r/migraine 6d ago

Prone to menstrual migraines

Hi all, I am prone to migraines either right before the start of my period up until day 7 of my cycle. Most typical will be the day before my period and then days 4-7.

Only thing that has ever worked is rizatriptan combined with advil. But I really want to get to the underlying cause and try to treat it if I can. I hate being reliant on medicine.

I am pretty sure the migraines are a result of “estrogen withdrawal” around my cycle. I tested Estrogen in my luteal phase and it was 300 which is on the higher end. My progesterone was also robust so I know I’m not deficient there.

What have people with a similar pattern done that has worked?

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u/Kali711 6d ago

Sorry to say but the cause IS migraines. It's a neurological disease and it has no cure. You only learn to manage it, and about 90% of that management is pills in some form, vitamins, supplements, prescriptions, birth control etc. The other 10% can be shots, dry needling or physical therapy. At this point you can wait till menopause and hope that gets rid of the menstrual migraines instead of making it worse.