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Headaches During Period

Headaches During Period: Causes & Natural TCM Relief

If your period arrives with a pounding headache that makes it difficult to focus, work, or simply get through the day, you’re experiencing one of the most common yet often dismissed menstrual symptoms. You may be wondering why this keeps happening and whether there is a way to ease it without relying on painkillers. Traditional Chinese Medicine (TCM) offers a gentle and holistic approach to understanding menstrual headaches, helping to relieve pain by restoring balance within the body.

WHY

Why Do Headaches Happen During Your Period?

Headaches during menstruation result from hormonal fluctuations, particularly the sharp drop in oestrogen levels, which triggers changes in blood vessels and increases inflammation throughout the body, including the brain.
Before your period begins, oestrogen levels naturally drop. Oestrogen influences serotonin, a brain chemical that helps regulate pain perception and blood vessel function. When oestrogen drops suddenly, serotonin levels also fall, making blood vessels more sensitive and prone to the dilation and constriction patterns that create headache pain.
Menstruation doesn’t just affect your reproductive system. Many women unconsciously tense their neck, shoulder, and jaw muscles in response to period pain or hormonal stress. This muscle tension restricts blood flow to the head and creates trigger points that refer pain upward, causing tension-type headaches.
Whilst hormonal headaches are common, certain symptoms suggest your headaches deserve closer attention:
These patterns suggest the body is under strain and needs support, not just symptom management.

Types of Menstrual Headaches

Not all period-related headaches are the same. Understanding the type of headache you experience helps identify the most helpful form of relief.

Menstrual migraines

Menstrual migraines are a specific type of headache directly triggered by the oestrogen drop before menstruation. They typically occur within two days before your period starts through the first three days of bleeding.

The condition follows a predictable pattern, occurring consistently with most or all menstrual cycles. Tracking your headaches alongside your cycle helps confirm this diagnosis.

Tension headaches

(linked to stress or fatigue)

Tension-type headaches during menstruation feel different from migraines. They create a band-like pressure or tightness around your entire head, often described as a “vice grip” sensation.

Tension headaches are typically less severe than migraines but can last longer, sometimes persisting throughout your period. They respond well to muscle relaxation, stress reduction, and postural improvements.

Headaches

(before vs after your period)

From a TCM perspective, the timing of your headaches reveal important information about its cause:

  • Before your period: Often linked to Liver Qi stagnation and emotional tension.
  • During your period: Often linked to Blood deficiency or circulation issues.
  • After your period: Often linked to low Blood or energy depletion from bleeding.

Timing tells us the story of what your body needs.

At Wo.men Matters, we believe in integrative wisdom.

We combine the insights of both Western medicine and Traditional Chinese Medicine to help you understand what’s happening in your body and how to restore balance naturally.

Western perspective

Common Triggers

Beyond the hormonal changes that occur naturally during menstruation, several lifestyle and health factors can worsen headache susceptibility during your period.

Hormonal fluctuations

The dramatic oestrogen decline just before menstruation is the primary trigger for most period-related headaches. Women with naturally higher oestrogen levels or greater oestrogen fluctuations throughout their cycle tend to experience more severe hormonal headaches.

Dehydration, diet, and sleep disruption

Your body’s needs change during menstruation, and failing to adjust can trigger or worsen headaches. Skipping meals, caffeine withdrawal, high sugar intake, and poor rest can all trigger headaches or make them more intense.

Medical conditions to be aware of

Certain health conditions worsen menstrual headaches or cause severe period-related pain:

  • Endometriosis
  • Anaemia
  • Thyroid imbalance
  • PMDD (premenstrual dysphoric disorder)
  • PCOS (polycystic ovary syndrome)

 

If headaches began suddenly or feel severe, professional assessment is recommended.

TCM PERSPECTIVE

How TCM Understands Headaches During Period

At Wo.men Matters, headaches during menstruation reveal imbalances in how Blood and Qi (energy) circulate through your body. During menstruation, Blood moves downward to facilitate the shedding of the uterine lining. This natural downward movement can expose underlying weaknesses in circulation, nourishment, or energy flow.

Liver Qi Stagnation

Stress and emotional tension.

In TCM, the Liver system is responsible for the smooth movement of Qi (energy) throughout the body. Work stress, frustration, or prolonged tension can cause this energy to become stuck or stagnant. The headaches typically begin before menstruation starts and may improve once bleeding begins and Qi has a downward pathway to move through.

Blood Deficiency

Not enough nourishment during menstruation.

In TCM, Blood is more than the red fluid in your veins. It represents the nourishing, moistening essence that supports all tissues and organs. Blood deficiency means your body lacks adequate resources to properly nourish all areas, particularly during menstruation when Blood is directed toward the uterus. The headaches reflect that there simply isn’t enough Blood to adequately nourish the head whilst supporting menstruation.

Blood Stasis and Cold Accumulation

Constriction and pain.

When circulation becomes sluggish or obstructed, Blood cannot flow smoothly through the vessels. In TCM, this is called Blood stasis. Cold further slows movement and causes constriction, intensifying pain. The key characteristic is that warmth consistently improves symptoms, whether through heating pads, warm drinks, or moxibustion treatment.

TCM Treatments for Headaches During Period

TCM offers natural, effective approaches to treating menstrual headaches by addressing the root patterns causing symptoms rather than simply suppressing pain.

Herbal formulas to nourish Blood and move Qi

Our TCM pills and syrup are formulated to match your specific pattern of imbalance. Traditional herbs influence hormone receptors, reduce prostaglandin synthesis, improve cerebral blood flow, and modulate pain pathways. Unlike many pharmaceutical painkillers that simply block pain signals, herbal formulas work to resolve the underlying imbalance creating the headaches.

Headaches During Period

Acupuncture for hormonal balance and pain relief

Our acupuncture sessions provides immediate relief whilst supporting long-term hormonal regulation and pain prevention. Treatment timing matters. Weekly acupuncture sessions leading up to menstruation can prevent headaches from developing. Treatment during acute headaches often provides rapid relief, with many women noticing pain reduction within 20-30 minutes.

Moxibustion and gentle heat therapy

Our moxibustion sessions involves burning dried mugwort herb near specific acupuncture points to warm the body and improve circulation. This technique is particularly effective for Cold-type headaches that improve with heat.

When to Seek Help for Period Migraines

Whilst occasional menstrual headaches are common, certain patterns and symptoms warrant professional evaluation to ensure proper diagnosis and effective treatment.

Seek professional help if your headaches:

What to expect during a TCM consultation with Wo.men Matters

Your first TCM consultation at Wo.men Matters typically lasts 30 to 45 minutes, allowing you to be fully heard.

This includes

Detailed Medical History

Current symptoms, menstrual history, medications, past treatments, lifestyle factors

Pattern Differentiation

Your energy levels, digestion, sleep, temperature preferences, emotional state

Physical Exam

Pulse diagnosis, tongue examination, and abdominal palpation if required

At Wo.men Matters, we believe that TCM works best as an integrated approach for many women. We are able to work collaboratively with your GP or gynaecologist when needed, ensuring you receive comprehensive care that addresses all aspects of your health.

Frequently Asked Questions

Quick, clear answers to the most common questions about headaches during period.
Headaches before your period typically result from the initial drop in oestrogen combined with rising prostaglandin levels. This is when premenstrual syndrome (PMS) symptoms peak. The hormonal fluctuation makes blood vessels more sensitive whilst increasing inflammation throughout your body. From a TCM perspective, Liver Qi stagnation from stress often manifests during this phase when hormones are most dynamic.
The first day of menstruation is when oestrogen reaches its lowest point and prostaglandin release peaks to trigger uterine contractions. This combination creates maximum conditions for headache development. Additionally, blood flow and nutrient demands shift as menstruation begins, which can trigger headaches in women with Blood deficiency patterns.
Yes, proper hydration is essential during menstruation. Dehydration worsens headaches by reducing blood volume and oxygen delivery to the brain. However, from a TCM perspective, room temperature or warm water is preferable to cold or iced drinks, which can slow circulation and worsen Cold-type symptoms.
Yes. Acupuncture helps regulate hormonal rhythm, circulation, and stress response. Regular sessions leading up to menstruation can reduce migraine frequency and severity. Treatment during acute migraines often provides relief within 20-30 minutes by triggering the body’s natural pain-relieving mechanisms and improving blood flow. Best results come from consistent treatment over several cycles.
Typical menstrual headaches last 1-3 days, usually beginning just before or as your period starts and improving as bleeding progresses. Menstrual migraines may last longer, up to 5 days. Headaches lasting your entire period or extending beyond menstruation suggest an underlying pattern requiring professional attention, as this duration is not normal and indicates hormonal or constitutional imbalance.

Real Stories and Holistic Healing

Eyeris Tay
I have been under the care of Dr. Tay since 2023 for fertility issues related to PCOS, which was largely due to being significantly overweight.

My menstrual cycle was extremely irregular, with gaps as long as six months. Things became more challenging when I was diagnosed with additional health conditions that made conceiving even more difficult.

Throughout this journey, Dr. Tay has been incredibly patient, supportive, and encouraging—like a big brother figure. Each visit felt comfortable and reassuring, and I was able to openly share all my concerns about trying to conceive. He always took the time to explain things clearly, offered helpful guidance, and provided practical advice, including effective weight loss tips, suitable supplements, and relevant TCM medications.

Though the journey wasn’t easy, I started seeing promising results around the sixth month of treatment. My periods became more regular, and I felt more energetic overall. However, due to ongoing health challenges and considering our age, my husband and I made the decision to pursue IVF.

Xiu Huan Yap
Dr Tay is very experienced and knowledgeable regarding fertility issues, from both Western and tcm perspectives. During my first visit, he reviewed my blood work and was able to identify my underlying fertility issue (asymptomatic thyroid autoimmunity) and suggestsd additional tests for diagnostic confirmation. This condition has been missed in over one year of seeing a fertility specialist (NUH Prof) and three years of seeing several tcm specialists..

More about my experience with Dr Tay: He is practical and willing to cater to patient's personal situations; he knows the local obstetrics scene very well and can give fantastic recommendations substantiated with detail and experience; he gives a lot of support to his patients, including a WhatsApp contact for any concerns (I got a reply on public holiday) ; he is super funny.
Begin Your Journey Towards Balance

If you’re suffering from headaches during your period, natural support is available.

At Wo.men Matters, our TCM physicians combine herbal medicine, acupuncture, and lifestyle guidance to help women find balance and relief.

Book a consultation to begin your journey with us towards pain-free periods.