Natural Treatment of Menstrual Migraines
How hormones affect migraines
Menstrual migraines are more common with high, fluctuating estrogen and relatively low progesterone, such as during perimenopause. That’s why menstrual migraines are more common between the ages of 40 and 55.
High, fluctuating estrogen promotes migraines by 1) stimulating immune cells to produce more prostaglandins and histamine, and 2) leading to steep estrogen withdrawal, which disrupts the neurotransmitters serotonin and glutamate.
Tip: New research suggests that migraines may be caused by "plumes" or the excitatory neurotransmitter glutamate moving in waves through the brain.
By reducing glutamate and calming the brain, progesterone may help to prevent menstrual migraines.
Natural treatment of menstrual migraines
- Magnesium shelters neurons from glutamate and can reduce migraine frequency and severity. Magnesium also stabilizes serotonin receptors, reduces inflammation, and prevents the release of substance-P, which is the pain-promoting neurotransmitter. It combines well with taurine, a calming amino acid that also has a migraine-preventative effect.
- Riboflavin or vitamin B2 may also help to prevent menstrual and works by normalizing the production of serotonin and improving the function of the MTHFR enzyme, which has been linked to migraines.
- Melatonin reduced inflammation has been found to prevent migraines as well as amitriptyline.
- A gluten-free diet can reduce the inflammation that drives migraines. In one study, a gluten-free diet eliminated migraines in 89% of patients.
- Finally, iron can be helpful but only for post-menstrual migraines or end-menstrual migraines, which are caused by the brief iron-deficiency anemia resulting from menstrual blood loss.
Hormonal birth control can worsen migraines
All types of hormonal birth control can worsen migraines and estrogen pills carry a significant stroke risk for women with migraines.
Tip: If you develop a severe throbbing headache on the hormonal IUD, check with your doctor because it could be a condition called intracranial hypertension.
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