For some women, migraines occur during their cycle or just before, when the hormones, estrogen and progesterone, drop to their lowest levels. The strict definition of menstrual migraine is for the migraine attack to start at any time from two days before, to three days after the first day of a female's cycle. There are two types of patterns:
Symptoms usually improve if a woman becomes pregnant. As a woman approaches menopause, the migraine attacks may become more frequent as the level of estrogen tends to go up and down at this time, but once a woman is past menopause, she has a constant stable low level of estrogen, and migraine attacks tend to reduce.
Sometimes a woman's cycle and a migraine attack occur at the same time, by chance. In order to make the diagnosis, your physician may ask you to document your migraines for a period of time, which helps see the pattern of the migraine attacks, and whether you have menstrual migraine.
The treatment options are the same for other migraine attacks which includes: