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.