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Hormonal migraines, particularly menstrual migraines, are reported to have three causes. One is the sharp decline in estrogen before menstruation begins. For women who have this as the cause, wearing the estrogen patch (100mcg patch) several days before the decline would happen, or being on Birth Control** for three straight months without skipping the week intended to produce menstruation (so that they get four periods a year) has been been shown to help with migraine control. The second cause is the increase in prostaglandins that occur in the body during the shedding of the endometrium. Prostaglandins are chemicals in the body that can cause inflammation and pain. To help offset this cause, a recommendation would be to take Naproxen (two doses of Aleve) for several days before your usual occurrence of migraine. The third cause is a magnesium deficiency during your period. Magnesium levels are known to drop during your cycle. Magnesium is one of the most important minerals when it comes to controlling migraines, and in fact - just a lack of magnesium in your system can cause you to be sensitive to light all the time. Magnesium is used orally as a preventative, and intravenously as a migraine abortive. To prevent this cause, begin taking a daily magnesium supplement, and increase it during the latter half of your cycle. **birth control poses a stroke risk, as does migraine with aura. If you have migraines with aura, particularly migraines with prolonged aura, taking birth control can further increase your risk of stroke.

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Q: What causes hormonal migraines?
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