frequency and severity of menstrual migraine. Avoid processed foods and foods high in sugar, as these can trigger migraine headaches. Eat plenty of fruits and vegetables, whole grains, and lean proteins. Also, make sure to stay hydrated by drinking plenty of water throughout the day.

Exercise Regularly

Regular exercise can help reduce the frequency and severity of menstrual migraine. Aim for at least 30 minutes of moderate exercise each day. This can include walking, jogging, swimming, or cycling. Exercise can help reduce stress and improve your overall health, which can help reduce the frequency of menstrual migraine.

Manage Stress

Stress can trigger menstrual migraine, so it is important to manage stress levels. Try relaxation techniques such as deep breathing, yoga, or meditation. Also, make sure to take time for yourself each day to do something you enjoy. This can help reduce stress and improve your overall wellbeing.

Talk to Your Doctor

If lifestyle changes are not enough to manage menstrual migraine, talk to your doctor. They may recommend medications or other treatments to help reduce the frequency and severity of the headaches.