In some cases, the estrogen decline may be mitigated by using an estrogen supplement such as a tablet, vaginal gel, or patch during the week of your period. This is most effective for people with regular menstrual cycles and less so for unpredictable ones. It has also been found that magnesium alleviates the migraines associated with menstruation.
One research found that those who began taking magnesium supplements 15 days before their period and remained doing so until the beginning of their next period had fewer migraine days.
Mini-prevention is an additional technique for preventing menstrual migraines. This is when you start taking medicine every day for five to seven days before your period is due to begin. Some people find that taking nonsteroidal anti-inflammatory drugs (NSAIDs) twice a day helps prevent or lessens the severity of migraine attacks, making them more amenable to treatment with triptans. Women who have regular periods will benefit the most from this method.
Dosing with triptans as a kind of “mini-prevention” has also been the subject of research. During this time, a woman will take two triptans in the days leading up to her period. Migraine episodes during menstruation may be lessened or avoided using this technique. If you utilize this strategy, be wary about taking triptans outside of your monthly cycle.
Can Avoiding A Period Help Prevent Menstrual Migraine Attacks?
Another method of controlling menstrual migraine is avoiding menstruation altogether by using hormonal birth control with estrogen and progestin. Migraine sufferers with aura have a greater risk of stroke, making this approach safer for individuals without aura.
To avoid your period, just skip the placebo pills and take the real pills continually. This avoids the monthly hormonal fluctuations and monthly drops in estrogen that are thought to trigger menstrual migraines. If your doctor recommends this, you probably won’t get your period. Some instances of spotting are conceivable.
In addition to hormonal birth control, your doctor may recommend wearing a vaginal ring. This vaginal ring is made of plastic and contains little estrogen that is released continuously.