About Hormonal Headache
What Is A Hormonal Headache?
Predominantly a condition affecting women, these headaches usually come on just before or during a cycle and/or during ovulation. These can present as a typical tension-type headache but can also present as traditional migraine with one-sided severe pulsating head pain.
During a women’s cycle at Day 1, there is a large drop in oestrogen levels which in turn leads to a drop in serotonin levels in the brain. This drop in serotonin levels is said to be the trigger for hormonal headache.
Hormonal Headache Diagnosis
How Do We Diagnose A Hormonal Headache?
There is a debate whether hormonal headache is a separate migraine-type or whether hormonal change is just a trigger. Nevertheless, hormonal headache begins at -2 to +3 days of menstruation and occur at least 2 out of every 3 cycles. Pure hormonal headache only occurs during a cycle while menstrual-related migraine happens during menstruation and additionally at other times of the cycle. Clinical experience has shown that ovulation will quite often trigger an episode which is milder and shorter in duration.
Hormonal Headache Symptoms

Headache
Usually lasting three days
Moderate to sever throbbing or pulsating-like pain

Nausea and vomiting

Increased Sensitivity
Increased sensitivity to light, sound and smell
Hormonal headaches – Frequently Asked Questions
What is a hormonal headache?
A hormonal headache is a type of headache triggered by fluctuations in hormone levels, particularly oestrogen. It often occurs during menstruation, pregnancy, menopause, or due to hormonal treatments like birth control.
What causes hormonal headaches?
Hormonal headaches are caused by changes in oestrogen levels, which can affect the brain’s pain pathways. Common triggers include menstrual cycles, pregnancy, menopause, and hormonal medications.
How can I tell if my headache is hormonal?
Hormonal headaches often coincide with specific times in your menstrual cycle, such as just before or during your period. Symptoms may include throbbing pain, sensitivity to light and sound, and nausea.
What are the symptoms of a hormonal headache?
Symptoms include moderate to severe throbbing pain, often on one side of the head, sensitivity to light and sound, nausea, and sometimes neck pain or fatigue.
How are hormonal headaches treated?
Treatment options include over-the-counter pain relievers, prescription medications, hormonal therapies (like birth control), and lifestyle changes such as stress management, regular exercise, and a balanced diet.
Can birth control help with hormonal headaches?
Yes, birth control can help regulate oestrogen levels and reduce the frequency or severity of hormonal headaches. However, it may not work for everyone and should be discussed with a healthcare provider.
Are hormonal headaches the same as migraines?
Not always. While hormonal headaches can trigger migraine episodes, they are not the same. Migraines are a neurological condition, whereas hormonal headaches are specifically linked to hormone fluctuations.
What lifestyle changes can help prevent hormonal headaches?
Maintaining a consistent sleep schedule, managing stress, eating a balanced diet, staying hydrated, and regular exercise can help reduce the frequency of hormonal headaches.
Can hormonal headaches be a sign of a more serious condition?
While hormonal headaches are usually not serious, persistent or severe headaches should be evaluated by a healthcare professional to rule out other conditions.
When should I see a doctor for hormonal headaches?
You should see a doctor or headache practitioner if your headaches are severe, frequent, or interfere with daily life. A healthcare provider can help identify triggers and recommend appropriate treatments.
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