PMS and Migraine Headaches
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Sean Lannin asked:
Before puberty, girls and boys have the same prevalence of migraine headaches. After puberty, the balance shifts and women experience migraines 3 times more often than men. Why is this? Although the exact reasons for this difference are still unknown, we do know that shifting hormone levels can be the culprit behind migraines for some women. Premenstrual Syndrome or PMS and migraine can be a package deal. In fact, for many women it is the drop in estrogen levels right before her menstrual cycle that triggers a PMS headache or migraine and increases her sensitivity to pain.
Headache is a common symptom of premenstrual syndrome, and up to 60% of women with migraines report headaches before or during menstruation. Other PMS symptoms include bloating, cramps, breast tenderness, depression, fear, panic attacks, decreased sexual desire, and impaired judgment or memory. These symptoms usually disappear once menstruation begins. About 5-10% of menstruating women suffer from a more severe form of Premenstrual Syndrome called PMDD or Premenstrual Dysphoric Disorder. Both PMDD and PMS have symptoms in common, including depression, anxiety, tension, irritability and moodiness, but with PMDD the symptoms are severe and disruptive to their life. Like with migraines, it is thought that serotonin plays a role, so antidepressants that impact serotonin can be used to treat PMDD.
So what can women do to find relief from their PMS and migraine symptoms? These first tips apply to anyone who suffers from migraine. Make sure you are getting adequate sleep with no significant change to your sleep patterns, and keep your stress levels under control. Schedule short intervals into your day for quiet and relaxation. Also, eat a balanced diet, and maintain blood sugar levels by eating smaller, more frequent meals.
If you are prone to premenstrual migraines, here are some tips you can try in addition to your regular migraine treatment regimen. One option is the use of non-steroidal anti-inflammatory drugs or NSAIDs. NSAIDs used for PMS and migraine are started two days before your period and continue through the third day of your menstrual flow. This is also a good preventative treatment for menstrual cramps and breast tenderness. For this treatment, you need to keep a menstrual calendar so you know when to begin taking the NSAIDs.
For some women birth control pills are a migraine trigger, but for those who suffer from PMS and migraine they can actually help. Birth control pills can prevent a PMS migraine by maintaining hormones at the same level throughout the month. A monophasic formulation (one with the same dose every day) is best. Also, many women find an added benefit from eliminating the placebo (or hormone-free) week, and taking the active birth control pills continuously, as this prevents the hormone drop that can trigger a migraine.
The lightmask is a new drug-free treatment for PMS and migraine that uses photo stimulation or a flickering light therapy. It is theorized that during PMS, the body’s internal clock becomes out of sync from the rhythm of day and night. Researchers have found that the use of pulsing light helps to re-synchronize the clock. When used during a migraine attack, it can offer pain relief by re-establishing normal brain function. The majority of women who used the lightmask for 15-20 minutes daily showed a decrease in the symptoms of PMS and migraine headaches. You can find articles with more information on this new option on the internet.
For many women, a support group can help tremendously. Not only can women share tips and info about what works for them, but knowing that you aren’t the only one out there who suffers from PMS and migraine helps you feel less isolated and alone. If the first treatment you try doesn’t work, be persistent in trying others. Relief is just around the corner!
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Before puberty, girls and boys have the same prevalence of migraine headaches. After puberty, the balance shifts and women experience migraines 3 times more often than men. Why is this? Although the exact reasons for this difference are still unknown, we do know that shifting hormone levels can be the culprit behind migraines for some women. Premenstrual Syndrome or PMS and migraine can be a package deal. In fact, for many women it is the drop in estrogen levels right before her menstrual cycle that triggers a PMS headache or migraine and increases her sensitivity to pain.
Headache is a common symptom of premenstrual syndrome, and up to 60% of women with migraines report headaches before or during menstruation. Other PMS symptoms include bloating, cramps, breast tenderness, depression, fear, panic attacks, decreased sexual desire, and impaired judgment or memory. These symptoms usually disappear once menstruation begins. About 5-10% of menstruating women suffer from a more severe form of Premenstrual Syndrome called PMDD or Premenstrual Dysphoric Disorder. Both PMDD and PMS have symptoms in common, including depression, anxiety, tension, irritability and moodiness, but with PMDD the symptoms are severe and disruptive to their life. Like with migraines, it is thought that serotonin plays a role, so antidepressants that impact serotonin can be used to treat PMDD.
So what can women do to find relief from their PMS and migraine symptoms? These first tips apply to anyone who suffers from migraine. Make sure you are getting adequate sleep with no significant change to your sleep patterns, and keep your stress levels under control. Schedule short intervals into your day for quiet and relaxation. Also, eat a balanced diet, and maintain blood sugar levels by eating smaller, more frequent meals.
If you are prone to premenstrual migraines, here are some tips you can try in addition to your regular migraine treatment regimen. One option is the use of non-steroidal anti-inflammatory drugs or NSAIDs. NSAIDs used for PMS and migraine are started two days before your period and continue through the third day of your menstrual flow. This is also a good preventative treatment for menstrual cramps and breast tenderness. For this treatment, you need to keep a menstrual calendar so you know when to begin taking the NSAIDs.
For some women birth control pills are a migraine trigger, but for those who suffer from PMS and migraine they can actually help. Birth control pills can prevent a PMS migraine by maintaining hormones at the same level throughout the month. A monophasic formulation (one with the same dose every day) is best. Also, many women find an added benefit from eliminating the placebo (or hormone-free) week, and taking the active birth control pills continuously, as this prevents the hormone drop that can trigger a migraine.
The lightmask is a new drug-free treatment for PMS and migraine that uses photo stimulation or a flickering light therapy. It is theorized that during PMS, the body’s internal clock becomes out of sync from the rhythm of day and night. Researchers have found that the use of pulsing light helps to re-synchronize the clock. When used during a migraine attack, it can offer pain relief by re-establishing normal brain function. The majority of women who used the lightmask for 15-20 minutes daily showed a decrease in the symptoms of PMS and migraine headaches. You can find articles with more information on this new option on the internet.
For many women, a support group can help tremendously. Not only can women share tips and info about what works for them, but knowing that you aren’t the only one out there who suffers from PMS and migraine helps you feel less isolated and alone. If the first treatment you try doesn’t work, be persistent in trying others. Relief is just around the corner!
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