Why do I have headaches during menstruation?

Menstrual headaches may be related to factors such as fluctuations in hormone levels, increased prostaglandin secretion, abnormal vasomotion, mental stress, and magnesium deficiency. Menstrual headaches usually manifest as swelling and pain in the temples or forehead, which may be accompanied by symptoms such as nausea and photophobia.

1. Hormone fluctuations

The sharp drop in estrogen levels before menstruation can affect serotonin secretion and lead to cerebral vasoconstriction dysfunction. This type of headache usually occurs 1-2 days before menstruation and can be relieved by hot compress on the temples. In severe cases, you need to use ibuprofen sustained-release capsules, acetaminophen tablets or zolmitriptan nasal spray as directed by your doctor.

2. Effect of prostaglandins

Prostaglandins released when the endometrium is shed may diffuse into the blood circulation and stimulate abnormal contraction of cerebral blood vessels. This type of headache is often accompanied by falling pain in the lower abdomen. It is recommended to use a hot water bottle to apply heat to the abdomen. The doctor may prescribe naproxen sodium tablets, diclofenac sodium suppositories or ketoprofen gel.

3. Vasomotor abnormalities

Withdrawal of progesterone causes compensatory dilation of intracranial blood vessels, resulting in throbbing headaches. Keeping the environment dark and quiet can help relieve symptoms. If necessary, you can take flunarizine hydrochloride capsules, nimodipine tablets or gastrodin injection as directed by your doctor.

4. Mental stress

Period anxiety and sleep disturbances may make headaches worse. It is recommended to regulate emotions through meditation or deep breathing. If insomnia persists, you can consult a doctor to use alprazolam tablets, Zaoren Anshen capsules or Zhusha Anshen pills.

5. Magnesium deficiency

Magnesium loss during menstruation may induce neurovascular tension headaches. Eating nuts and dark green vegetables in moderation or supplementing with magnesium aspartate granules, magnesium gluconate oral solution and other preparations as directed by your doctor can help improve symptoms.

During the menstrual period, you should maintain a regular schedule, maintain a daily water intake of 1500-2000 ml, and avoid consuming cheese, pickled products and other foods containing tyramine. Do moderate aerobic exercise such as walking or yoga, but avoid strenuous exercise. If the headache is accompanied by blurred vision, projectile vomiting, or disturbance of consciousness, you need to seek medical attention immediately to rule out intracranial lesions. Recording the onset time and triggers of headaches can help doctors make diagnosis. It is not recommended to take painkillers on your own for a long time.