Which therapy is often useful for menstrual-related migraine?

Which therapy is often useful for menstrual-related migraine?

• A. Acute treatment with NSAIDs or triptans around menses; preventive therapy with CGRP mAbs or hormonal strategies; short-acting triptans.
• B. Only acetaminophen
• C. Aromatherapy
• D. Avoiding all pharmacologic therapy

Answer: (A)

Menstrual-related migraine is driven by predictable hormonal changes, especially estrogen withdrawal around menses. Management that’s often useful combines treating attacks as they occur with strategies to reduce their frequency across cycles. Treating around menses with NSAIDs or triptans can abort or lessen each attack during that window. For longer-term control, preventive therapies such as CGRP monoclonal antibodies (given monthly or quarterly) have been shown to reduce migraine days, and hormonal approaches that stabilize estrogen levels (like continuous combined hormonal contraception or perimenstrual estrogen strategies) can blunt the cyclical trigger. Short-acting triptans also provide effective quick relief for the symptomatic window. Using acetaminophen alone is generally not enough for reliable control of menstrual migraines; aromatherapy lacks strong supporting evidence; and avoiding pharmacologic therapy would leave patients without proven relief options.

Menstrual-related migraine is driven by predictable hormonal changes, especially estrogen withdrawal around menses. Management that’s often useful combines treating attacks as they occur with strategies to reduce their frequency across cycles. Treating around menses with NSAIDs or triptans can abort or lessen each attack during that window. For longer-term control, preventive therapies such as CGRP monoclonal antibodies (given monthly or quarterly) have been shown to reduce migraine days, and hormonal approaches that stabilize estrogen levels (like continuous combined hormonal contraception or perimenstrual estrogen strategies) can blunt the cyclical trigger. Short-acting triptans also provide effective quick relief for the symptomatic window.

Using acetaminophen alone is generally not enough for reliable control of menstrual migraines; aromatherapy lacks strong supporting evidence; and avoiding pharmacologic therapy would leave patients without proven relief options.