Headache during menstruation, also known as menstrual migraine, is a common problem that affects many women. It is a type of headache that occurs around the time of menstruation and is often more severe than other types of headaches. Menstrual migraines can be debilitating and interfere with daily activities, but there are treatment options available to help manage the pain.
Causes of Headache During Menstruation
The exact cause of menstrual migraines is not fully understood, but it is thought to be related to changes in hormone levels during the menstrual cycle. Specifically, the drop in estrogen levels that occurs just before and during menstruation is believed to be a contributing factor. Other possible triggers for menstrual migraines include:
- Stress: Stress and other emotional factors can trigger migraines.
- Diet: Certain foods and drinks, such as alcohol, caffeine, and processed foods, can trigger migraines.
- Sleep patterns: Disruptions in sleep patterns or insufficient sleep can trigger migraines.
- Environmental factors: Bright lights, loud noises, and strong odors can all be triggers for migraines.
Treatment for Headache During Menstruation
Treatment for menstrual migraines will depend on the severity and frequency of the headaches. Some options may include:
- Pain medication: Over-the-counter pain medications, such as acetaminophen or ibuprofen, can help to alleviate headache pain. Prescription medications, such as triptans and ergotamines, may also be prescribed for more severe headaches.
- Hormonal contraceptives: Birth control pills that contain estrogen can help to regulate hormone levels and reduce the frequency and severity of menstrual migraines.
- Nonsteroidal anti-inflammatory drugs (NSAIDs): These medications, such as naproxen and mefenamic acid, can help to reduce inflammation and relieve headache pain. They are often taken at the first sign of a headache to prevent it from becoming severe.
- Preventive medications: For those with frequent and severe menstrual migraines, preventive medications may be prescribed to reduce the frequency and severity of the headaches. These can include beta blockers, calcium channel blockers, and anticonvulsants.
- Lifestyle changes: Making certain lifestyle changes, such as reducing stress, getting regular exercise, and eating a healthy diet, can help to prevent menstrual migraines. Avoiding known triggers, such as certain foods and drinks, can also be helpful.
- Relaxation techniques: Techniques such as deep breathing, meditation, and yoga can help to reduce stress and prevent migraines.
- Acupuncture: This is a form of traditional Chinese medicine that involves inserting needles into specific points on the body to stimulate the flow of energy and promote healing. Acupuncture may be helpful for preventing menstrual migraines.
- Herbal remedies: Some herbs, such as feverfew and butterbur, may be helpful in preventing migraines. It is important to speak with a healthcare provider before taking any herbal remedies, as they can interact with medications and have potential side effects.
Menstrual migraines can be a frustrating and debilitating problem, but there are treatment options available to help manage the pain. If you are struggling with headache during menstruation, it is important to talk to your healthcare provider to determine the cause and find the best treatment plan for you.

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