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Migraine Triggers

While the exact cause of migraines is unknown, many triggers have been identified as contributing to their onset.  The trick is finding out what is your trigger.   

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Some of the more common triggers for migraines include:

  • Stress

  • Lack of sleep or disrupted sleep patterns

  • Certain foods or beverages (such as alcohol, red wine, aged cheeses, MSG, and processed meats)

  • Skipped Meals

  • Changes in weather or altitude

  • Certain medications including Selective Serotonin Reuptake Inhibitor (SSRI) Antidepressants, Proton Pump Inhibitors (PPIs), Nasal Steroids and Decongestants, some Oral Contraceptives, and Hormone Replacement Therapy

  • Bright lights or loud noises

  • Caffeine withdrawal

  • Hormone fluctuations from Menstrual Periods or Menopause. 

  • Strong smells like perfume

  • Physical Exertion

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menstrual calendar

Menstrual Trigger

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One of the most common triggers for migraines is fluctuating hormones, particularly in women. This can include the menstrual cycle, pregnancy, menopause, and taking certain types of hormone-based medications, such as birth control pills. In fact, some women experience migraines specifically around the time of their menstrual period, a condition known as menstrual migraines.

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Taking continuous birth control pills can help reduce the frequency and severity of menstrual migraines by decreasing the frequency of mensuration from every month to just several times a year.  However, it's important to note that birth control pills are not suitable for everyone and can have their own side effects, so it's essential to discuss this option with a healthcare provider.

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