What are non-drug treatments for menstrual migraines?

Several non-drug treatments have been specifically tested for the treatment of menstrual migraine. Relaxation therapy, including biofeedback, has been shown to help reduce menstrual migraines. Similar to non-menstrual migraine, acupuncture is not effective for menstrual migraine.

Healthy lifestyle practices may be particularly important during the perimenstrual time. Headache triggers can be additive -- two or more triggers can combine to lower the threshold more than either one alone. Around the time of your menstrual period, changes in hormones, magnesium levels, and prostaglandins, for example, can act as important headache triggers.

Because the physiology of menstruation causes a number of triggers you can't control, it's especially important that you minimize those triggers that you can control. During the few days before you expect your period and for the first few days of menstrual bleeding, make an extra effort to not skip meals, avoid possible dietary triggers such as red wine, and get an adequate amount of sleep, with regular bed and waking times. Even if you feel bloated with your period, don't skip meals or limit the amount of water you drink -- fasting and dehydration are important migraine triggers.

If you don't regularly exercise and practice relaxation techniques, your perimenstrual days can be an important time to add daily relaxation, stretching exercises, and aerobic exercise to your routine.

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