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Hormonal Headaches

January 8th, 2009

Hormonal headaches are a serious and often times debilitating form of headache that effects only women. Fluctuations in estrogen and progesterone can have significant effects on the brain, often triggering severe headaches. Hormonal headaches are a part of the overall premenstrual cycle, and can start as early as eleven days before the menstrual cycle. Symptoms of hormonal headaches typically involve fairly serious pain not unlike a migraine, usually accompanied by a sensitivity to light and loud noises. The pain can typically be described as a throbbing like sensation.

A large percentage of women will eventually experience a hormonal headache. The occurence of hormonal headaches is difficult to predict, although contraceptives are widely believed to play a role in their frequency. In some women, oral contraceptives can actually increase the occurence of hormonal headaches, while in others it actually mitigates the effects of the headaches. Accurately predicting the effect that oral contraceptives will have is difficult. Outside of contraceptives, the the real reasons behind hormonal headache remain unknown. Preventing hormonal headaches can be difficult, or even next to impossible.

Fortunately, treatment for hormonal headaches can potentially be far more effective. Over the counter non-steroidal anti-inflammatory drugs can do an effective job of suppressing hormonal headache symptoms. Treatment with these over the counter drugs around five to seven days prior to a menstrual period can mitigate their effects. Aspirin, ibuprofen, and acetaminophen are all possible treatment options for hormonal headaches. These NSAID medications can possibly also play a role in reducing other premenstrual symptoms.

Migraine medications, such as triptans, are another tool in the arsenal against hormonal headache pain. Although not a direct treatment for the cause of the headaches, triptans can significantly reduce the associated pain. Triptans and NSAID medication should be used wisely when attempting to reduce hormonal headaches, because they can cause reactions if overused. Overuse of both triptans and NSAID medication can cause “rebound” headaches in which the symptoms present even stronger.

In addition to the premenstrual cycle, hormonal headaches can be triggered during other periods of wide fluctuation in hormone levels. The early periods of childbirth can cause widespread changes in hormone levels, and this can commonly result in hormonal headaches. The days after childbirth are also particularly susceptible to the occurence of headaches. Menopause can also frequently be associated with hormonal headaches.

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