Hormonal (Menstrual) Migraine

We fully understand what you’re going through: Finally relieve your hormonal migraines.

Hormonal migraines, also known as catamenial migraines, are much more than a simple headache. They occur at specific times during the menstrual cycle and can include symptoms such as intense headaches, increased sensitivity to light or sound, and extreme fatigue. These recurring attacks can disrupt your daily life, work, and social activities, and we understand how frustrating and exhausting this can be.

At the Clinic La Migraine, we have dedicated over twenty years to studying and treating various forms of migraines, including hormonal migraines. We understand the complex mechanisms that trigger them, as well as their impact on your personal and professional life. Our personalized and non-medication-based approach aims to provide you with concrete, sustainable solutions.

>Tangible Solutions, Proven Results
  • Reduction of over 70% in the intensity, frequency, or duration of episodes in the greater majority of our patients.

  • Personalized approaches tailored to your history and lifestyle.

  • Over 20 years of proven expertise in treating chronic, hormonal, vestibular migraines, and more.

>A team that understands and supports you.
  • Attentive listening to your unique situation and needs.
  • Treatment plans tailored to your progress, continuously reviewed for optimal effectiveness.
  • Compassionate care with Dr. Daniel Lachance, chiropractor, to help you take control of your life again.
>Do not let your menstrual migraines dictate your day

You deserve to regain serenity and freedom. Contact us today to schedule an appointment and discover how our methods can alleviate your hormonal migraines… or even make them disappear.

Contact us now or call 450-689-1223.

Life is too short to spend it in pain. Don’t wait any longer: you have the right to live fully.

Navigating through Hormonal Migraines

Synonyms: menstrual migraines, catamenial migraines

Description

Hormonal migraines, also known as catamenial or menstrual migraines, are migraine attacks closely tied to hormonal fluctuations in women. These migraines, often underestimated, deeply affect quality of life.

Hormonal migraines primarily occur in connection with fluctuations in the menstrual cycle. Two main types are distinguished:

  1. Pure catamenial migraine: These attacks occur exclusively between two days before and three days after the first day of menstruation.
  2. Menstruation-aggravated migraine: Attacks occur during menstruation, but also at other times throughout the menstrual cycle.

Although primarily associated with menstruation, hormonal migraines can also occur during other phases of a woman’s hormonal life, such as pregnancy, menopause, or the use of hormonal contraceptives.

Symptoms of hormonal migraines

Hormonal migraines share many symptoms with classic migraines, but they are often perceived as:

  • More severe: The pain is intense, throbbing, and difficult to relieve.
  • Longer: The attacks can last between 48 and 72 hours.

Common symptoms include:

  • Severe headaches, usually on one side of the head.
  • Worsening with physical activity or sudden movements.
  • Increased sensitivity to light (photophobia), sound (phonophobia), and smells.
  • Nausea, sometimes accompanied by vomiting.

Hormonal migraines, although without aura in most cases, can still be particularly disabling.

Key points about hormonal migraines

  1. Emotional and Mental Impact:
    Hormonal migraines are not just a physical phenomenon; they also affect emotional well-being. The stress associated with anticipating attacks, as well as the interruption of personal or professional activities, can lead to anxiety and a feeling of helplessness.

  2. Influence of other hormonal phases:

    • Pregnancy: While some women report a decrease in migraines during pregnancy, others experience an increase in severity, particularly during the first trimester.
    • Menopause: Irregular hormonal fluctuations during perimenopause can intensify migraines, while they tend to decrease after full menopause.
    • Hormonal contraception: Some women experience a worsening of their migraines with contraceptives containing estrogen, while others notice an improvement.
According to the ICHD-3, to be considered a pure menstrual migraine, the migraine attacks during menstruation must meet the criteria for a migraine (with or without aura), plus the following criterion:
  • Occurring exclusively on day 1 ± 2 (i.e., between days -2 and +3) of menstruation in at least two out of three menstrual cycles and at no other time during the cycle.
To be considered a migraine only aggravated by the menstrual cycle:
  • To be considered a migraine aggravated by the menstrual cycle, it must occur on day 1 ± 2 (i.e., between days −2 and +3) of menstruation in at least two out of three menstrual cycles, and also at other times during the cycle.

Sources:

ICHD-3

Mayo, Marielle.”Migraine cataméniale,” PasseportSanté, Juin 2024. https://www.passeportsante.net/fr/Maux/Problemes/Fiche.aspx?doc=migraine-catameniale

Global Migraine Surgery. “Migraine Menstruelle,” Clinique Internationale spécialisée dans le traitement de la migraine. https://www.globalmigraine.surgery/fr/migraine-definition-cause-traitements-lausanne-suisse/types-de-migraine-nevralgies-cephalees-clinique-global-lausanne-suisse/migraine-menstruelle-lausanne-suisse.html

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