Menstrual migraines are Migraine attack This occurs before and during a woman’s menstrual period. They are believed to have been associated with changes in hormone levels around that time of the month, and because of this, they are sometimes referred to as a hormonal headache.
What do you know about different types of migraine here and around menstruation and How to treat them,
Menstrual migraine vs. menstrual migraine
There are many types of migraines, one of which is a menstrual migraine. This happens when a woman has migraine attacks only around menstruation, Nada Hindiah, MDPalo Alto, a headache specialist and researcher at Stanford Health Care in California.
Dr. Hindiah says that most of the women, which have migraine attacks during menstruation, have menstrual migraine. “Their menstruation will definitely be a trigger, but they will also have other triggers or other times when they receive migraine [attacks],
Menstrual migraine is difficult to treat
Even if you only have migraine attacks around your period time, for many women who can still mean five days or more, say Hinduh. “In that case, migraine is really time to talk to her doctor about daily preventive treatment options,” she says.
Here is a group of top drugs and lifestyle modifications that can reduce the frequency and severity of migraine attacks related to menstrual and menstruation.
1. Triptan
There are also triptans that have a long life. For example, Frovatriptan (FROVA) has a half -life of 26 hours, and a half to eight hours of life in Nartripton (Amerge). “These long-acting people can often be used as ‘mini-prophylaxis’ around your period,” says Indianh.
“If you know that your duration is a big trigger for migraine attack, you can start taking one of those long -acting triptones on a schedule a few days before your period, either every day or day for a few days a day, twice a day, on the basis of medicine.
2. NSAID
Nonsteroidal anti-inflammatory drugs, or NSAIDHindiah says, such as Neproxon (Alev) and Ibuprofen (Advil) can be used strategically for menstrual migraine.
Vincent t. Martin, MDDirector of the Center of Center at the University of Cincinnati Gardner Neuroscience Institute, the center of the Center of the Center, said that 550 mg (mg) of Neeproxon took six days before menstruation twice a day before and showed effectiveness in prevention of menstrual migraine after menstrual.
3. Oral contraceptives
“There are some types of evidence of some types of some types Oral contraceptive pills Really menstrual can reduce the frequency of migraine and menstrual migraine, ”is called Hindiah.
This does not apply to all types of oral contraceptives, so you should talk with you ObjectivityPrimary care physician, or neurologist, says Hindiah, who you want to consider. “There are specifics that will maintain you Estrogen level With a lot of ups and downs. “If you are considering taking oral contraceptives as a means of birth control or trying to improve your migraine symptoms, then tell your healthcare provider about your migraine history, says Hindiah.
4. Self-assessment
If you have menstrual migraine attacks, it is important to take care of yourself especially and try to reduce your stress levels around your period time, says Hindiah.
“Keep a regular Sleep scheduleWhich means waking up and going to bed at the same time every day. Do not leave food, try to eat protein with every meal, and do aerobic exercise Every day for about 20 to 30 minutes, ”she says.
“Preference to these habits will help you reduce the frequency and severity of your migraine attacks,” says Hinduah.
5. Magnesium
“I really like Magnesium As a natural supplement to take every day to help prevent menstrual migraine, “Hindiah says. There is evidence to support to use magnesium, she says, although the mechanism of action, or” why “it improves migraine, it is not fully understood.” It can stabilize cells or reduce hypreaksitability or neuronal firing, but it is all theory. ,
Different types of types Magnesium dose Can be purchased at the counter. Talk to your doctor that whatever supplement you are taking or interested in taking.
6. regular exercise
“When we consider all strategies to prevent migraine attacks, I like it when people choose to create lifestyle modifications that can create a real difference,” Hindus say.
“There are a lot of evidence to suggest regular aerobic exercise, which can serve as a preventive medicine, and some studies to suggest that yoga and HIITs (high-existent interval training) may also be helpful,” says Indianh says.
Indianh says, “Not only regular exercise can help prevent migraine attacks for some people, but also, if the headache is light, a small combat of exercise can help to relieve really headache,” says Hindiah.
On the other hand, overseexing yourself can be a trigger for migraine, especially if you are already attacking migraine.
“One of the cardinal definitions and characteristics of migraine is that normal activity may make you feel worse,” says Hinduh. “If you are already in the middle of a serious migraine attack, excessive walking is going to make more and more things worse for you; it is probably not the best time to go for jog or do some aerobic activity.”
7. Beta-blockers
Beta-blockers are drugs that are commonly used for treatment high blood pressure And other cardiovascular problems. Hindus say, but they can also be used in general to prevent migraine attacks, not especially menstrual migraine.
“Beta-blockers, such as propranolol, are usually used as a daily preventive for migraine. There is a lot of evidence to suggest that they can reduce migraine’s severity and frequency,” she says.
In fact, how beta-blockers prevent migraine attacks are unknown. This may be mainly the effect of blocking the action of hormones. Epinephrine (Also known as adrenaline) and Norpenephrine (Nordrenaline), which slows down the heart and relaxes blood vessels. It can also be related to the way some beta-blocks stopped something. Serotonin Re receptors in the brain and elsewhere in the body. Change in Serotonin level The brain is associated with migraine attacks. But beta-blockers have many other effects in the body, and these have only two possibilities for their medical effects on migraine.
If beta-blockers are not an option for you or do not reduce the frequency of your migraine attack, there are many other classes of drugs, including anti-ai-agalptic drugs and some antidepressants, which may be effective preventives, say Hindiah.
8. CGRP inhibitor
CGRP is one of the latest drugs approved for inhibitors Treatment of migraineThere are two types: CGRP monoclonal antibodies, which are given in the form of injections or infusions and are used for prevention of migraine, and CGRP receptor, which are taken as tablets and used for either prevention or acute treatment depending on special products. Both calcitonin targets gene related peptide (CGRP), which is a protein involved in the transmission of pain.
Forty women were given CGRP monoclonal antibody injection in six months. Most of the participants took AIMovig, but some used Galcanzumab (Magality) or Framenzumab (Ajvi).
After six months, the researchers saw a significant decrease in the frequency, duration and intensity of migraine attacks during the perimenstrual window – two days before the onset of menstruation and three days after the onset of menstruation. In addition, the students of women in the study responded to migraine painkillers within two hours of taking them.
Researchers concluded that CGRP monoclonal antibodies for menstrual migraine may “represent a safe and effective preventive therapeutic strategy”.
However, Indians said that most insurance companies would not cover a CGRP drug unless a migraine person tried a certain number of first oral preventive drugs without good results.
In addition, she says, “Some CGRP with antibodies, especially Aimovig, I will consider escape any of them, who have high blood pressure or constipationBecause it can make these conditions worse. ,
9. Nervous stimulation
For women who would like the option of pharmaceuticals, Nervous stimulation tool One can be worthy of trying. Some of these devices are approved only for acute treatment, and some for both acute and preventive care.
Tackway
- Women often experience migraine attacks around their menstrual time; It is considered to be related to the drop in estrogen.
- There are two types of migraines that can be: menstrual migraine, which is only around the monthly period, and menstrual -related migraine, which affects women who also experience migraine attacks at other times.
- Drugs and lifestyle measures have been found to relieve or improve migraine attacks around menstrual time.
