“Almost every month, I experience PMDD migraines,” shares a member of the Belle Health community. “I usually wake up with shaky hands and an overwhelming sense of anxiety.”
Premenstrual Dysphoric Disorder (PMDD) is a severe form of PMS that affects many women and AFAB individuals, with migraines being among the most debilitating symptoms.
The Link Between PMDD and Migraines
Migraines are intense, throbbing headaches often accompanied by nausea, sensitivity to light, and sound. They can be triggered by various factors, including hormonal fluctuations, which are central to both PMDD and menstrual migraines.
Research indicates that the hormonal changes during the menstrual cycle, particularly the drop in estrogen just before menstruation, can trigger migraines. For individuals with PMDD, who are already sensitive to hormonal changes, the likelihood of experiencing migraines is even higher.
Menstrual Migraines
Menstrual Migraines are a specific type of migraine that occurs in connection with the menstrual cycle. These migraines typically occur two days before menstruation starts or within the first three days of the period. They are linked to the natural decline in estrogen that occurs during this time. Women and AFAB individuals with PMDD often experience these migraines more frequently due to their heightened sensitivity to hormonal fluctuations.
The Impact of Hormones
The relationship between hormones and migraines is complex and estrogen plays a crucial role in regulating brain chemicals that affect pain sensation. When estrogen levels drop, it can trigger migraines.
This is why many women experience migraines in the premenstrual phase, during ovulation, or at the end of their menstrual cycle. The hormonal sensitivity in PMDD can amplify these migraine episodes, making them more frequent and intense.
How PMDD Migraines Affect Your Life?
We asked our community members if they experience headaches or migraines with their PMDD. Here are some of the insights they shared:
“Migraine once a month. It always starts as mild and turns debilitating.”
“I get mine for a couple of days, and it’s like a migraine. I would say it’s an 8 for me. I have to drink water constantly (which isn’t a bad thing), and the only painkiller that helps take the edge off is Nuromol.”
“For me, it can start with mild headaches around a 3 or 4 that last for several days. But sometimes, it escalates to an intense headache, around an 8, making it difficult to think or do anything.”
What begins as a manageable headache often escalates into a debilitating migraine. Hydration and specific medications can provide some relief, but the intensity of these migraines can still disrupt daily life for days each month.
“I experience migraines around ovulation, just before my period, and again at the end of my cycle. The pain is a solid 8 out of 10. The only thing that provides relief is lying in a dark room with my eyes closed, but as a single mom of two, that’s rarely an option.”
“One of the first signs that my PMDD has kicked in is a pounding headache. I usually have to sleep it off, which makes it nearly impossible to function in a bright, busy office environment.”
Migraines not only cause physical pain but also interfere with daily tasks and professional responsibilities. The bright lights and noise can exacerbate the condition, making it difficult to function.
“Each month is different, but I usually experience ocular migraines or migraines with aura, which can be quite scary.”
Ocular migraines and migraines with aura add an extra layer of anxiety for those who experience them, as they often come with visual disturbances that can be frightening and disorienting.
“A migraine is the tell-tale sign the hormones are fluctuating. They are debilitating; I have to be in the dark with ice packs on my head and temples. It only lasts a day or two.”
The connection between hormonal fluctuations and migraines is clear. Some individuals can predict the onset of their migraines based on their menstrual cycle, allowing them to prepare for the worst.
“Almost every month, I experience PMDD migraines. I usually wake up with shaky hands and an overwhelming sense of anxiety, followed by nausea and then a sudden, intense headache. These migraines can last up to three days.”
The anxiety and nausea that often accompany PMDD migraines add another layer of discomfort, making these migraines even harder to manage.
“My migraines vary in intensity, but this month has been particularly severe—definitely a 10. It’s been debilitating. I haven’t found anything that significantly helps, but I try to relax as much as possible, get more sleep, meditate, and spend more time in nature.”
“I used to get migraines before my period for years. I had to close myself in a dark room for hours, and it was incredibly debilitating. The only thing that finally made them disappear was when I stopped drinking milk and eating meat.”
Finding effective relief for PMDD-related migraines can be challenging. Many turn to lifestyle changes, such as meditation and spending more time in nature, to help manage their symptoms. For some, dietary changes—like eliminating certain foods and incorporating more greens—have made a significant difference in managing PMDD migraines.
Managing PMDD Migraines
Managing PMDD migraines involves a combination of medical treatments and lifestyle adjustments. Common treatments include:
- Medications: Over-the-counter pain relievers, triptans (like Sumatriptan), and hormonal therapies can be effective. Some women find relief with magnesium supplements, which have been shown to help reduce the frequency and severity of migraines.
- Lifestyle Adjustments: Regular exercise, stress management techniques, and dietary changes can help manage both PMDD and migraines. Some individuals benefit from eliminating trigger foods, such as dairy or processed meats, and increasing their intake of leafy greens and other nutrient-dense foods.
- Environment: Creating a migraine-friendly environment, such as a dark, quiet room with minimal sensory stimuli, can help during an attack. Ice packs on the head and temples, as mentioned by community members, can also provide relief.
Struggling before your period? Belle can help.
Conclusion
The connection between PMDD and migraines is undeniable, with many experiencing debilitating headaches as a part of their monthly cycle. Whether through medical treatments, lifestyle changes, or creating a supportive environment, women and AFAB individuals with PMDD can find ways to cope with these painful episodes.
The shared experiences of our community highlight the real-life impact of PMDD migraines and offer valuable insights into how others are managing this challenging condition.
If you’re struggling with PMDD-related migraines, know that you’re not alone. Consider consulting with a healthcare provider to explore the best treatment options for your specific needs.
