ಧಾರವಾಡದ ಶಾಲಾ ಶಿಕ್ಷಕಿಯ ಮೈಗ್ರೇನ್ ಅನುಭವ

The Pattern That Told Us Everything

Menstrual migraines — migraines that occur in the week before periods — are driven by the sharp drop in estrogen during the luteal phase. This is a recognised, specific migraine subtype. Sunanda's triggers compounded this: she skipped lunch most school days (packed lunch left at home), drank 2-3 cups of strong filter coffee, and had significant stress around exam periods. All of these lower the migraine threshold further.

What We Changed First

Before adding any medicine, we addressed the triggers. Strict meal timing — she started carrying a small snack box to school. Coffee reduced to 1 cup maximum per day, not on an empty stomach. Water intake specifically increased in the week before her period. We did not ask her to stop sumatriptan. We told her clearly: if an attack starts, use it. Our goal was reducing attack frequency and severity, not making her suffer through an attack unnecessarily.

What Happened Over 6 Months

Month 1: still got the migraine, but slightly shorter duration (1 day instead of 2). Month 2: same. Month 3: the attack was mild enough that she managed without sumatriptan using ice pack and rest. Months 4-5: one attack each month, both mild. Month 6: no migraine. She was cautiously pleased. We explained that month 6 may have been influenced by a particularly low-stress month at school (summer term break). We continue to see her quarterly. She has used sumatriptan twice in 6 months, compared to every month before.

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