The treatment for menstrual migraine headaches depends on the severity of the pain. A person can take medications, such as:. A doctor may prescribe frovatriptan, zolmitriptan, or other triptans for short-term migraine headache prevention.
Learn more about how to treat migraines here. Over-the-counter pain relief medications such as ibuprofen can help treat headaches that occur because of PMS.
A doctor may also prescribe:. Pregnant women should refrain from taking pain relievers that contain codeine and avoid NSAIDs, such as ibuprofen, unless a doctor advises otherwise. Taking dietary supplements — such as riboflavin, magnesium , and coenzyme — may also help manage migraine headaches that occur during pregnancy. When PMS is the underlying issue, a range of treatments can help, including hormonal contraception, antidepressant medication, and calcium supplements.
Healthcare professionals can recommend ways to help prevent menstrual migraine headaches. They can also prescribe stronger pain relief medication, when necessary.
In pregnant women, a persistent headache can be a symptom of preeclampsia. Anyone who thinks that they may be experiencing this potentially serious issue should seek medical attention. During the menstrual cycle, hormone levels fluctuate as the body prepares for pregnancy, and this ebbing and flowing can lead to headaches. Headaches that occur before, during, or immediately after a period may stem from PMS or menstrual migraine.
Over-the-counter pain relief medication can often ease mild headaches. Anyone who experiences severe pain or any discomfort that interferes with daily life should speak to a doctor. Some people experience an irregular menstrual cycle. Learn more about irregular periods, what causes them, and when to see a doctor.
Here, we describe causes and treatments for a feeling of pressure in the head. Some underlying issues, such as sinus infections, are common and easy…. People living with migraine are often started on both preventive and abortive medications. Abortive medications are taken to stop an acute migraine attack. Note that for menstrual migraine specifically, frovatriptan is the only triptan approved for prevention. Speak with your doctor to find the right medication for your needs.
For acute menstrual migraine attacks, some studies suggest that rizatriptan has the potential to be the most effective. Certain vitamins and supplements have shown some promise for staving off migraine triggered by hormones. Always check with your doctor before trying any new treatments, even OTC drugs or supplements, due to medication interactions.
Regular exercise may help relieve migraine triggered by hormones. Other people may find that exercising makes their symptoms worse. A review of studies indicated that aerobic exercise may decrease the duration of migraine attacks.
Another study suggests that regular exercise may have a preventive effect. Stay hydrated, eat a high-protein meal before exercising, and warm up your muscles before exercise to maximize benefits. Stress and even a swift reduction of stress may be a trigger for migraine attacks. A study suggested that a reduction in stress from one day to the next could be more likely to cause migraine attack. Lowering stress and anxiety may sound easier said than done, but there are simple steps you can incorporate into your daily life.
Try a few minutes of meditation or yoga after waking up in the morning or before going to bed. Practice deep breathing exercises during difficult situations.
Migraine attacks can occur when hormone levels are in flux. They can also be caused by some medications, such as birth control pills. According to the National Headache Foundation, approximately 60 percent of women who have migraine get menstrual migraine attacks. This can happen anywhere from 2 days before the start of menstruation to 3 days after menstruation ends. Migraine may begin when those who menstruate get their first period, but they can start at any time. These migraines often last longer and involve more nausea than migraines that happen at other times — and they usually do not have an aura 1.
Migraines that occur only with the start of the period are called Pure menstrual migraines. In Clue, you can also use custom tags to track migraine headaches or other symptoms. The menstrual cycle and related hormonal changes can affect people with migraine disorder. In a study of women referred to headache specialists, about 1 in 10 of the participants stated that their migraines started at the time of menarche the first menstrual period 6.
This may not be true for all women or people with cycles, since this study was among women seeking care, but it does suggest that menstrual hormones can have an impact. Other reproductive stages in life can also impact when migraines show up. In the same study as above, two thirds of people reported a decrease or disappearance of their migraines during pregnancy 6.
Some people also get mid-cycle headaches as well, which could be in relation to ovulation. Headaches can also sometimes be part of PMS 8. This is only a small collection of medications available to treat headaches and migraines, and there are other therapeutic and preventative medications available.
Speak to your healthcare provider about which option would be best for you. NSAIDs and over the counter painkillers: NSAIDs nonsteroidal anti-inflammatory drugs are a class of painkillers and anti-inflammatory medications, many of which are available without a prescription in many countries. Ibuprofen and ketoprofen are more effective than placebo at providing a person with tension headaches 9. Acetaminophen paracetamol , which often gets grouped together with NSAIDs, also has been demonstrated to provide similar pain relief 9.
Although the above medications are helpful, they might not be as helpful as people think. A meta-analysis of 3, people with tension headaches showed that taking a dose of ibuprofen only provides a small number of people with pain relief 23 out of people compared to taking a placebo 16 out of Acupuncture: Acupuncture may offer some help in decreasing the frequency of tension headache occurrences when treated at the start of symptoms More research is needed.
Treatment with acupuncture for frequent migraines may offer some relief in decreasing the frequency of migraine attacks Triptans including sumatripin : This is a type of medication used to treat both acute menstrual migraines, as well as migraines unrelated to the menstrual cycle 4, In order for the medication to work best, sumatripin should be taken promptly while pain levels are still mild.
This will only make the medication less likely to provide effective pain relief You may need a prescription for this medication, so be sure to talk to your healthcare provider first. Over the counter pain medication like naproxen NSAID and acetaminophen paracetamol : While these therapies offer more pain relief than doing nothing, neither of these are reliable in terms of eliminating migraine pain 14, Consider asking your healthcare provider about triptans instead.
Triptans: This medication can also be taken to prevent future migraines from happening. In one study, using triptans for a few days before the start of the period helped reduce both severity and frequency of menstrual migraine headaches Hormone stabilization techniques: Preventative treatment using hormone therapy may help to decrease the frequency of severe menstrual migraines.
In one study, researchers looked at how two treatments with hormonal contraception affected migraines. Among all participants, eight out of 10 people reported a decrease in their menstrual migraines and were able to reduce their pain-medication use by half People who took extended use combined oral contraceptives had fewer headache symptoms, and were more productive Talk to your healthcare provider about extended use hormonal birth control, though this may not be the right therapy for everyone, especially those with migraine with aura—see the section below on hormonal birth control for more info.
Lifestyle treatments are always tricky to study, since they are hard to control and not as well-funded as pharmaceutical medicine.
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