
Consumption of chocolate, cheese, or MSG may trigger excessive migraine headache. If menstruation is the trigger of a migraine it is called menstrual migraine.
As experienced by Ms. W. (18 years old) who came to a doctor with a headache. She had an episodic headache, which she gets approximately 2 times a week. The headache sometimes only felt at one side of her head, but sometimes also on the both sides.
The headache is very severe accompanied by nausea and vomiting. Stimulation of light or sound will aggravate headache. At the time before, during, or after menstruation, then the frequency and intensity of headache will be felt more heavily.
The case which is experienced by Ms. W is a form of migraine headache. Migraine headache occurs episodic, not continuous. At the time of the attack, the pain is felt pretty bad and often requires the patient to rest completely.
Mild physical activity will spur even an greater headache. Stimulation of light or sound will aggravate headache attacks, patients would generally prefer to shut himself in the room.
Well, some form of a migraine headache is exacerbated by menstruation. This form of headache is called a menstrual migraine.
The estrogen hormone has a very large role in migraine headache. Approximately 60% of women suffering migraine will experience a headache attack just before or during menstruation.
In most cases, the attacks will appear 1 or 2 days before the start of menstruation until the third day of menstruation. Another critical period is the emergence of migraine attacks during ovulation.
The estrogen hormone has a major impact on one’s pain. The estrogen hormone which decrease associated with an increased intensity of pain.
Pill consumption would spur a sudden drop in estrogen at the beginning of the menstrual cycle. This is what explains why the use of birth control pills can worsen migraine attacks. Most migraine sufferers will experience improvement in symptoms at menopause.
How do I know menstrual migraine?
One important step in the treatment of migraine headache is identifying what triggers an attack. In many cases certain foods will boost migraine attacks. Consumption of chocolate, cheese, MSG is said to be a cause of migraine headache attacks.
In the case of menstrual migraine, it is menstruation which triggers migraine attacks. In 2008 a measuring instrument is developed in the form of a short questionnaire to determine a menstrual migraine which is called MMAT (Menstrual Migraine Assessment Tools).
This questionnaire consists of the following 3 questions:
1. Does your headache associated with your menstrual occurred 2 days before menstruation until the third day of menstruation?
2. During menstruation, does your headache became more severe?
3. Is light more disturbing during menstruation?
The on 250 women showed that this simple measure can detect menstrual migraine accurately. Answer yes to questions 1 and the other has a sensitivity up to 94%.
What should I do if I suffer menstrual migraine?
One important step in the treatment of migraine is to recognize and avoid what triggers migraine attacks. In the case of menstrual migraine, it is very difficult to do. Menstrual period could not be avoided, unless in the state of pregnancy or menopause.
There are several important steps that can be done to reduce the frequency and intensity of menstrual migraine attacks carried out before the period:
1. Eat a balanced regularly.
Avoid an empty stomach, low blood glucose levels will spur headache attacks. Also avoid eating carbs in significant amounts.
Consumption of sweet foods in a large number will lead to rapid reduction of blood sugar. Decrease in blood sugar will also spur migraines.
2. Drink enough.
Dehydration will spur migraine attacks.
3. Get Enough sleep. Lack of sleep or too much sleep will accelerate migraine attacks.
4. Avoid foods or beverages that can trigger migraine attacks.
Food is preserved, too salty or too sweet can race migraine attacks. Alcoholic beverages and soft drinks can also spur a migraine attack.
5. Mild exercise can help prevent migraine attacks.
Some relaxation techniques can also help prevent migraine attacks.
When attacks occur frequently, you can take migraine attacks preventive medicine (eg: amitriptilin, flunarizin). Individual therapy. Discuss the most appropriate therapy for you with your physician.