Overview

Affects about 60% of women with migraines. Often more intense than regular migraines and may be without aura.

Causes

• Estrogen drop before period
• Oral contraceptives or HRT
• Family history of migraines
• Stress, lack of sleep, skipping meals

Symptoms

• Throbbing one-sided headache
• Sensitivity to light/sound
• Nausea or vomiting
• Fatigue, mood changes
• Starts 1–2 days before period

Treatment: Modern Medicine

• Diagnosis: Based on menstrual history + headache diary
• Treatment:
  • NSAIDs (Naproxen)
  • Triptans (Sumatriptan, Rizatriptan)
  • Hormonal therapy (continuous birth control to stabilize estrogen)
  • Magnesium supplements (for prevention)

Treatment: Traditional Medicine

• Ayurveda: Brahmi, Shankhpushpi, Ashwagandha, Ginger tea
• Siddha: Sirasukku thylam, Karisalai legiyam
• Unani: Sharbat-e-Buzoori, Majoon-e-Keera
• TCM: Chuan Xiong, Tian Ma for liver-wind imbalance
• Homeopathy: Sepia, Natrum mur, Cyclamen
• Nutraceuticals: Magnesium glycinate, CoQ10, Riboflavin (B2), Omega-3

Caution

• Not all menstrual headaches are migraines—track symptoms
• Triptans are effective but should be used under guidance

Prevention

• Maintain regular sleep and meals
• Avoid known food triggers (e.g., chocolate, aged cheese)
• Supplement with magnesium before period (preventive)