Menstrual migraine:-
-Menstrual migrain is a specific condition where the timing of attacks is linked to the menstrual cycle.
-‘Menstrual migraine’ is a specific condition where menstruation is a migrain trigger.
*PMM(pure menstrual migraine) is defined as
-migraine without aura occurring exclusively on two days before menstruation(−2) through three days during menstruation,
-of at least two of three menstrual cycles without migraine at other times in the cycle .
*MRM (menstrually related migrain) defined as above, with the caveat that migraine can occur at other times during the cycle .
**Cause for menstrual migraine are:----
1. the withdrawal of oestrogen as part of the normal menstrual cycle and
2. the normal release of prostaglandin during the first 48 hours of menstruation.
***How The Menstrual Cycle Causes Migraine Attacks*****
The important females hormones involved in menstrual cycle are progesterone and estrogen.
1)Oestrogens are naturally occurring steroid hormones in women that promote the development and maintenance of female characteristics .
2)Progesterone is a natural steroid hormone in the female menstrual cycle .It stimulate the uterus to prepare for pregnancy. It is a naturally occurring hormone in the female body and keep female functions normal.
3)During the cycle, the levels of progesterone and estrogens also change in relation to each other. This occurs as part of being a healthy fertile woman.
4)Women with menstrual migraine attacks may be sensitive to the changes in their estrogen level relative to progesterone.
5)If this balance is slightly off for what the body , then it results in migraine attacks.
*******Ayurvedic Treatment For Menstrual Migrain
1) Follow Ayurvedic Diet,Sleep, Sexual Regimen(आहार, निद्रा,ब्रम्हचर्या )
2) Yoga and Exercise daily for body and mind equilibrium.
(but not during menstrual bleeding)
3) Follow Rajaswala charya(Ayurvedic regimen during menstruation)
4) Detoxification :- As food and environmental is full of toxins ,there is need of detoxification treatment like Panchakarma.
5) Rasayana Treatment :--To increase tolerance and boost immunity.
6) Drink Desi cow milk daily to avoid hormonal imbalance and get nutritional contents.
7) Use Shatavari,Mangishtha, Ashwagandha,Sariva regularly
8) Arogyavardhini, Tapyadi Loha,Navayasa Loha, Laghumalini Vasant are beneficial.
9) At the time of migraine attack,use of
Sutshekhar Ras, Kamdudha, Prawal Pishti,Vat vidhwans Ras, Avipattikar churna,GandharvaHaritaki,Tagar,Dhamasa,
Jatamasi,Brahmi,etc as per the condition of the patient,
9) Yashtimadhu ghreeta nasal drops 4-6 times a day during attack.
***** Acute Migraine Treatment In modern science*******
Non steroidal anti inflammatory such as iburopofen, naproxen , mefenamic acid,Others may use a low dose of a triptan such as frovatriptan, sumatriptan or naratriptan.
*But these medicines have side effects such as:- stomachpain.nausea.vomiting.heartburn
constipation.diarrhea.rash.dizziness.etc.
***Always follow diet, exercise and medicines under medical supervision.**
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