Migraine Relief During Menstruation: Strategies and Medications

Migraine Relief During Menstruation: Strategies and Medications


Dealing with migraine attacks during menstruation can be challenging and disruptive. Finding effective relief strategies is crucial to minimize the impact on daily life. In this article, we will explore various strategies and medications that can help manage migraine attacks during menstruation.

Understanding Migraines During Menstruation

Migraines during menstruation, also known as menstrual migraine attacks, are often triggered by hormonal changes. Fluctuations in estrogen and progesterone levels can affect the blood vessels and neurotransmitters in the brain, leading to migraine attacks. Research suggests that around 60-70% of women who experience migraine attacks also report having menstrual migraine attacks.

During menstruation, the estrogen level drops rapidly. This drop in estrogen can trigger migraine attacks in individuals who are prone to migraine attacks. The hormonal fluctuations can trigger the release of certain chemicals in the brain, such as serotonin, which plays a role in regulating pain and inflammation. The changes in these chemicals can cause blood vessels to expand and become inflamed, resulting in the intense pain associated with migraine attacks.

Strategies for Managing Migraines During Menstruation

1. Tracking Menstrual Cycles and Migraines

Keeping a record of your menstrual cycles and migraine attacks can provide valuable insights into patterns and triggers. By tracking symptoms and triggers, you can identify potential triggers and take preventive measures. There are various migraine tracking apps and journals available that can help you easily record and analyze your data.

For example, the Migraine Buddy app allows you to track the frequency and severity of your migraine attacks, as well as any associated symptoms and triggers. By recording this information, you can identify patterns and potential triggers, such as certain foods or activities, that may be contributing to your migraine attacks during menstruation.

2. Lifestyle Modifications

Certain lifestyle modifications can help reduce the frequency and severity of menstrual migraine attacks:

  • Maintain a regular sleep schedule: Ensuring an adequate amount of sleep and sticking to a consistent sleep routine can help regulate hormone levels and minimize the occurrence of migraine attacks.
  • Manage stress levels: High levels of stress can contribute to migraine attacks. Implementing stress management techniques such as exercise, relaxation techniques, and engaging in enjoyable activities can help reduce stress and prevent migraine attacks.
  • Incorporate regular exercise: Engaging in moderate-intensity exercise for at least 30 minutes a day, most days of the week, has been shown to decrease the frequency and intensity of migraine attacks.

For example, practicing yoga or tai chi can not only help manage stress but also promote relaxation and enhance flexibility. These mind-body practices have been found to reduce the frequency and intensity of migraine attacks in some individuals.

3. Dietary Considerations

While there is no specific migraine diet, making certain dietary considerations can potentially reduce the occurrence of menstrual migraine attacks:

  • Identify trigger foods: Keep a food diary to identify any food triggers that may contribute to your migraine attacks. Common trigger foods include chocolate, caffeine, aged cheese, alcohol, and processed foods.
  • Incorporate a balanced diet with sufficient hydration: Eating a well-balanced diet that includes fruits, vegetables, whole grains, and lean proteins can support overall health and potentially reduce the frequency of migraine attacks. Staying hydrated by drinking enough water throughout the day is also essential.
  • Consider supplements or vitamins: Some supplements or vitamins, such as magnesium, riboflavin (vitamin B2), and coenzyme Q10, have shown potential in reducing the frequency and severity of migraine attacks. Consult with your healthcare provider before starting any supplements.

For example, incorporating magnesium-rich foods such as spinach, almonds, and avocados into your diet may help regulate blood flow and reduce the frequency of migraine attacks during menstruation.

4. Stress Management Techniques

Practicing stress management techniques can help alleviate menstrual migraine attacks:

  • Mindfulness and meditation: Engaging in mindfulness exercises and meditation can help reduce stress levels and promote relaxation, potentially preventing migraine attacks.
  • Deep breathing exercises: Deep breathing exercises, such as diaphragmatic breathing, can help calm the nervous system and reduce stress.
  • Relaxation techniques: Activities like yoga, tai chi, or taking warm baths can help relax the body and relieve tension that may contribute to migraine attacks.

For instance, practicing deep breathing exercises for a few minutes each day can help activate the body’s relaxation response, reducing stress and the likelihood of experiencing menstrual migraine attacks.

Medications for Menstrual Migraines

1. Over-the-Counter Options

Over-the-counter medications can help alleviate the symptoms of menstrual migraine attacks:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs such as ibuprofen or naproxen sodium can provide relief by reducing inflammation and pain associated with migraine attacks. It is important to follow the recommended dosage and guidelines provided by your healthcare provider.
  • Acetaminophen: Acetaminophen can help relieve pain and discomfort during menstrual migraine attacks. It is important to follow the recommended dosage guidelines and consult with a healthcare provider if symptoms persist.

It is important to note that over-the-counter medications may not be effective for all individuals or may only provide temporary relief. If you find that these medications are not effectively managing your menstrual migraine attacks, it is recommended to consult with a healthcare provider for further evaluation and potential prescription options.

2. Prescription Medications

If over-the-counter medications are not effective or if menstrual migraine attacks are severe, a healthcare provider may prescribe specific medications:

  • Triptans: Triptans are prescription medications that specifically target migraine attacks. They work by constricting blood vessels and blocking pain pathways in the brain. Examples include sumatriptan and rizatriptan. It is important to discuss potential side effects and considerations for use with your healthcare provider.
  • Hormonal birth control options: Hormonal birth control methods, such as combined oral contraceptives or hormonal patches, can help regulate hormone levels and provide relief for migraine attacks caused by hormonal fluctuations. Different options are available, and it is important to discuss which method may be most suitable for you.
  • Other prescription medications: In some cases, healthcare providers may prescribe preventive medications to reduce the frequency and severity of menstrual migraine attacks. Additional options for acute migraine relief may also be considered.

It is crucial to consult with a healthcare professional before starting any prescription medications to ensure they are safe and suitable for your specific condition and medical history.

Consultation with Healthcare Professionals

1. Importance of Seeking Medical Advice

It is important to consult with a healthcare professional if you experience migraine attacks during menstruation. They can help diagnose the condition, recommend suitable treatment options, and provide personalized advice based on your specific needs.

Migraines can sometimes be associated with other underlying conditions that require medical attention. Furthermore, healthcare professionals can guide you in choosing the most appropriate management strategies and medications based on your individual circumstances.

2. Questions to Ask During a Doctor’s Visit

During a doctor’s visit, consider asking the following questions to gather more information about your menstrual migraine attacks:

  • Discussing symptoms and medication history: Provide your healthcare provider with detailed information about your symptoms and past medication use to help them make an accurate diagnosis.
  • Inquiring about additional treatment options: Ask about other treatment options that may be available to manage menstrual migraine attacks more effectively.
  • Understanding potential side effects and interactions: Discuss potential side effects and interactions of any prescribed medications to ensure they are safe for you to use.

Open communication with your healthcare provider is essential for effective management of menstrual migraine attacks. By asking these questions and addressing any concerns you may have, you can work together to develop a tailored treatment plan that suits your needs.


Managing migraine attacks during menstruation requires a multifaceted approach. By implementing strategies such as tracking menstrual cycles and migraine attacks, making lifestyle modifications, considering dietary factors, practicing stress management techniques, and exploring appropriate medications, you can find relief and minimize the impact of menstrual migraine attacks on your daily life. Remember to consult healthcare professionals for personalized advice and stay proactive in managing your migraine attacks.

Jenny from Migraine Buddy

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