Migraine and Menstruation

Key points

• Migraine and menstruation
• many women find that the frequency and severity of migraines increase around the time of menstruation
• SIGN recommends that women are treated with mefanamic acid or a combination of aspirin, paracetamol and caffeine. Triptans are also recommended in the acute situation Migraine and hormone replacement therapy (HRT)
• safe to prescribe HRT for patients with a history of migraine but it may make migraines worse