And how to make the pain stop.
There’s nothing worse than knowing a debilitating migraine is headed your way—and with menstrual migraine, you can pretty much guarantee it’s going to hit at the same time each month. To stop one in its tracks, you need a two-pronged approach, per the American Migraine Foundation: mini-
that’s only used before and during your period, and continuous preventative treatment that’s used all month.Take NSAIDs proactively: When taken twice daily during the five to seven days leading up to your period, NSAIDs like ibuprofen and naproxen can prevent or decrease the pain of menstrual migraine.Ask your doctor about supplementing with estrogen during the week of your period to prevent the estrogen dip that can trigger a migraine. This is easiest to do if you’re already taking some sort of birth control.
If you take the pill, you may want to talk with your doctor about skipping the week of placebo pills and immediately starting a new pack to avoid the drop in estrogen that triggers a migraine. You can also do this with the vaginal ring—when you remove it, insert a new one immediately. Talk to your doctor before trying this strategy since they may want you to take a break from this method and get a period from time to time.
Beyond these strategies, it’s also helpful to avoid the common migraine triggers we mentioned above, if you can. Consider cutting back on alcohol, prioritizing self care so you feel less, and winding down earlier so you can get better sleep in the week leading up to your period . “Double down on healthy lifestyle habits during that time of the month to keep your triggers well-controlled,” Dr. Ailani says.
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