Menstrual migraine: how to live with it?

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Menstrual, or catamenial, migraines can occur in part because of the drop in estrogen levels during menstruation. It is possible to relieve them.

If a headache occurs two days before menstruation or during the first three days, it may be a menstrual migraine. Also called “catamenial migraine”, one of its plausible causes is the drop in estrogen levels during menstruation. The amount of hormones (estrogen and progesterone) in the blood varies during the cycle. This is a fairly common trigger for migraine attacks.”explains the CHU of Montreal quoted by Female Version. It is part of migraines “without aura”that is to say, it is not accompanied by flashes of light, bright colors or flashes perceived before the headache.

According to the Swiss Headache Society, catamenial migraines “are characterized by particularly strong and long-lasting headaches, as well as severe nausea and vomiting.” The institution also invites distinguish from premenstrual syndrome (PMS), which manifests through other symptoms: “breast tenderness, edema of the legs, appetite disturbances, irritability, anxiety, gloomy or changeable mood.” However, according to Inserm, “‘pure’ catamenial migraine, occurring exclusively around the time of menstruation, is rare (7% of migraineurs). On the other hand, one in three migraineurs has menstrual attacks associated with other attacks during the cycle.”

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Appropriate treatments

As with a classic migraine, it is advisable to limit visual and auditory stimuli (such as noise and flashing lights) and to rest in the dark, or try relaxation methods. But there are also simple treatments to relieve the pain. Inserm proposes to take anti-inflammatory treatment, or applying an estradiol gel or cream to the skin. In case of failure, take the pill continuously can also be a solution – note that contraceptives can worsen the symptoms of migraines with aura. In all cases, it is advisable to talk to your doctor to find a suitable treatment.

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