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How To Cure Hormonal Migraines

What Can My Doctor Do To Help Me

How to Treat Menstrual Migraine–LIFE CHANGING

If diary cards confirm that your attacks always occur two or three days around the first day of your period, your doctor might consider ways to prevent migraine. They are less effective in women with additional attacks at other times of the cycle resulting from non-hormonal triggers.

Depending on the regularity of your menstrual cycle, whether or not you have painful or heavy periods, menopausal symptoms, or if you also need contraception, several different options can be tried. Although none of the drugs and hormones recommended below are licensed specifically for management of menstrual migraine, doctors can prescribe them for this condition if they feel that this would be of benefit to you.

Regular Exercise Can Help Prevent Menstrual Migraine

When we consider all the strategies to prevent migraine attacks, I love it when people choose to make lifestyle modifications that can make a real difference, says Hindiyeh.

There’s lots of evidence to suggest regular aerobic exercise can work as a preventive medication all on its own, and there are some studies to suggest that yoga and HIIT can be helpful as well, says Hindiyeh.


Not only can regular exercise help prevent migraine attacks for some people, but also, if the headache is mild, a short bout of exercise can actually help relieve that headache that’s happening, according to Hindiyeh.

On the other hand, overexerting yourself can be a trigger for migraine, especially if you are already having a migraine attack, she says.

One of the cardinal definitions and features of migraine is that normal activity can make you feel worse. If you’re already in the middle of a severe migraine attack, moving around excessively is going to make things worse for you its probably not the best time to go for a jog or do some aerobic activity, says Hindiyeh.

Coffee For Migraine Relief

It is considered the best homemade treatment of migraines. Coffee carries an ample amount of caffeine that blocks specific receptors and obstructs blood vessels in the brain, causing migraines.

You can say that it desolates almost all the factors that are responsible for migraines. But, you have to be careful because a high amount of caffeine can trigger migraines.

How to use

Pour a cup of water into a bowl and boil it for few minutes. Add a teaspoon of coffee afterward and let it heat for 3-5 minutes.

Consume this potent drink daily. Moreover, you can add a few drops of lemon to it to enhance its effectiveness.

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You Dont Have To Choose Between Pain And Pregnancy

If you are considering getting off birth control to get to the root cause of your headaches or migraines, you may be concerned about the chance of getting pregnant. Fortunately, when you learn a fertility awareness method from a qualified instructor, these methods are as effective as common contraceptive methods when trying to avoid pregnancy. So, you absolutely do not have to give up effective family planning in the process of getting real treatment for your hormonal headaches or menstrual migraines!

In Jessicas case, her physician developed a customized preventative and pro-active approach to treating her menstrual migraines. Jessicas physician directed her to take naproxen and bioidentical progesterone in the days after ovulation and supplement with magnesium during the time of ovulation. In addition, the doctor prescribed her a migraine medication to help the pain and symptoms subside if migraines did occur.

Thanks to her fertility awareness method, and a doctor who knew how to use the information found in Jessicas charts, Jessica is no longer afflicted by frequent menstrual migraines. In fact, she rarely experiences them. Balancing her hormones through restorative therapies significantly decreased Jessicas migraines and dramatically improved her quality of life. She no longer lives in constant worry about when and where she will get her next migraine.

Additional Reading:

What Triggers Migraines In Women

5 Ways to Treat Hormonal Migraines Naturally

In addition to a drop in estrogen, birth control pills and hormone replacement therapy for menopause can change the frequency or severity of migraines. If you notice your migraine headache getting worse after starting one of these medications, it may be worthwhile to ask your healthcare provider for a medication that contains a lower dose of estrogen, or ask for a change from an interrupted dosing regimen to a continuous one.

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Testosterone It’s Not Just For Men

I’ve been on and off testosterone cream for many years. It gives me strength which I absolutely love.

You might think this is just a male hormone but testosterone also helps with: mood, your energy levels, bone marrow production, fertility, and supports a healthy libido.

As a cure for migraine headache, your testosterone levels need to be in balance to eliminate migraines.

Measurement of testosterone levels is part of the male and female hormone panels that are used to identify the levels of other steroid hormones. The optimal range for men is 650-827 ng/dL for women, 60-76 ng/dL. .

There are many forms of testosterone available: oral supplements, injections, cream, gel and transdermal patch.

A word of caution though… your body can convert DHEA to testosterone when its needed. So if you are also restoring your DHEA levels using supplementation already, get your doctor to help you monitor all of that.

And P.S. making changes in your diet can effect hormones.

This has been a general overview, but you can see that there are more hormones to balance than just your estrogens.

Medicines That Prevent Menstrual Migraine

Talk to your doctor about whether these medications might help you stop your headaches before they start.

If your periods don’t come on schedule or you also get migraine headaches at other times in your menstrual cycle, you can take preventive medicine every day. Drugs that prevent migraine headaches include:

  • Some types of antidepressants
  • Some types of antiseizure medicines
  • Blood pressure medicines such as beta-blockers and calcium channel blockers
  • CGRP inhibitors, these are a new class of preventive medicine

Devices which may be used for treatment or prevention include:.

  • Cefaly, a small headband device that sends electrical pulses through the forehead to stimulate a nerve linked with migraines
  • Spring TMS or eNeura sTM, a device for people who have an aura before migraine headaches. You hold it at the back of your head at the first sign of a headache, and it gives off a magnetic pulse that stimulates part of the brain.
  • Noninvasive vagus nerve stimulator gammaCore is a hand-held portable device placed over the vagus nerve in the neck. It releases a mild electrical stimulation to the nerve’s fibers to relieve pain.

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How To Identify Menstrual Migraine

The most important tool is your diary. It is not just for the doctors conviction, it is also for your own personal knowledge as to whats relevant and not relevant.

Under- and over-reporting of the role of hormones is very significant. People with migraine really need a diary. A completed diary also helps assess the response to treatment. If you can see a pattern or improvement of 50% it is easier to determine how effective or ineffective your management is.

In the above example, there are frequent attacks in the earlier months which then become less frequent with more headache free days. The menstrually-related migraines seem to be some of the longer lasting and remaining attacks, which could not be determined without a diary noting the days of menstrual bleeding, migraine and responsiveness to treatment.

The things to note in menstrually-related migraine is how predictable, reliable and regular the periods are. If they are all over the place, it is difficult to predict when the estrogen drop is going to occur and thus difficult to treat early or even preemptively.

It is also important to ask about associated symptoms. Are there any perimenstrual symptoms of bloating or period pain? Its not so much that you are being asked about how bad your pain is, it is more if you have other uterine symptoms, there could be other factors such as prostaglandins at work. If heavy bleeding is experienced, then you can have a relative iron deficiency later on in the period cycle.

The Link Between Estrogen And Migraine

Hormonal Headaches and Migraines: How to get rid of them for good!

My migraines seem to hit when my estrogen goes up or down. So any movement seems to trigger an attack. This is different for everyone. You might only have a migraine before your period.

I have written more about that in these posts: menstrual headaches and premenstrual headaches.

Here is what Dr. Dzugan says about estrogen and migraine:

  • The occurrence of migraine increases when a female’s menstrual cycle first begins.
  • Just before menstruation the decline in estrogen levels triggers a migraine episode in many women.
  • It is common to see migraines decline during the second and third trimesters of pregnancy, when estrogen levels are high.
  • After a woman gives birth the dramatic decline in estrogen levels can trigger a migraine attack.

Getting the balance between estrogen and progesterone right is critical in the elimination of migraine.

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How Can You Treat A Hormonal Headache

Estrogen-based birth control can either improve or worsen hormonal headaches depending on the individual situation. “Estrogen-based birth control can be used as a treatment to even out estrogen fluctuations, and hopefully alleviating headaches,” says Dr. Pavlovic. If hormonal headaches occur for the first time or worsen when starting estrogen-based birth control, stop taking and make an appointment with your doctor. However, if your migraines are accompanied by auras , estrogen-containing pills should be avoided, as it may increase the risk of stroke over time as well as increase your respiratory rate, blood pressure, heart rate, and affect mood and sleep, says Dr. Pitts.

While long-term, daily medication is an option for many to manage hormonal headaches or migraines, you can also choose to treat the symptoms. Depending on the severity of pain, over the counter pain relievers, such as acetaminophen or ibuprofen, can be an easy first line of attack, says Dr. Gaither. There are a number of non-prescription NSAIDs, prescription NSAIDs, and other migraine-specific prescription therapeutics that can be tried, says Dr. Pavlovic. Your doctor can advise which option to try first but the best choice is whatever works best for you. Start taking medication as soon as symptoms start to try to ward off another day of headaches. Studies have shown that magnesium supplements can also be helpful in treating migraines, says Dr. Pavlovic.

Breaking Down Three Main Treatment Strategies For Menstrual Migraine And How To Pick The Best Option For You

For nearly two out of three women with migraine, attacks occur around the same time as their period. By definition, if you have migraine attacks that start between the two days before your period and the third day of flow, you likely have menstrual migraine. These attacks are often more severe, longer, and cause greater light sensitivity than attacks occurring other times of the month.

Menstrual migraine is caused by the rapid drop in estrogen levels that occurs just prior to your period. I have patients that tell me, Arent headaches a part of having a menstrual cycle? says Dr. Paru David, an internist who works in the division of womens health internal medicine at Mayo Clinic in Arizona. I educate them that not all women have headaches during their menstrual cycles.

Migraine attacks occurring just before and during a womans period can be the most challenging kind to treat. They do not always respond to the same medicines that work on migraine attacks happening at other times. The reason medications dont work the same is not entirely clear. But its likely related to estrogens effects on other chemicals.

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What Are The Symptoms Of A Menstrual Migraine

The symptoms of a menstrual migraine are the same as the symptoms for other types of migraines:

  • Headache pain that ranges from dull to a severe throb.
  • Feeling very warm or cold .
  • Sensitivity to light, noise and smells.
  • Tender scalp.
  • Nausea and vomiting, stomach upset, abdominal pain.
  • Diarrhea or fever .

More Menstrual Migraine Prevention Tips

AttÄlu rezultÄ?ti vaicÄ?jumam âbreathing migraine ...

A few other things you can try at home to prevent menstrual migraines:

  • Exercise every day. Moderate exercise, like a walk, bike ride, or swim, could help you have fewer migraine headaches and make them less intense. Be careful not to work out too hard, though. Sometimes strenuous exercise can trigger migraines.
  • Get 7 to 8 hours of sleep each night. A lack of rest can set off migraine attacks.
  • Relax. Stress leads to migraine for many people. Try techniques like deep breathing, yoga, and meditation to take the pressure off.
  • Watch what you eat. Avoid foods that trigger your headaches. Some foods that are common migraine triggers include: chocolate, caffeine, alcohol, aspartame and other artificial sweeteners, processed meat, and cheeses.
  • Graze throughout the day. Hunger can give you headaches. Eat several small meals and snacks instead of three big ones.

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Should I Have A Hysterectomy

Hysterectomy has no place solely in the management of migraine. Studies show that migraine is more likely to deteriorate after surgery. However, if other medical problems require a hysterectomy, which can induce the menopause, the effects on migraine are probably lessened by subsequent oestrogen replacement therapy.

Gonadotrophin-releasing hormones create a medical menopause and have been used to assess the likely outcome of a hysterectomy, although symptoms of oestrogen deficiency such as hot flushes, limit their use. The hormones are also associated with bone thinning and should not usually be used for longer than six months without regular monitoring and scans to test bone density. Add-back continuous combined oestrogen and progestogen can be given to counter these difficulties. Given these limitations, in addition to their high cost, this type of treatment is generally only used in specialist departments.

Oral Contraceptives May Reduce Menstrual Migraine Frequency

There is some evidence to suggest that certain types of oral contraceptive pills can actually reduce the frequency of menstrual migraine and menstrually related migraine, Hindiyeh says.

This doesnt apply to all kinds of oral contraception, so you should talk with your gynecologist, primary care doctor, or neurologist about which ones youd want to consider, says Hindiyeh. There are specific ones that will keep your estrogen level from fluctuating so much, she adds.

If youre considering taking oral contraceptives as a means of birth control or to try to improve your migraine symptoms, tell your healthcare provider about your migraine history, says Hindiyeh.

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How Are Menstrual Migraines Treated What Medicines Can I Use

A menstrual migraine is usually treated with nonsteroidal anti-inflammatory medications . The NSAIDs most often used for menstrual migraine include:

  • Ketoprofen .
  • Analgesics.
  • Corticosteroids.

These drugs should also be started two to three days before your period starts. Continue taking them throughout your menstrual flow.

Because fluid retention often occurs at the same time as your menses, diuretics have been used to prevent menstrual migraines. Some healthcare providers may recommend that you follow a low-salt diet immediately before the start of your menses.

Leuprolide is a medication that affects your hormone levels. Its used only when all other treatment methods have been tried and havent worked.

The Three Amigos Estrone Estradiol And Estriol

Hormonal Migraines

Estrogen is a blanket term used for several types of the hormones. There are three main types of estrogen in the human body: estrone, estradiol, and estriol. Men also have these hormones but they are found in lower levels.

Hormones effect every cell in your body and influence your organs. They are chemical messengers that carry instructions to cells throughout the body.

When your estrogens are balanced they work together to support the central nervous system, determine your female physical characteristics, and minimize loss of calcium from your bones. But wait, theres more, they enhance your skin health, promote blood clotting, sexual function and support ovulation and reproduction.

Hormones regulate your metabolism and the way your body uses food. They even effect your reaction to emergencies and balance your moods.

You can see that the estrogens play critical roles in your body but they also have some risks as well. For example, estradiol and estrone are produced at lower levels naturally by the body as they have cancer causing abilities.

The body naturally makes more of estriol that is believed to have cancer reducing properties. When they are all in balance everything in the body functions better. Hence the potential cure for migraine headache.

The form of bio-identical estrogen that I trialed was called Triest cream.

I applied the cream every morning after my shower.

It is best to alternate between the soft skin areas:


inner forearm,

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What Is A Hormonal Headache

While a headache or migraine can happen anytime, a hormonal headache or migraine is specifically set off during your menstrual cycle. Both hormonal headaches and migraines are caused by hormone fluctuations that occur during the menstrual cycle, says Thomas Pitts, M.D., a neurologist at Hudson Medical Wellness in New York City. It’s worth noting here that headaches and migraines are not one and the same just as any chronic migraine sufferer will tell you.

If you’re not sure if you’re dealing with a menstruation-associated headache or migraine, it comes down to timing and frequency. Headaches and migraines that are triggered by hormones often occur during the five to seven days directly prior to and during menstruation, says Jelena M. Pavlovic, M.D., a headache specialist at The Montefiore Headache Center in New York City.

Hormone headaches, also known as PMS headaches, are usually categorized as tension headaches. It’s common for the headache pain to also be accompanied by fatigue, acne, joint pain, decreased urination, constipation, and lack of coordination, as well as an increase in appetite or cravings for chocolate, salt, or alcohol, according to the National Headache Foundation.


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