Migraine before menstruation: the causes of the appearance and features of treatment


Almost half of the female population knows firsthand what menstrual migraine is. This is the most common type of hemicrania. Headache occurs a few days before the onset of menstruation and can last from several hours to several days. Other symptoms join the pain, which significantly interfere with maintaining a normal and fulfilling lifestyle.

Mostly women associate this manifestation with premenstrual stress, although in fact this is not true. The cause of the pain is hidden in the change in hormone levels. Consider what becomes the triggering factor of a migraine, what it is, what symptoms are followed and how to get rid of it.

Causes of pathology

Menstrual migraine is not accompanied by the appearance of an aura, unlike its other types. Severe pains are replaced by a feeling of heaviness in the head, discomfort. At this stage, the efficiency and concentration of attention is significantly reduced, there is a breakdown, the woman cannot fully do the work and do household chores.

Most often, there is a hormonal cause of migraine. The ongoing changes in hormone levels are directly related to headaches. The hormonal level decreases before menstruation and immediately during it. This has a negative impact on health, leading to psycho-emotional instability.

The fluctuation of the level of hormones occurs already during the first menstruation. At this stage, the cycle is not formed, and the level of testosterone increased. Therefore, until the cycle is normalized, migraine is of different intensity and duration. The body responds to the fluctuation of progesterone and estrogen levels with a headache attack.

Migraine before menstruation occurs not only because of hormones, but also for a number of other reasons. For example:

  • constant fatigue
  • individual body sensitivity to estrogen,
  • drinking alcohol during menstruation,
  • a sharp increase or decrease in pressure,
  • frequent stressful situations
  • when fluid accumulates in the body, swelling of the brain tissue occurs,

  • use of contraceptive drugs
  • with heavy bleeding, severe uterine contraction,
  • individual sensitivity to the breakdown of egg protein.

Doctors agree that minor headaches that occur before, during and after menstruation do not indicate the presence of any pathologies. This is the normal response of the body.

You should be alarmed if the pains increase each time, accompanied by vomiting, heavy bleeding, impaired pulse, fever. In this case, an urgent need to contact a neurologist and gynecologist to eliminate the risk of developing serious diseases.

How to determine the nature of pain?

Migraine pains begin from the middle of the menstrual cycle on day 14, i.e. with luteal phase. The cells responsible for progesterone synthesis are formed in the middle of the cycle. Their main purpose is the attachment of a fertilized egg to the body of the uterus. Estrogen is also actively involved in preserving the fetus.

If the fertilization of the egg does not occur, the level of hormones begins to gradually decrease, thereby the body saves energy to the next cycle and possible conception. Because of this, the strongest, migraine pains begin to intensify before the onset of menstruation and gradually subside towards its completion.

Migraine with menstruation and its attendant symptoms:

  • pain is localized on one side of the head, affecting the region of the forehead and temple,

  • sweating increases
  • the pain is long and throbbing,
  • integuments turn pale,
  • a woman becomes sensitive to different smells, unpleasant loud sounds to her,
  • decreased appetite, nausea and vomiting,
  • there comes rapid fatigue,
  • insomnia or drowsiness occurs,
  • there are jumps in arterial and venous pressure,
  • sometimes aching heart aches,
  • heart rate is rarely disturbed,
  • a woman becomes absent-minded, complains of memory problems,
  • intraocular pressure rises, which leads to a decrease in visual acuity,
  • The main symptom of PMS is irritability, aggression, tearfulness, and short temper.

The combination of these symptoms is not the norm, as most women think. If they begin to appear before each menstruation, become more pronounced, it is necessary to visit a doctor as soon as possible. He will find the reason why they arise, how to cope with them and, if necessary, prescribe appropriate treatment.

Constant intake of antispasmodics and analgesics will not help to cope with your problem. This will only contribute to the deterioration of general health.

Therapeutic activities

The main cause of migraine is heredity. If a woman is predisposed to her, it is necessary that the gynecologist prescribed the appropriate drug therapy. How to treat pathology? First of all, you should find out why a migraine appears during menstruation. For this, hormones are tested. Depending on what the results will be, the doctor will prescribe the treatment, tell you what to do and what to take to stop the attack.

These drugs are mainly prescribed:

  1. Mefenamic acid is a drug that eliminates the main symptoms of PMS. It blocks the production of prostaglandin, thereby relieving pain spasms during menstruation.

  2. Hormonal tablets, which include estrogen, for example, Mersilon or Novinet. They are prescribed with insufficient hormone production by the body. Due to its normalization, the extinction and complete relief of hemikrania attack occurs.
  3. Ergotamines (Relpax, Syncapton) and triptans (Avamigran, Zolmigren, Stopmigren). The action of both aims to relieve migraine attacks, both with and without aura. Reduce the severity of the main symptoms.
  4. Analgesic drugs, as well as non-steroid tablets, which have anti-inflammatory results, for example, Ibuprofen, Pentalgin, Imet. Eliminate mild and moderate pain. Prohibited the use of citramone, as well as other tablets, which include acetylsalicylic acid. They have a thinning effect on the blood, which increases blood loss.
  5. Antiemetic pills (Domet, Motinorm) - help eliminate nausea and vomiting.

To help you cope with migraines, you need to take medication prescribed by your doctor. An important role is played by the observance of the daily regimen and the inoculation of proper nutrition. Before and during menstruation it is necessary:

  • ensure proper rest, sleep at least 8 hours,

  • minimize the use of fatty, smoked, salty foods,
  • before going to bed, be sure to air the room,
  • less stressing yourself or not taking the event too close to your heart,
  • drink clean, non-carbonated water, at least 2.5 liters per day,
  • minimize any physical exertion.

During menstruation, it is forbidden to take a hot bath, go to the sauna or bath, sunbathe, be in the sun for a long time. Sweet green tea and coffee in small quantities will help to relieve minor pain.

Menstrual migraine is particularly resistant to therapeutic measures. Therefore, getting rid of it yourself, without the help of a specialist, is quite difficult. Combined therapy, taking medications, adhering to the daily regimen, proper nutrition, developing resistance to external stimuli, stress - these are a set of measures that will help to cope with migraines and return to a full-fledged lifestyle.

Interesting Facts

The very first symptoms that resemble a migraine were described by ancient healers of the time of the Sumerian civilization before the birth of Christ in 3000 BC.

A little later (about 400 AD) Hippocrates singled out migraine, as a disease and described its symptoms.

However, migraine owes its name to the ancient Roman doctor - Claudius Galen. In addition, he first identified the feature of migraine - the localization of pain in one half of the head.

It is noteworthy that migraine often becomes a companion of geniuses. This disease, like no other, "loves" active and emotional people who prefer mental work. For example, such outstanding personalities as Pontius Pilate, Pyotr Tchaikovsky, Edgar Po, Karl Marx, Anton Pavlovich Chekhov, Julius Caesar, Sigmund Freud, Darwin, Newton suffered from it.

Has not bypassed a migraine party and modern celebrities. Suffering from headache attacks, such famous personalities as Whoopi Goldberg, Janet Jackson, Ben Affleck and others live and create.

One more curious fact (although it is not proven scientifically): people who aspire to perfection suffer more often from migraines. Such individuals are ambitious and ambitious, their brains are constantly working. They are not enough to do everything perfectly, they should be the best. Therefore, they are very responsible and conscientious about everything, working "for themselves and for that guy." In fact, they are workaholics.

Blood supply to the brain

For normal brain function, a large amount of energy, nutrients and oxygen are needed. All of this is delivered to the cells through the bloodstream.

Blood enters the brain through two paired vertebrates and two internal sleepy
large trunk arteries.

Vertebral arteries originate in the chest cavity, and then, reaching the base of the brain stem, merge into one and form the basilar artery.

Further basilar artery forks into:

  • the anterior and posterior cerebellar arteries that supply blood to the brainstem and cerebellum
  • posterior cerebral artery supplying blood to the occipital lobes of the brain
Internal carotid artery originates from the common carotid artery, and then, reaching the brain, is divided into two branches:
  • anterior cerebral artery supplying blood to the anterior sections of the frontal lobes of the brain
  • middle cerebral artery supplying blood to the frontal, temporal and parietal lobes of the brain

The mechanism of development of migraine

To date, poorly understood. There are only some theories about this. Each of them has the right to exist.

The most common theory of migraine development

Wolf's Vascular Theory

According to her, a migraine attack is caused by a sudden narrowing of the intracranial vessels. As a result, ischemia (local anemia) and aura develop. Then the brain vessels dilate, causing a headache.

Platelet theory

It is believed that platelets initially have a pathology, which leads to their gluing under certain conditions.

As a result, a significant amount of serotonin (pleasure hormone) is sharply released, which constricts the vessels of the brain (an aura occurs). In addition, during the same period, histamine production (a hormone that regulates vital body functions) by mast cells increases. These two points lead to the fact that the pain threshold of arterial walls decreases (they become more sensitive to pain).

Then serotonin and histamine begin to be excreted by the kidneys, and their level in the body decreases. Therefore, the vessels dilate, their tone decreases, and swelling of the tissues surrounding the vessels occurs. That is what causes the pain.

Theory of pervasive depression

It is believed that a wave of low nervous activity (creeping depression) passes through the brain, causing vascular and chemical changes in it. What leads initially to the narrowing of blood vessels and the emergence of an aura, and then to the expansion of blood vessels and the appearance of a headache.

Combined Neurovascular Theory or Trigeminal Vascular

Currently, she is considered the leading. According to her, the normal relationship between the vessels of the brain and the trigeminal nerve is disrupted.

Under the influence of provoking factors during the attack, the trigeminal nerve is excessively activated. As a result of its endings strong vasodilators are released, which lower the tone of the vessels and increase their permeability. This leads to edema and swelling of the tissues located near the vessels.
Along with these theories, there are several more: genetic, autoimmune, hormonal, and others.

How does a migraine attack proceed?

Migraine with aura

Its course includes all five phases:

Prodromal (initial) phase

Occurs in a few hours or days before a migraine attack. Patients change their mood dramatically, they become irritable, they have a yawn, drowsiness or insomnia, appetite changes, sensitivity to bright light, odors and noise increases. And some patients simply “know” that they will soon develop an attack.

However, the prodromal phase is sometimes absent.


The most common symptoms of aura are visual, affecting both eyes. All other signs develop less frequently.

Aura appears immediately after the end of the initial phase.

Whereas there is sometimes an interval between the end of the aura and the onset of a headache — no more than sixty minutes. Moreover, some patients claim that their condition improves slightly during this period of time. But they feel a little detached from reality.

However, a headache can occur together with the aura either immediately after its completion.

Pain phase - proper attack

Lasts from several hours to three days. It is characterized by a one-sided, throbbing headache (less often it is double-sided).

The pain most often occurs on the opposite side of the aura, localizing in the forehead, orbital region, temple, or neck. At the beginning of the attack, as a rule, the pain is not expressed, but it gradually increases and seizes the entire half of the head. Patients have a feeling that the head is about to explode.

Further, as the intensity of the headache increases, the sides may alternate.

The pain increases with movement, so during an attack it is recommended to sit down, and even better to lie down.

Patients have an increased sensitivity to light, smells and sounds.

However, there are other symptoms: many patients complain of marked soreness of the muscles of the neck and shoulders.

In addition, patients are pale, they sometimes develop nausea and vomiting, which brings only temporary relief.

However, despite vomiting, some patients have an increased appetite. And they are drawn to foods that contain starch: bakery products, potatoes.

Resolution Phase - Completion

Migraine attack ends differently: someone alone, and someone only after taking medication.

After the symptoms subside, patients often fall asleep in deep sleep.

Recovery phase

After an attack, urination becomes more frequent, and the amount of urine (polyuria) increases. Increased appetite.

Patients within 24 hours after a migraine attack feel overwhelmed. However, some, on the contrary, have increased activity and euphoria.

Migraine without aura

In this form, there is no aura (third phase), while all other phases are present and flow in the same way as for migraines with aura.

It is very important to distinguish between migraines with and without aura, as treatment depends on it.

Migraine Diagnostic Criteria

  1. The patient must have at least one type of aura that has been registered at least two times.
  2. Symptoms of the aura should disappear after the completion of the attack.
  3. Headaches and other symptoms correspond to those of a migraine without aura. They can begin with an aura or at least 60 minutes later.
  1. Hot flashes last from several hours to three days.
  2. The presence of at least two signs from the following:
    - one-sided headache, and as it grows, the sides can alternate
    - headache is pulsating
    - pain can be moderate or severe, reducing daily activity
    - headache worse with little exertion
  3. The presence of at least one of the following features:
    - nausea
    - vomiting
    - photophobia (photophobia)
    - fear of loud noise (phonophobia)

This is a typical migraine attack.

However, sometimes migraine is accompanied by vegetative crises. Therefore, chills join, heartbeat quickens, a feeling of lack of air appears, blood pressure jumps, urination becomes more frequent. Often there is a feeling of anxiety, aggravating the course of the disease.

Thus, almost all sensitive systems are involved in the implementation of a migraine attack.

Features of some forms of migraine

Migraine with monthly

It occurs in women two days before menstruation or within three days after it. Such seizures should be recorded in at least two cycles.

About 2/3 of migraine women suffer from this form. Or they note the aggravation of the course of the seizures themselves during this period.

Here, apparently, there is a sharp drop in the level of estrogen (female sex hormone) before the start of physiological bleeding.

The condition may facilitate the use of a skin patch that releases estrogen for 7 days. Therefore, to prevent an attack, it must be glued to the skin three days before the menstruation.

Children's migraine

The provoking factors are often increased mental stress and fatigue at school, a long stay in front of the computer monitor screen.

Unfortunately, children do not always have a typical migraine, which is often misleading even by experienced doctors. Since the attack of pain is most often unexpressed.

Therefore, if a child (especially patient) is passionate about the game, he may not immediately draw the attention of parents to the deterioration of his condition. And when the headache is growing and becoming unbearable, the baby with an erroneous diagnosis (for example, meningitis) can be taken to the hospital in an ambulance.

Moreover, the pain is often bilateral in nature, localized in the area of ​​the forehead, crown or occiput.

Of the other symptoms, nausea and lethargy sometimes appear. In addition, often a headache is accompanied by pain in the abdomen.

The attack does not always end with vomiting and subsequent sleep, bringing relief to the little patient.

Migraine during pregnancy

In most cases (60-80%), migraine symptoms subside during pregnancy as the hormonal status of the woman changes.

The fact is that the amount of estrogen decreases (female hormone, which is responsible for the processes of arousal), and the level of progesterone (pregnancy hormone, which is responsible for the processes of inhibition) increases.

However, sometimes for some women, migraine for the first time makes itself felt just during pregnancy.

Most often, migraine attacks torment women in the first three months of pregnancy, then gradually their frequency decreases or they disappear altogether.

"Headed" migraine

A rare form, which is characterized by the presence of precursors and auras, but a typical pain syndrome with a pulsating headache does not occur.

Ophthalmic (ophthalmoplegic) migraine

It is characterized by paralysis of the muscles surrounding the eye, at the height of pain. This is manifested by the omission of the eyelid on the one hand, the dilation of the pupil on the pain side, and squint. Patients complain of double vision.

However, often in the same patient, typical migraine attacks alternate with the ocular form.

The first ocular migraine occurred is a reason for a thorough examination of the patient in order to exclude a stroke or a brain tumor.

Abdominal migraine

It is characterized by paroxysmal diffuse pain in the abdomen, but sometimes it is localized in the navel. The pain is sometimes combined with cramps in the muscles of the anterior abdominal wall. The attack can last from 40 minutes to three days.

Important points in the diagnosis of abdominal migraine:

  • combination of pain in the abdomen with migraine-like headaches
  • improving the condition of patients after taking drugs used to treat typical migraine
  • abdominal pains are provoked by the same factors as migraine
Migraine status

This is a condition in which several migraine attacks follow each other (interval of less than 4 hours). Sometimes between attacks there are periods of enlightenment, during which the condition of patients improves.

Or one headache develops, which, despite the treatment, lasts more than three days.

Migraine status can result in:

  • long conflict situations
  • prolonged hormonal contraceptive use
  • hypertensive crisis (increase in blood pressure to high numbers).
For migraine status is characterized by an unbearable arching headache.

In addition, there is repeated vomiting, which interferes with the normal intake of food and fluids, as well as medication. Therefore, patients are dehydrated, which leads to the development of edema and oxygen starvation of the brain. As a result, seizures may occur, develop a migraine heart attack or stroke.

Given that migraine status can lead to serious complications, patients should be hospitalized in the department for appropriate treatment.

How to get rid of migraine pain?

Today, the treatment of pain during migraine is carried out taking into account how pain affects the patient's daily life. It is rated on the Migraine Disability Assessment Scale.

The scale is based on the loss of time due to headaches in three main areas of life:

  • in study and work
  • in housework and family life
  • in sports and social activities
Thus, the scale MIDAS divides migraine attacks into four degrees:

I degree. Unexpressed headache without restriction in daily life

Practically, the quality of life of patients does not deteriorate. Therefore, they rarely go to a doctor because they are assisted by physical methods (cold) or traditional medicine.

Of the medications, simple painkillers (Analgin) or nonsteroidal anti-inflammatory drugs (NSAIDs) are most commonly prescribed: Ibuprofen (preferred), Naproxen, Indomethacin.

II degree. Headache is moderate or severe, and limitations in daily life are minor.

In case of unexpressed headache, NSAIDs or combined anesthetics are prescribed: Codeine, Tetralgin, Pentalgin, Solpadein.

When the headache is expressed, and the ability of patients to adapt to the environmental conditions is violated, triptan row drugs are prescribed (Amigrenin, Sumamigren, Imigran, Naramig, Zomig, and others).

III-IV degree. Severe headache with moderate or severe (IV degree) restriction in everyday life

With these forms, it is advisable to immediately start with drugs from the group of triptans.

However, in some cases, Zaldiar is appointed. It includes Tramadol (a strong painkiller) and Paracetamol (a weak painkiller with antipyretic properties).

If the attacks are heavy and persistent, then hormonal drugs are attributed to the patient. For example, Dexamethasone.

Antiemetic drugs are used to combat nausea and vomiting: Metoclopramide, Domperidone, Chlorpromazine and others. They are recommended to be taken 20 minutes before taking NSAIDs or a drug from the triptan group.

What are the triptan group drugs?

They are the “gold standard” because they are designed specifically to relieve pain in migraine. Their action is most pronounced if you take the required dose at the very beginning of the attack.

Recommendations for use

  • When the patient felt the onset of the onset of an attack, it is necessary to take one pill. If after two hours the pain has passed, the patient returns to his usual life.
  • In the case when after two hours the pain has decreased, but has not passed at all, it is necessary to take another pill. And during the next attack, it is recommended to immediately take two pills.
If the drug was taken on time, but it did not help, then you need to replace it.

There are two generations of triptans:

  • The first is represented by Sumatriptan. It is available in tablets (Amigrenin, Imigran and others), in the form of candles (Triigren), in the form of a spray (Immigrant).
  • The second is Naraptan (Namig) and Zolmitriptan (Zomig). They are more effective and cause less side effects.
It should be remembered that patients have an individual sensitivity to drugs of the same group. Therefore, for each patient it is necessary to choose “his own” medicine, and if it is found, then one should not further experiment.

On a note!

Drugs used to prevent the development of an attack, most well help at the very beginning. Therefore, patients are advised to wear the drug at all times with themselves and take it as soon as the first signs appear.

Prospects for the treatment of migraine attacks

The second phase of the study of the drug Olcegepant is underway. When administered intravenously, it prevents the expansion of brain vessels at the beginning of a migraine attack. The effectiveness of the Olcegepant tablet form is also being studied and evaluated.

In addition, studies are conducted on the drug codenamed AZ-001, which is used to treat nausea and vomiting. According to the latest data, it is also effective in combating migraines.

The advantage of the drug is that it is used with inhalers of the Staccato system. The essence of the work of this inhaler: a battery is built into the device, which, when pressed on the piston, warms the solid medicinal substance, turning it into an aerosol.

Further, the aerosol enters the lungs, and from there already - into the bloodstream. Thus, the effectiveness of the drug increases by several times, equating to the intravenous route of administration.

What medications help in the treatment of migraine?

In addition to the relief of migraine attacks, there is another important component in the treatment of the disease itself - prevention of the development of attacks.

Various drugs are used for this, including those in the instructions of which there is no indication of their effectiveness in treating migraine. The fact is that the mechanism of development of migraine is not yet completely clear. Therefore, it remains inexplicable fact why drugs used to treat completely different diseases, help with migraine.

Basically, one drug is prescribed, because the treatment is long, and any drug can cause side effects.

Drugs of choice (used first) - beta-blockers. Although, as they help prevent a migraine attack, it remains unexplained so far. The main drug - Propranolol.

Are used antidepressants. The basis for their use is good efficacy in the treatment of chronic pain. In addition, they reduce depression, which can develop in patients with a long course of the disease and frequent attacks.

In addition, antidepressants prolong the action of painkillers and triptans. And some antidepressants themselves can reduce headache. The most effective and safe drugs are antidepressants of a new generation: Venlafaxine (Velafax), Milnacipran (Ixel), Duloxetine (Simbalta).

Well proven anticonvulsants: valportati (Depakine, Apilepsin) and Topiramate (Topamax). Moreover, studies have shown that Topiromat is most effective. Because it reduces the frequency of attacks rather quickly - during the first month of use. In addition, it is well tolerated by patients.

Migraine Prevention

There are several rules:

  1. Find out and, if possible, eliminate provocative factors. you have a migraine.
  2. Normalize sleep. It is necessary to sleep at least 7-8 hours a day, but not more. And in the evening, eliminate any noisy events, and go to bed for 1.5-2 hours before midnight. Since the process of formation of energy in our body occurs in a dream: for the most part in the first phase of sleep before midnight. But already energy consumption begins after three o'clock in the morning.
  3. Eliminate all types of food stimulation - systematic use of coffee, strong tea and chocolate.
  4. Stop smoking and drinking alcohol.
  5. Eat right. Do not stick to complex diets, eat at least once every five hours, try to eat natural foods, reduce spices to a minimum. Be sure to have breakfast.

Use foods rich in energy, biologically active substances, vitamins:

  • lean meats and fish (especially sea)
  • dairy products and eggs (preferably homemade)
  • whole fruits (not juices!)
  • fresh vegetables (can be pickled)
  • Let's get on the body correct exercise. Because if they are excessive, they can lead to the mobilization of the reserve forces of the body, as under stress. As a result, you will develop another attack of migraine. Therefore, engage in calm sports or exercise without additional loads: swimming (not for speed), Pilates, walking and so on.
  • Observe drinking mode: drink at least 1.5-2 liters of water per day. Because the body "decides" that it is dehydrated and will retain fluid. As a result, there will be swelling.
  • Ensure a comfortable emotional state. If possible, communicate only with people you like. And remember that there are no bad or good people, it all depends on how you treat them. And be patient with your loved ones, but be able to say no. And be sure to do your favorite thing.

  • What is a cervical migraine?

    “Neck migraine” is a term sometimes referred to as one of the manifestations vertebral artery syndrome - excruciating pains resembling migraine.

    In fact, cervical migraine is not related to the "real" migraine. Two vertebral arteries run along the cervical spine to the right and left, providing blood to the brain by approximately 30%.

    In osteochondrosis of the cervical spine and some other diseases, the blood flow in the vertebral arteries is broken. This leads to painful bouts of headaches, during which vision, hearing, coordination of movements is disturbed.

    How is the migraine coded in ICD 10?

    For the designation of various forms of migraine in the International Classification of Diseases of the 10th revision, there are several codes:

    • G43 - migraine,
    • G43.1 - A migraine with aura, or a classic form of migraine,
    • G43.0 - migraine with aura, or a simple form of migraine,
    • G43.3 - complicated migraine,
    • G43.2 - migraine status,
    • G43.8 - another migraine (retinal, ophthalmoplegic),
    • G43.9 - unspecified migraine.

    What could be the effects of a migraine?

    Complications directly related to the disease:

    • Chronic migraine. If migraine pains lasted 15 or more days for a month, 3 months or more, then they say chronic migraine.
    • Migraine status. A condition in which migraine attacks last 3 days or more.
    • Persistent Aura. Usually after a migraine attack passes, the aura also stops. But sometimes it lasts longer than a week after an attack. Symptoms of prolonged aura may resemble stroke (cerebral infarction), therefore this condition is called migraine infarction. If the aura after the attack lasts more than 1 hour, but less than 1 week, they talk about migraine with extended aura. Sometimes migraine attacks manifest themselves only as a headless aura - this condition is called migraine equivalents.

    Treatment related migraine complications:

    • Problems with the digestive organs. Ibuprofen and other non-steroidal anti-inflammatory drugs can cause abdominal pain, ulcers, gastrointestinal bleeding and other complications, especially if you take these drugs for a long time and in large doses.
    • Medicinal headaches (synonyms: abuzusnye headaches, ricochet headaches). Occur if you take anti-headache medication more than 10 days a month for 3 months or more in high doses. In this case, the drugs themselves cause headaches. The patient seems to be in a vicious circle: due to frequent medication, pain becomes more frequent and stronger, and the person, believing that the disease progresses, and medicines in previous quantities do not help, take the pills again and increase the dose. Scientists can not fully explain why there are drug headaches. In order to avoid them, you need to take all the drugs strictly as prescribed by the doctor, and if they begin to help worse, you should immediately consult with the doctor, instead of increasing the frequency of administration and dose.
    • Serotonin syndrome. A rare, potentially life-threatening complication. Occurs when the body greatly increases the amount of serotonin - a chemical that is contained in the nervous system. Serotonin syndrome can cause admission triptans and antidepressants. In combination, these drugs increase serotonin levels much more than individually.

    Do they join the army with a migraine?

    According to the “Schedule of Diseases”, which entered into force on October 1, 2014, various forms of migraine with frequent (once a month and more often) and prolonged (24 hours or longer) attacks that require inpatient treatment should be the reason for assigning to a conscript category "B" - "limited to fit for military service."

    If the attacks are more rare and shorter, the recruit is assigned the category "G" - "temporarily unfit for military service." During regular medical examinations this delay may be extended up to the onset of non-conscript age.

    How is migraine diagnosis done? Based on what establish such a diagnosis?

    Most often, the doctor diagnoses a migraine on the basis of a family history, a history of life and a history of illness, complaints and symptoms, data obtained during a neurological examination. Additional studies and analyzes are usually not required.

    However, sometimes, for example, if there are doubts in the diagnosis, the patient has severe or not quite characteristic of migraine symptoms, the doctor prescribes an examination, which may include:

    • General and biochemical analysis of blood.
    • Computed tomography (CT) and magnetic resonance imaging (MRI) of the head.
    • Spinal puncture. During this procedure, a needle is inserted between adjacent lumbar vertebrae and some amount is obtained. cerebrospinal fluidwhich is then sent for analysis to the laboratory.

    Under the guise of a migraine can hide diseases such as stroke, brain tumor, cerebral aneurysm, glaucoma, sinusitis and etc.

    What is hormonal migraine?

    There is a hormonal theory of migraine, according to which headaches occur as a result of changes in hormonal levels - reducing or increasing the level of certain hormones in the body.

    Especially often migraine attacks associated with the female endocrine system and menstruation. Some facts point to the role of female hormones.:

    • The prevalence of the disease among women is 10-15%, among men it is much less common.
    • In women, migraine can occur at any age. But often this happens with the arrival of the first menstruation.
    • In childhood, the prevalence of migraine among boys and girls is about the same. With the onset of puberty, migraine in girls occurs already 2-3 times more often.
    • Often there is a connection between migraine attacks in women and menstruation, pregnancy, breastfeeding, taking hormonal contraceptives.

    In this regard, several years ago, a type of migraine such as menstrual migraine (menstrual-dependent migraine). Many women have her seizures during the two days preceding the menstrual period, or during the first three days of menstruation. But headaches during menstrual migraine can occur on other days of the cycle, most often in the second half of it.

    The causes of menstrual-dependent migraine are still not completely clear. The most common theories:

    • Theory of Estrogen Cancellation. Migraine attacks occur as a result of falling at the beginning of the monthly level of one of estrogen hormonesestradiol.
    • Prostaglandin theory. Headaches occur due to the fact that before the menstruation and in the first days of menstruation, the body is elevated prostaglandins - biologically active substances that are normally found in all cells and tissues.
    • Magnesium theory. The cause of headaches is low blood levels of magnesium in the second half of the monthly cycle.

    In some women, the migraine course worsens while taking hormonal contraceptives. During pregnancy and breastfeeding, the condition usually (but not all women) improves, the seizures may stop.

    Causes of Basilar Migraine

    "Triggers" for attacks of basilar migraine are most often the following factors:

    • alcohol,
    • stresses
    • lack of sleep,
    • taking certain medications
    • starvation,
    • hormonal changes in the female body,
    • bright light,
    • caffeine,
    • eating food containing nitrites,
    • intense exercise
    • change in weather, climb to height.

    Symptoms of basilar migraine

    Aura can last from 5 minutes to 1 hour. When a headache begins, it still continues, or is already ending. The attack lasts from 4 to 72 hours. The basilar migraine begins on one side, then spreads and intensifies.

    Possible symptoms:

    • nausea and vomiting,
    • increased sensitivity to light and sounds
    • cold hands, feet,
    • double vision
    • slurred speech
    • temporary blindness
    • disequilibrium
    • tingling in different parts of the body,
    • hearing impairment
    • loss of consciousness,
    • difficulty speaking

    Migraine exposure

    In women prone to migraine attacks, headaches during menstruation become more intense, and the accompanying symptoms - more painful. Pain often develops a few days before the cycle, signaling the approach of menstruation, and in the first days of menstruation. At the stage of completion of the cycle and in the period between menstruation, the condition of the woman improves, and she ceases to experience discomfort.

    Hormonal surges

    In the period between menstruations, the body of a woman for natural reasons prepares to bear a fetus. This process is accompanied by the production of large amounts of progesterone. In the absence of conception, a woman begins her period, and the level of the hormone decreases sharply, which provokes the occurrence of migraine headaches and other associated symptoms.

    The disease is characterized by a deficiency of red blood cells in the blood. With menstruation, headache provokes blood loss and an even greater decrease in red cells in its composition, as well as an insufficient supply of oxygen to the brain due to this.

    Water-salt balance

    Before menstruation in the body of a woman there is a violation of the water balance caused by the rejection of the egg. As a result, her limbs and face swell. If the swelling spreads to the brain tissue, then the woman begins to experience aching and oppressive sensations localized in the nape and parietal part.

    Intestinal problems

    With weakened peristalsis, the intestines are not able to fully remove toxins. On critical days, the blood is purified by accelerated current and dumps an additional amount of harmful accumulations into the intestine. Untimely removal of toxins due to the additional load on the intestines leads to their reverse flow into the blood and the appearance of intoxication. As a result, the woman is experiencing headaches, weakness and other symptoms indicating mild poisoning.

    How to relieve pain during menstruation

    If a woman during menstruation regularly suffer from headaches and other painful symptoms, you need to contact a gynecologist. If in the process of examining and diagnosing serious pathologies are not identified, then the doctor can give the woman general recommendations for the relief of pain in the premenstrual period and directly during menstruation:

    1. Use medications to relieve menstrual cramps.
    2. Change the daily schedule, increasing these hours of rest.
    3. Limit the use of alcohol and coffee, to eliminate the effects of nicotine on the body.
    4. Take long walks in the fresh air, especially before bedtime.
    5. Replace harmful foods in your diet with healthy ones.

    Products that should be temporarily excluded from a woman’s diet when menstrual cramps are affected include:

    • sausages,
    • meat products (beef, pork),
    • chocolate,
    • seasoning
    • fermented milk products (cheeses with mold, sour cream),
    • coffee, strong tea.

    To limit the period of menstruation to prevent pain attacks should use the following products:

    • potatoes,
    • flour products (macaroni, white bread),
    • corn.

    Instead of the products listed in the diet should include:

    • vegetables (beets, all kinds of cabbage, lettuce, greens, pumpkin, turnips),
    • buckwheat cereal, oatmeal,
    • diet poultry meat - chicken breast, turkey,
    • walnuts,
    • bread of gray and black varieties.

    Compliance with these simple rules will allow a woman to reduce the impact of painful symptoms, as well as maintain a full-fledged activity and an active lifestyle during her periods.

    Headache pills for menstruation

    If, prior to menstruation or directly during the cycle, a woman is tormented by painful headaches and thereby reduces her livelihoods, it is necessary to take one of the following painkillers:

    1. Nurofen - the active ingredient Ibuprofen in the composition contributes to the rapid relief of headaches during menstruation. With moderate and severe pain, the effect of taking the pill is reached after 30 minutes and lasts up to 8 hours.
    2. Imat - tablets with the same substance in the composition are indicated for mild and moderate head pains. With pain caused by the menstrual cycle, a woman needs to drink Imat's pill once after a meal. If pains occur regularly, then the drug is recommended to be taken within 2-3 days in three doses, maintaining an interval between them in 4 hours.
    3. Citramon - acetylsalicylic acid in the composition of the tool has an anesthetic and anti-inflammatory effect. For headaches caused by menstruation, Citramone pill is recommended at the beginning of an attack. Under this condition, the drug will have a rapid analgesic effect, the effect of which will last up to 6 hours.
    4. Ketans - one of the most effective drugs, which is used to relieve both headaches with menstrual and other menstrual cramps.

    Selection of a specific drug and dosage should be carried out together with the doctor, taking into account individual indications, prohibitions, as well as the risks of side effects.

    Menstruation pain pills

    During menstruation, a woman is not only worried about headaches, but also unpleasant, nagging sensations in the lower abdomen. Quite often, menstrual pain is so unbearable that folk remedies do not help and a woman has to take an analgesic drug. There are medicines in the form of injections and tablets, in which the action of the active substances is aimed at eliminating all the pain that arises during menstruation.

    Ketanov with monthly

    The drug from the group of NSAIDs is an effective tool for relieving menstrual pain. With the appearance of painful sensations that are caused by spasms of the vessels of the head and uterus contraction, Ketans are taken once as a pill or injection intramuscularly. With strong and prolonged painful attacks, the drug may be taken according to the following schedule: no more than 5 days with a time interval of at least 6 hours between doses.

    Spasmalgon during menstruation

    Tablet means prescribed for moderate and weak menstrual cramps. Due to the active substances contained in the composition, the Spasmalgon has a relaxing effect on the walls of the vessels and muscles of the uterus, thereby eliminating the attacks of headaches during menstruation and lower abdomen. A spasmalgone tablet is drunk once in case of pain or is taken in a course according to the following scheme: three times a day, 1 pc. within 2-3 days. Women who have diseases of the blood, gastrointestinal tract, or the kidney system, should receive anesthetic with a doctor.

    Ketorol with monthly

    The drug with a pronounced analgesic effect is similar to Ketanov. It is also used in tablets or injections for moderate to severe menstruation pains of the head and abdomen. When complying with the dosage, it does not inhibit the central nervous system, does not affect the heart and the vascular system. For moderate menstruation pains, Ketorol tablet is drunk once. If a woman develops a strong pain attack, then an injection should be given.

    Causes of Menstrual Migraine

    Each disease has its own cause. The origin of menstrual headaches can be hormonal and non-hormonal in nature.

    Most often, this disease is affected in puberty. During puberty, the level of testosterone in the body is elevated, the girl may feel general malaise and severe headache. These symptoms usually disappear after the first menstrual period and never appear again.

    With the established cycle, women may also complain of migraines before menstruation. The causes of such pain is a hormonal imbalance. After the release of the egg from the follicle, a corpus luteum forms in its place, producing progesterone, the pregnancy hormone.

    If fertilization does not take place, the egg cell dies and splits, the uterine mucosa, which was ready for the introduction of the fetus, begins to reject. It is at this moment that the hormonal jump occurs. The level of progesterone drops sharply, as there is no need for it, and there is a large release of estrogen, which is responsible for the formation of the follicle and the maturation of the new egg. Such a restructuring can provoke numerous changes in the body and, in particular, headache.

    For non-hormonal reasons that provoke migraine attacks, include the following states:

    • chronic fatigue
    • psycho-emotional stress
    • allergic diseases
    • hormonal drugs,
    • fluid accumulation in the body
    • diseases of the cardiovascular system.

    When a woman eats a lot of different drinks and salty foods, it can cause fluid retention in the body. If this happens, all the internal organs begin to swell gradually. No exception and the brain. It increases in size, while squeezing the vessels, which leads to oxygen starvation and severe headaches.

    The use of hormonal contraception can also trigger migraines. This is due to improper selection of the drug. As a rule, the body reacts during the first days of administration or during the first month of using contraceptives.

    Diseases of the heart and blood vessels are factors contributing to migraine. A sharp drop in pressure, spasm of the uterus, uterine bleeding can provoke a headache. A healthy cardiovascular system may not respond to these factors, and if there is a pathology, a migraine is provided. Stress, psycho-emotional stress, fatigue also entail a headache.

    The most hidden cause of such a condition as a migraine during menstruation is an allergic reaction to its own protein. It appears as a result of the breakdown of an unfertilized egg cell. Recognize such a reaction is possible only by conducting special studies.

    Symptoms of Menstrual Migraine

    Menstrual migraine usually overtakes a woman a few days before the appearance of bleeding or in the first days. Very rarely, seizures occur after the end of menstruation. The main symptoms of migraine are:

    • bursting or throbbing pain in temples, frontal part of head,
    • dizziness,
    • violation of some visual functions,
    • mood swings, tearfulness,
    • absent-mindedness
    • fatigue, weakness,
    • hyperexcitability,
    • insomnia,
    • loss of appetite,
    • nausea, vomiting,
    • cardiopalmus,
    • pressure drops.

    If there is at least one of these manifestations, it is necessary to go for a consultation with a doctor. During menstruation, these symptoms may include:

    • lower abdominal pain,
    • soreness and swelling of the mammary glands,
    • lower back pain
    • disorders of the bowel.

    At the end of menstruation, all of the above symptoms should go away completely. If this does not happen, there is reason to worry, to delay the campaign to the doctor is not worth it.

    Menstrual Migraine Treatment

    If headaches accompany every menstruation, you should seek help and begin treatment. There are two types of anti-migraine therapy:

    Non-drug treatment involves mainly psychotherapeutic approach and relaxation procedures.

    Drug therapy, in turn, can be divided into symptomatic and treatment aimed at eliminating the cause of the disease (etiotropic). Symptomatic drug therapy includes antiemetic and analgesic drugs.

    Most commonly, analgesics use drugs containing codeine and nonsteroidal anti-inflammatory drugs. The most famous of them are Mefenamic acid, Paracetamol, Ibuprofen, Ketorolac, Solpadein. It is impossible to get involved in excessive, uncontrolled intake of these drugs, NSAIDs adversely affect the state of the mucous membrane of the gastrointestinal tract, and codeine-containing drugs are addictive.

    If these remedies do not help, and the pain becomes more intense and lasts more than three days, resort to triptan therapy. They block directly the receptors of the nervous system, and begin to act within half an hour. The most popular are Sumatriptan and Elitreptan.

    Among antiemetic drugs, Metoclopramide-based drugs are widely used, the most famous representative of this series is Zerukal. Domperidone and Motilium will be good helpers.

    As for the means aimed at eliminating the cause of migraine, for treatment with this approach, oral hormonal contraceptives are prescribed. These drugs contain female sex hormones, help restore and adjust hormones.

    Taking all of these medicines will have a greater effect if treatment is started immediately after the symptoms are detected.

    Causes of migraine before menstruation

    The main cause of migraine before menstruation is PMS, which occurs a few days before the onset of menstruation. This condition is accompanied by a number of other symptoms with a general deterioration in well-being. A severe headache may last for several days, and then professional medical care is required.

    Menstrual migraine is slightly different from the usual hemicrania. It gives more pronounced pains that last longer than usual. The attack can last up to 72, but no more, that is, the condition does not apply to migraine status.

    During menstruation, severe migraine can lead to pain throughout the body. These symptoms are explained by a sharp change in hormonal levels. During the PMS period, it will be normal to experience these conditions, but this does not mean that they should be tolerated.

    Pressing and throbbing headaches, characteristic of migraines, occur due to the delay in the tissues of the brain and face fluid. This happens under the action of estrogen, which is actively involved in changes in the body before menstruation.

    Provoking factors

    What can provoke the occurrence of hemocrania in the premenstrual period:

    • dehydration of the body - insufficient fluid intake, active sports, nausea with vomiting,
    • depression, psycho-emotional shock, feelings, apathy, lack of sleep, hard physical work,
    • light stimuli in the form of blinding light, flashes, sun rays,
    • abrupt weather changes, climate change,
    • hunger, skipping meals,
    • use of individual products.

    Dehydration can cause migraines before menstruation.

    Foods that can trigger a migraine in the premenstrual period include chocolate, nuts, salty foods, canned foods, caffeine, and alcoholic beverages. It is also recommended to minimize the use of onion vegetables, cheeses, dried fruits.

    Related manifestations

    Menstrual migraine has several distinctive features. It is manifested by intense throbbing pains that are paroxysmal in nature.

    Migraine is accompanied by a decrease in appetite due to severe nausea. Also there is intolerance of bright light and various sounds, why a woman tries to retire in a secluded place.

    Migraines with PMS may be accompanied by the following manifestations:

    • mood swings for no apparent reason
    • blood pressure drops
    • nausea, urge to vomit, dizziness,
    • feeling weak and weak
    • intolerance bright light
    • excessive sweating, feeling of heat,
    • change in taste preferences,
    • the appearance of edema in the face and lower limbs,
    • pain in the chest, angina.

    When these symptoms do not need to wait until they themselves go with the onset of menstruation. Well-being can be improved with the help of drugs, folk remedies, diet and some changes in the usual way of life.

    What to do with migraines before menstruation

    Hormonal pains are treated with painkillers and the observance of certain measures to prevent attacks. It is also important to eliminate risk factors.

    General measures to eliminate provoking factors and hemicrania treatment:

    • avoiding alcohol and provocative products 2 weeks before the menstruation,
    • full rest at least 7 hours a day,
    • change in diet, the inclusion of more healthy foods,
    • control of emotions, elimination of stressful situations,
    • balance work and rest,
    • taking medication prescribed by a doctor for diagnosed migraine.

    For the prevention of migraine before menstruation, it is recommended to give up alcohol 2 weeks before they start.

    Before menstruation, it is recommended to replenish the diet with fruits, corn, white meat. Fresh juices and sweet tea will be useful, but coffee and alcohol should be completely eliminated. Flour products will also be useful for women in this period.


    Nonsteroidal anti-inflammatory drugs are used to eliminate a migraine attack and its prevention before menstruation. This is Diclofenac, Ibuprofen, Naproxen.

    It is recommended to take medicines before the start of PMS, which can be determined by leading the menstrual calendar. In the case when the migraine was previously diagnosed, medications prescribed by the doctor are taken. If the problem arose for the first time, you need to try to reduce the pain yourself, and then turn to a neurologist.

    What medicines help to get rid of menstrual migraine:

    • nonsteroidal anti-inflammatory drugs - can be taken for the purpose of prevention for 5 days, starting two days before menstruation,
    • triptans - well stop an already occurring migraine, the representative will be the drug Sumatriptan, which can also be used as a patch,
    • estrogens are prescribed by the doctor for oral administration or in the form of patches, they are applied about two days before the expected attack,
    • oral contraceptives - this option is suitable for women who do not plan to conceive in the near future, they help to cope with migraines with prolonged use, relieving seizures, and then the headache is easier to remove with symptomatic drugs,
    • Lyuliberin agonists are an extreme measure of treatment when other drugs have proven ineffective against menstrual migraine.

    The first thing to do if you have a migraine is to take analgesics or nonsteroidal anti-inflammatory drugs. This may be Nurofen, Diclofenac, Nimesil, Ibuprofen. If they do not help, you need to drink triptan.

    The best means of migraine are the following:

    • ergot alkaloids - Kafergot, Nomigren,
    • triptans - Eletriptan, Sumatriptan, Frovatriptan,
    • NSAIDs - Ketoprofen, Nurofen, Diclofenac.

    Important! Ergot alkaloid preparations have many contraindications and adverse reactions. The active component of the funds refers to the funds of group A, that is, to the poisons. Prescribe their reception can only doctor after diagnosis.

    Drugs quickly action are relatively high cost, and apply them rationally only in the case of intolerable migraine. A common headache that occurs in virtually every woman in PMS is successfully relieved by painkillers from the group of nonsteroidal anti-inflammatory drugs.

    Folk treatment of migraines before menstruation

    Traditional medicine offers many recipes for the treatment of migraine. They must be taken carefully, as there is a risk to further aggravate the condition by choosing the wrong means.

    Recipes for alternative medicine for the treatment of menstrual migraine:

    1. Peppermint, balsam, and oregano are mixed, in the amount of one spoon, 300 ml of boiling water is poured. The remedy is infused for 30 minutes. After straining is taken in a glass before the alleged attack.
    2. A large spoon of Hypericum is poured with a glass of boiling water, the mixture is cooked on low heat for 15 minutes. The remedy is infused for another half hour, after which it is taken in the morning, at lunchtime, and before bed по cup.
    3. Tablespoon oregano poured 300 ml of boiling water, means infused for an hour. After straining is taken a glass once a day.
    4. Three spoons of lemon balm are poured with a glass of boiling water, the preparation is infused for an hour. The infusion is taken 3-4 times a day in a large spoon.

    Oregano infusion - a popular folk remedy for migraine

    From folk remedies will be useful decoctions of valerian and clover. It is also recommended to take potato juice in the amount of ¼ cup each time a headache occurs. Each woman can choose for herself an optimal remedy that will effectively cope with severe painful attacks.

    Local compresses, aromatherapy, inhalations will be helpful. They can be used only for prophylaxis, because during an attack, various flavors will only aggravate the serious condition. The easiest way to relieve pain - a compress on the head of the cabbage leaf. With the same purpose you can use lilac leaves.

    What is a menstrual migraine?

    Menstrual migraine is a disease that occurs in women on the background of hormonal disorders or under the influence of certain factors in the premenstrual period or the first days of menstruation. Intensive attacks of this type of migraine are observed in 10-15% of women, while recurrent painful symptoms occur in 30%. Migraine attacks. associated with the menstrual cycle, can be recognized by the characteristic symptoms and signs, which in the period of the attack aggravate the emotional and physical condition of the woman.

    Menstrual migraine: symptoms

    Menstrual migraine may occur several days before the start of the “critical days” (associated), during the first days of menstruation (true), and also within 2-3 days after the end of the cycle. The characteristic symptoms of the disease during this period are:

    • throbbing and headache pain, most often localized in the temporal or frontal part,
    • irritability, tearfulness, anxiety, sudden changes of mood,
    • loss of appetite,
    • physical weakness, fatigue,
    • decrease in mental activity, absent-mindedness,
    • increased reaction to external stimuli (smells, loud music, bright lighting),
    • impaired visual function (reduction of sharpness and clarity of vision, feeling of heaviness in the eye area),
    • blood pressure fluctuations
    • tachycardia,
    • nausea that develops into vomiting (occurs during menstruation),
    • pallor of the skin,
    • sweating
    • lack of sleep.

    The menstrual migraine attack that develops during the cycle is aggravated by such unpleasant symptoms:

    • aching pain in the abdomen,
    • tenderness and swelling of the mammary glands,
    • aches in the lumbar region,
    • intestinal disorders (bloating).

    After the end of critical days, the painful symptoms disappear, while the physical condition and mood of the woman improves significantly.

    Causes of migraine during menstruation

    There are hormonal and non-hormonal causes of menstrual migraine.

    In the first case, the cause of the painful pain syndrome and associated symptoms are hormonal disorders that occur before menstruation and directly during the cycle. These days, the level of female hormones is falling, which affects the general condition of women. The instability of the hormonal background begins to manifest itself in girls after the first menstruation. During this period, testosterone levels are in most cases overestimated, and the cycle has not yet been completely formed. Therefore, in the early years of menstruation, the symptoms of migraine and the frequency of attacks may be of a different intensity.

    The reaction of the female body to fluctuations in the level of hormones is not the only reason for the development of menstrual migraine attacks. There are also non-hormonal factors that can cause a migraine attack during menstruation. These include:

    • swelling of the brain tissue due to the natural accumulation of fluid in the body,
    • the body's sensitivity to the breakdown of egg protein,
    • the reaction of the vascular system to intense spasms caused by uterine contraction and heavy bleeding,
    • the sensitivity of a woman’s body to its own hormone estrogen,
    • contraceptive use
    • blood pressure jumps
    • chronic fatigue
    • the instability of women to stressful situations
    • reaction to alcohol during menstruation.

    The reaction of the female body in the form of weak attacks of menstrual migraine to the changes occurring in the premenstrual and menstrual periods, is considered a normal process by most doctors.

    If the symptoms become pathological, and the woman’s condition is significantly aggravated by repeated vomiting, fever, profuse bleeding and confusion, then urgent consultation with a gynecologist and a neurologist is necessary to prevent the development of complications and acute diseases.

    Migraine before menstruation and during - what to do?

    Every person experiences headaches at least once in their lives, and it is well known to everyone that they always occur at the most inopportune moment, most often against the background of tension or severe stress. Predominantly complaints of paroxysmal pain come from women, especially on critical days.

    In medical terminology, there is such a thing as menstrual migraine. What are the causes and symptoms of this condition, treatment methods?

    Migraine during menstruation is a fairly common symptom, which is characterized by strong and prolonged headaches that can disturb a woman for several days in a row. As a rule, they begin just before the onset of menstruation in a few days, so they are often associated with premenstrual stress.

    Causes of the pathological state

    Sudden jumps of sex hormones in the body, the trigger factor for which is a change in the level of estrogen and progesterone are considered the main cause of migraine.

    According to doctors, migraine with menstruation is a hereditary predisposition or inclination of a woman to increased gluing of platelets. She can disturb a woman not only before the onset of critical days, but also with such factors:

    In any of these positions in the woman's body, there are sharp jumps in the level of sex hormones, against the background of which migraine develops. Most often this condition is experienced by girls during puberty.

    Climax and Migraine

    Climax is an individual emotional state of a woman, accompanied by severe headaches. The attack, in most cases, occurs suddenly and is localized in the forehead and temples. Sometimes darkening of the eyes, light dizziness, and mood swings are considered characteristic of migraine with menopause. As a result of frequent headaches, women may experience psycho-emotional breakdowns.

    Climax is often accompanied by hypertension, against which headaches intensify.

    The attending physician, on the basis of the collected history of the disease, may suggest the use of painkillers and herbal preparations, vitamin-mineral complexes, as well as a complex of hormonal drugs in order to compensate for hormones that are not enough in the body. In addition, menstrual migraine, regardless of what period of life it occurs (menopause or during menstruation) requires careful attention to yourself.

    1. It is necessary to distinguish between the treatment of migraine attacks and the treatment of the disease itself.
    2. During the precursors of an attack, drug therapy is considered to be the most effective.
    3. At the initial stages of the development of the disease, antispasmodics and acupuncture show a good effect.
    4. In the interictal period, doctors prescribe a course of reflexology and dehydrating agents.

    Severe headache before, during, or after critical days

    One of the complaints with which women go to the hospital is a migraine before menstruation. This disease occurs on the hormonal background of the female body. Confirmation of this is that men have migraines very rarely. This neurological disease is accompanied by unbearable pain in one (usually right) or both parts of the head. Pain provoke spasms of cerebral vessels. The pain syndrome is preceded by nausea, dizziness, fog before the eyes, tinnitus, vomiting.

    Causes of migraine

    The reasons why there is a migraine in menstruation is quite difficult to explain. The fact that hormones play a leading role in the manifestation of severe headache attacks is a fact. But to conclude that the disease is associated only with changes at the level of hormonal levels, it would be wrong. There are other causes of migraine: lack of sleep, stress, overwork. For example, in children, migraine occurs in both girls and boys. In the second, in a certain age period, attacks are even more frequent.

    Factors that are not related to hormones, but can cause a migraine attack during menstruation:

    1. Emotional instability
    2. The body's response to contraceptives,
    3. Dystonia
    4. Chronic fatigue,
    5. Taking alcohol during menstruation,
    6. Allergic reaction to the breakdown of egg proteins,
    7. Swelling of brain tissue,
    8. The vascular system is too sensitive to cramps that occur as a result of uterine contractions and heavy bleeding,
    9. The reaction to the hormone estrogen contained in the body
    10. Excess fluid in the body.

    If such acute pain as a migraine, passes at the same time as menstruation, then it is called menstrual.

    If the attacks occur in a few days, then we are talking about
    premenstrual migraine. This definition can be given in the event that throughout the cycle, similar pain did not bother. As a rule, a migraine before menstruation has other symptomatic satellites:

    • General malaise,
    • Increased sleepiness or insomnia,
    • Puffiness
    • Swelling and pain of the mammary glands,
    • Decreased mental abilities
    • Depression,
    • Feelings of fear and anxiety,
    • Slight dizziness and nausea
    • Drastic mood swings.

    There is a false menstrual migraine. It is not tied to a specific time interval of the second phase of the menstrual cycle. Such attacks are spontaneous.

    There are two types of criminal headaches that are very rare. This is a migraine after menstruation and during ovulation.

    Migraine before menstruation or pregnancy?

    If a woman has experienced migraine attacks before menstruation with associated symptoms, this may interfere immediately determine the occurrence of pregnancy. A characteristic feature during pregnancy is a violation of the menstrual cycle. It is accompanied by headache, irritability, drowsiness, increased or decreased appetite, weakness and nausea. Similar signs appear in migraines. The woman is confused that this:
    pregnancy or migraine before menstruation.

    One of the common signs of discomfort in the chest. Chest poured and sore. When pregnancy occurs, it is a natural process that occurs due to hormonal adjustment of the body. With migraine attacks, pain in the chest indicates hormonal disorders.

    There are cases when menstrual flow continues during the first months of pregnancy. With the introduction of the egg into the uterine wall may be tears, accompanied by bleeding. Such so-called monthly, less abundant and have a brownish color.

    If there are experiences of this kind - no need to guess for long. This is a signal to visit a doctor.

    Proper nutrition for migraines

    Nutrition is an important factor. Fasting can provoke a migraine during menstruation. When the sugar level decreases, there are disturbances in the work of the nervous and vegetative systems.It is better to eat more often in small portions than to eat a full meal once a day.

    Bursting headaches result from an increase in serotonin levels. Sharp jumps occur in the vessels of the brain: first narrowing, then expansion. Causes seizures and the content in the body of nitrite, tyramine, gistominov, glutamate sodium, histamine. In this regard, exclude foods rich in these elements from the diet. These include: long-lasting cheeses, citrus fruits, sauerkraut, smoked meats, legumes, any
    fatty foods, nuts, alcohol and food additives.

    Limit such drinks as tea, coffee, energy and cola. Sometimes, drinks containing caffeine, help to relieve a headache, but only at the beginning of its appearance.

    It is recommended to use: vegetables in any form, dairy products, vegetable oil, meat, fish, fruits, compotes, weak tea. Experts say that a lack of magnesium leads to migraine attacks. Bread, oatmeal, sea kale will help fill the lack of magnesium. A large number of this element contains melon.


    Physiotherapy treatment normalizes vascular tone and has a positive effect on the central nervous system. Apply electrophoresis with opposite effects. For vasoconstriction, electrophoresis is prescribed with aminophylline,
    platyfillin and mezaton. For expansion, with nicotinic acid and papaverine. Procedures carried out on an outpatient basis and not during the exacerbation of seizures.

    At home, therapy is carried out using the Azor-IK apparatus, with information-wave action.

    With the help of contact, stable methods, you can undergo magnetic therapy at home. For this purpose, manufactured devices "Pole-2D."

    Sometimes the doctor prescribes physiotherapy in the complex. Electrophoresis can be combined with information-wave treatment and magnetic therapy.

    All procedures are carried out only between migraine attacks.

    Massage is the easiest way to help fight a migraine. You need to sit on a chair and randomly make head movements to relax your muscles. This type of massage gives
    emotional discharge.

    Acupressure should take place gently and not cause pain. With light circular motions the point is massaged for no more than 3 minutes.

    A 5-point massage is offered. Points are located on the back side.

    • The first point is in the place where the spinal column and the skull connect. It is necessary to slightly press her finger and make circular movements.
    • The following two points are located on the sides of the first at the junction. If you hold your hands along the longest lines of the neck, you can get into these grooves.
    • Another two points are located in the region of the mastoid processes at the base of the skull.
    • All points massaged similarly to the first. After making the stroking movements from points to the shoulders and vertebra.