Menses, migraines, and more

When I say lady parts, most people don’t think of headaches. Overall, women experience headaches more than men. In fact, migraine headaches are predominantly a female complaint and cycle with the menstrual cycle. It all ties into our lady parts eventually!

The International Headache Society published descriptions to help classify headaches. There are about 100 pages to go through to help physicians diagnose your exact type of headaches, and going through all of them would give me a headache. Knock yourself out if you want one though: ihs-classification.org

Here’s a simplified version to help you self diagnose (argh … doctors hate it when you do this!!!). I’ll say “better understand your type of headache” instead.

my HA table
The triggers are similar for most headache: lack of sleep, schedule changes, stress, skipping meals, alcohol, caffeine (or lack thereof).

Then we have our lady part triggers: menses, hormones, possibly ovulation. These triggers are usually specific to migraineurs (the official title for someone who suffers from migraine). Let’s talk about these specifically.

Why do women suffer from migraine more than men?
Short answer: we don’t know. We just know they do. Until puberty, migraine incidence is the same in both sexes. After puberty, women have increasing prevalence. Women have a 1 year prevalence of migraine that is threefold over men. About 18% of women experience migraine.

Migraines and menses:
Need another graph? Here’s the incidence of hormones and migraines over a menstrual cycle:

key for migraine graphs menstrual cycle migraine
When a woman experiences migraines related to her menses and hormones, it’s greatest in a 5 day window: 2 days before her period begins and the first 3 days of her period. Most women get most of their migraines during this time, but they do get them at other times of the month as well. So your menstrual cycle is not exactly predictive of when to expect and when not to expect your migraine, but if can help.
Another horrible thing about migraines related to your menstrual cycle? Compared to migraines at other times, attacks related to menses hurt more, last longer, and are less responsive to treatment.

What about migraine and ovulation?
Association of migraine with ovulation is controversial. There are no graphs to show you for this one. Most experts say there’s no evidence to support this relationship, but individual women swear it’s true.

What can help for women who suffer from migraine?
Be healthy. Avoid triggers. Medications specifically geared for migraine headaches can help. You need a specialist to help manage your headaches. They can be debilitating so don’t just suffer through them!

Sources: Migraine in Women J Headache Pain 2012 13 177-189

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One thought on “Menses, migraines, and more

  1. Pingback: Migraine plus meds (birth control pills, to be specific) | Dr. Sara Twogood's ladypartsblog

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