Menstrual Migraine Tracker
Hormonal fluctuations are among the strongest and most predictable migraine triggers. Approximately 60% of women with migraine report a menstrual association, with attacks typically occurring during the perimenstrual window when estrogen levels drop sharply.
Track your cycle alongside migraine episodes to identify whether your attacks follow a hormonal pattern. The ICHD-3 criteria require at least two of three consecutive cycles showing attacks on days -2 to +3 of menstruation for a diagnosis of menstrually-related migraine (MacGregor, Cephalalgia, 2004).
Track Hormone-Related Patterns
60% of women with migraines experience menstrual-related attacks
High-Risk Period
Menstrual migraines typically occur 2 days before through 3 days after period starts. Consider preventive measures during this window.
Frequently Asked Questions
What is menstrual migraine?
Menstrual migraine is defined by ICHD-3 as migraine without aura occurring on days -2 to +3 of menstruation in at least two of three consecutive cycles. It is triggered by the natural drop in estrogen that occurs in the late luteal phase. Approximately 60% of women with migraine report a menstrual association.
How do I know if my migraines are hormonal?
Track your cycle alongside migraine episodes for at least 3 months. If attacks consistently cluster around your period (2 days before through 3 days after onset), you likely have menstrually-related migraine. This tracker helps you identify this pattern without guesswork.
What treatments work for menstrual migraine?
Short-term preventive strategies include triptans (e.g., frovatriptan starting 2 days before expected period), NSAIDs like naproxen, or magnesium supplementation. Some patients benefit from continuous hormonal contraception to avoid estrogen withdrawal. Always discuss options with your healthcare provider.
Why does estrogen drop trigger migraines?
Estrogen modulates serotonin and CGRP (calcitonin gene-related peptide) pathways in the brain. When estrogen levels fall rapidly -- as happens before menstruation -- the migraine threshold is lowered. This is why stable estrogen levels (e.g., pregnancy, continuous contraceptives) often reduce attacks.
Should I use this instead of a period tracker app?
This tool is designed specifically to help you correlate your cycle with migraine attacks, not to replace a full period tracker. For best results, use both: a period tracker for detailed cycle insights, and this tool to identify your hormonal migraine window.
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Medical Disclaimer: This tool is for personal pattern tracking only. It is not a substitute for medical evaluation. If you suspect menstrual migraine, discuss diagnostic criteria and treatment options with your healthcare provider.