Menstrual Migraine

   Tweet   

---

What is Menstrual migraine?

Menstrual migraine can affect anyone of any age. They are commonly seen in troublesome for women in the reproductive years. Migraines occurring on a regular basis between days -2 and +3 of the menstrual cycle. Menstrual migraine occurs during or after the fall of estradiol levels. Menstrual migraine mainly appear in women during the time of menstrual cycle.

Causes of Menstrual migraine

• Dysmodulation of the response by serotoninergic and opioidergic systems to hormonal fluctuations
• Abnormal neurotransmitter responses to normal cyclic changes in the ovarian hormones
• Dopamine-receptor hypersensitivity
• Estradiol vasodilates small-diameter cerebral vessels in healthy women

Symptoms of Menstrual migraine

• Visual flashing lights, bright zig-zag patterns or blind spots
• Loss of balance
• Change or loss in level of consciousness
• Constant high level of oestrogen.

Treatment for Menstrual migraine

• Both prophylactic and acute abortive and symptomatic measures are used in the treatment of menstrual migraine.
• Nonsteroidal anti-inflammatory medications (NSAIDs) such as ibuprofen or naproxen sodium play an important role in the treatment of menstrual migraine
• Dihydroergotamine (DHE) can be used as a nasal spray
• Oestrogen supplements can be used during the seven-day pill-free interval.
• After taking the medication, lie down in a dark, quiet room until the pain subsides.
• Naproxen sodium has been used as effective for treatment-resistant menstrual migraines.