Easing prementral headaches
20 Feb 2012

Easing pre-menstrual headaches

2 mins to read
Nearly 50 per cent of headaches and migraines experienced by women occur around the time of either ovulation of menstruation. This suggests a link between hormonal changes and headache or migraine occurrence. Naturopath Jennifer McLennan explains.


There may be a link between decreasing oestrogen levels and lower levels of serotonin. Levels of oestrogen pre-menstrually and, or during, ovulation (times when oestrogen levels are decreasing) may affect serotonin, leading to blood vessel spasms and migraine attacks. It is important to note that hormones are not generally the cause of a migraine, but may be responsible for the intensity and timing of a migraine attack.

Although there seems to be a possible link between hormones and migraines, other mechanisms may also contribute to a hormonal migraine attack:

  • Increasing progesterone levels, which occur in the second half of the menstrual cycle after ovulation.
  • Higher amounts of prostaglandins. These compounds involved in inflammation
  • Less opiates (pre-menstrually) to help manage the pain

Natural Helpers

Vitex may be helpful for minimising migraines and headaches during menstruation. Another herb that has been shown to be helpful for preventing migraines is feverfew. Feverfew may work by inhibiting prostaglandins which can cause inflammation and pain. Feverfew is also thought to have an effect on serotonin and histamine, which are responsible for vascular changes involved in migraines. For best results, take both herbs throughout the entire menstrual cycle.

Supplementing with magnesium may be beneficial for women who suffer from migraines and headaches, as levels have been found to be lower in these women. Magnesium has an effect on neurotransmitters, and serotonin receptors and has been seen in clinical trials to produce marked improvements in the prevention of migraines.

Supplementing with fish oils can help minimise inflammation in the body by helping to increase anti-inflammatory prostaglandins.

Isoflavones are naturally occurring compounds found in certain plants, some of which are known as phyto-eostrogens (plant oestrogens). Herbs that contain phyto-eostrogenic isoflavones include red clover, and soy. Researchers found that women who took isoflavone-rich compounds in conjunction with either black cohosh or dong qui, had a reduced incidence of migraine attacks, which was believed to be due to their hormone modulating effects.

Common triggers

Other triggers for migraines and headaches include poor sleep, travel, weather, or tension in neck and shoulders. Keeping a menstrual diary to see when and where your migraines occur can help pin point the reason and therefore pick a treatment to help you cope in the future.

References available upon request



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