Why do I have a headache during menstruation?
Many women experience headache symptoms during or before menstruation, which is medically known as "menstrual headache" or "hormonal headache." The following is a detailed analysis of this problem, including possible causes, symptom classification, relief methods, and related statistics.
1. Common causes of menstrual headaches

| Reason type | Specific instructions |
|---|---|
| Hormone fluctuations | Estrogen levels drop sharply before menstruation, affecting cerebral vasoconstriction function |
| prostaglandin release | Prostaglandins are released when the endometrium is shed, which may trigger an inflammatory response |
| iron deficiency anemia | Menstrual blood loss leads to loss of iron and insufficient oxygen supply to the brain |
| electrolyte imbalance | Changes in water metabolism during menstruation affect sodium and potassium balance |
2. Clinical data statistics
| Statistics Project | data ratio |
|---|---|
| Incidence of menstrual headaches in women of childbearing age | about 60% |
| Proportion of migraines related to menstruation | 50%-70% |
| Duration of pain (in most cases) | 2-72 hours |
| Rate of nausea/vomiting | about 40% |
3. Symptom classification and characteristics
Period headaches often present with:
| Symptom level | clinical manifestations |
|---|---|
| Mild | Swelling and pain in temples, which does not affect daily activities |
| Moderate | Throbbing pain, requiring rest for relief |
| Severe | Accompanied by photophobia and nausea, requiring drug intervention |
4. Relief and treatment methods
| intervention method | Specific measures |
|---|---|
| non-drug therapy | • Apply cold compress to forehead • Ensure 7-8 hours of sleep • Moderate aerobic exercise |
| diet regulation | • Supplement magnesium (nuts, dark green vegetables) • Control caffeine intake |
| pharmacological intervention | • NSAIDs such as ibuprofen • Triptans (with medical advice) |
5. When Do You Need Medical Treatment?
It is recommended to seek medical treatment promptly if the following situations occur:
| 1 | Headache accompanied by blurred vision or speech problems |
| 2 | sudden increase in pain |
| 3 | Headache that lasts more than 3 days after menstruation ends |
6. Prevention Suggestions
• Start keeping a headache diary one week before your period
• Maintain a regular schedule and avoid staying up late
• Appropriately reduce intake of high-salt foods during menstruation
• Consider oral contraceptive pills for hormone regulation (professional evaluation required)
The latest research shows (2023 data) that consistent intake of magnesium supplements for 3 menstrual cycles can reduce the frequency of menstrual headaches by 43%. However, it should be noted that individual differences are large, and it is recommended to develop a personalized plan under the guidance of a doctor.
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