Migraines In Women: How Hormones Influence Neurological Health

Updated Dec 15, 2024 | 11:00 PM IST

SummaryThe hallmark of migraine is its pulsating, unilateral pain, lasting from 4 to 72 hours, often preceded by aura—transient neurological symptoms such as visual disturbances or tingling sensations.
Migraines In Women: How Hormones Influence Neurological Health

Migraines In Women: How Hormones Influence Neurological Health

For those who have not experienced a migraine, perhaps it would seem just another headache. But for someone like me who has suffered through migraines that will last over a week even with medication, I can definitely tell you that it's much more. The ache is not confined to the head; it's the whole experience. Nausea, sensitivity to light, and throbs so bad it makes simple tasks unbearable. It also comes with an emotional burden—the loneliness and frustration are pretty unbearable. Through the years, realizing how hormones are also implicated in triggering and exacerbating my migraines has helped change the game in my dealing with these episodes.

What are Hormonal Migraines?

Hormonal migraines are caused by fluctuations in estrogen and progesterone, the two main female hormones. These hormones are essential for the reproductive system, regulating menstrual cycles and pregnancy. They also have an effect on brain chemicals, such as serotonin and dopamine, which affect mood and pain perception. When hormone levels fluctuate, such as during menstruation, pregnancy, or menopause, they can destabilize the pathways in the brain, causing migraines.

According to Dr. Shivananda Pai, Consultant Neurology, migraines are more than a neurological disorder. "Migraines represent a complex interplay of genetic, environmental, and hormonal factors. In women, hormonal fluctuations are a critical trigger that amplifies sensitivity to pain," he explains. Hormonal headaches are particularly challenging because they are influenced by multiple life stages, from puberty to post-menopause. Common causes include:

  • Menstrual periods: Estrogen levels significantly drop just before menstruation often triggers a migraine.
  • Pregnancy: Hormones can act to relieve symptoms or aggravate them during different times of pregnancy.
  • Menopause: The hormonal fluctuation during menopause can intensify a migraine, while some women tend to find relief.
  • Hormonal therapies: Birth control and HRT tend to level off hormone balances in some individuals but will exacerbate a migraine in others.

Complex Role of Hormones in Women’s Neurological Health

Estrogen and Neurological Health

Estrogen, often called the "hormone of femininity", does more than regulate reproductive functions. It is a powerful influencer of brain health. Estrogen modulates the activity of neurotransmitters like serotonin, which regulates mood and pain perception, and dopamine, associated with reward and pleasure.

During stages of hormonal stability, like in pregnancy's latter months, women may have fewer migraines because of the steady elevation of estrogen. However, a sudden downfall in estrogen destabilizes these chemicals in the brain, sending a heightened sensitivity for migraine triggers.

Menstrual Migraines

The most common form of hormonal migraines is menstrual migraines, which occur in response to the steep decline in estrogen levels just before menstruation. These are typically more intense and less responsive to standard treatment. The timing of these migraines provides clear evidence of the role hormones play in neurological health.

Pregnancy and Hormonal Shifts

Pregnancy is a rollercoaster of hormones. Although many women experience relief from migraines as a result of the constantly elevated levels of estrogen, some women, particularly in the first trimester, worsen. This individual variability is a characteristic of hormonal migraine triggers.

Hormonal Therapies and Management of Migraine

Hormonal treatments, such as oral contraceptives and HRT, have had mixed reviews regarding their use in managing migraine. Some women fare better with the stabilization the treatment provides, whereas others suffer worsening symptoms. This will depend on the nature and dose of the hormones used.

Post-Menopause: Migraine Remission or Continued Struggles?

For most women, menopause brings relief from their migraines. The decline in frequency and severity often accompanies stability in hormone levels. Even so, the susceptibility remains with some towards other forms of triggers including stress and sleep deprivation, not to forget diet-related factors and continues the saga of migraines well after the menopausal stages.

Effect on Neurological Health Due to Hormonal Changes

The relationship of hormones to neurological health goes beyond migraines. Hormonal changes have profound effects on a woman's brain in general.

Mood Disorders: Estrogen helps stabilize mood by regulating serotonin. Its decline at menopause increases the risk of mood swings and depression.

Neurodegenerative Diseases: Estrogen is neuroprotective, stimulating the growth and repair of brain cells. Its absence in post-menopausal women has been associated with an increased risk of Alzheimer's disease and cognitive decline.

Multiple Sclerosis (MS): Hormonal cycles may affect the course of MS, a disease that occurs more frequently in women than in men. Estrogen's anti-inflammatory effects provide transient protection during pregnancy, reducing relapse rates in women with MS.

"The intricate interplay between hormones and neurological health underscores the need for gender-specific treatment approaches," says Dr. Pai.

Managing Hormonal Migraines: Practical Strategies

While hormonal changes are inevitable, several strategies can help manage migraines effectively:

1. Tracking Your Cycle

Understanding your menstrual cycle can help identify patterns and predict when migraines might occur. This knowledge allows for preventive measures, such as scheduling medications or adjusting lifestyle habits.

2. Consulting Specialists

Working with a neurologist or gynecologist can help develop a personalized treatment plan. Options might include hormonal therapies, triptans, or preventive medications tailored to your specific needs.

3. Adopting a Healthy Lifestyle

A well-balanced diet, regular exercise, and stress management are all integral parts of managing migraines. For instance, magnesium-rich foods and hydration can help reduce the frequency and severity of attacks.

4. Exploring Preventive Therapies

For people with severe or frequent migraines, preventive medications, such as beta-blockers or CGRP inhibitors, may be prescribed. These medications stabilize brain activity and therefore reduce the chances of migraine during hormonal fluctuations.

5. Mind-Body Techniques

Techniques like yoga, meditation, and biofeedback can enhance wellness and reduce the debilitating effects of stress-one of the most common migraine triggers.

Research that was once in its embryonic stage continues to shed more light on the role of hormones in migraines and other neurological conditions. Further breakthroughs in genetic testing might enable doctors to predict, at least in a way, how an individual would react to hormonal therapies. The importance of gender-specific approaches is gradually being realized, which involves differentiating between the plight of women with migraines from others.

As Dr. Pai puts it, "Empowering women with knowledge about the hormonal underpinnings of migraines can lead to better, more personalized care. With the right strategies, migraines can be effectively managed, allowing women to lead fuller, healthier lives.

Migraines are not headaches; they are a complex neurological condition that deeply impacts the lives of millions of women. Understanding the role of hormones in triggering and exacerbating migraines is a vital step toward better management and relief.

Awareness, proactive care, and advances in medical research can help women regain their lives from the grip of hormonal migraines. Whether tracking cycles, adopting healthier habits, or seeking tailored medical care, every step taken toward understanding and managing migraines is a step toward empowerment.

Dr Shivananda Pai is a Consultant Neurology at KMC Hospital Dr B R Ambedkar Circle in Mangalore, India.

Brandes JL. The Influence of Estrogen on Migraine: A Systematic Review. JAMA. 2006;295(15):1824–1830. doi:10.1001/jama.295.15.1824

Sacco S, Ricci S, Degan D, Carolei A. Migraine in women: the role of hormones and their impact on vascular diseases. J Headache Pain. 2012 Apr;13(3):177-89. doi: 10.1007/s10194-012-0424-y. Epub 2012 Feb 26. PMID: 22367631; PMCID: PMC3311830.

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No Relief For Delhi Residents As AQI Levels Spike — What’s Causing The Drop In Air Quality?

Updated Nov 3, 2025 | 05:00 PM IST

SummaryDelhi’s air quality has once again plunged into the “very poor” category, with the AQI touching 316 on Monday morning. Experts warn that conditions may worsen further in the coming days, possibly slipping into the “severe” range.
delhi air pollution

Credits: CANVA

Delhi Air Quality Index (AQI) Level Today, 03 November 2025: Delhi’s air quality took a sharp downturn on Monday, slipping deep into the “very poor” category as pollution levels surged across the capital. At 9 a.m., the Air Quality Index (AQI) reached 316, according to data from the Air Quality Early Warning System (EWS).

Forecasts suggest that the air quality will stay “very poor” on November 3 and 5, and could worsen to “severe” on November 4. Experts expect this trend to continue throughout the week. With Diwali week behind us, the question now is, what is driving this sudden decline in Delhi’s air quality?

Delhi Air Quality Worsens

The air in Delhi and the wider NCR has been deteriorating steadily since Diwali ended. On Monday, November 3, the national capital recorded an overall AQI of 324 at 6:05 a.m., according to the Central Pollution Control Board’s (CPCB) Sameer app, keeping it in the “very poor” range. The Air Quality Early Warning System predicts this pattern will continue for several more days, with the AQI possibly dipping into the “severe” category on November 4. Despite the festivities being over, pollution levels remain high, raising concern over what’s causing the continued decline.

Farm Fires Add to Delhi’s Pollution

The Decision Support System (DSS) for air quality management has not updated its latest data, but its October 30 forecast showed that farm fires were responsible for roughly 9% of Delhi’s PM2.5 pollution, with Haryana’s Jhajjar district contributing the most at about 10.66%. Earlier in the season, Delhi’s PM2.5 contribution from stubble burning had stayed below 1%, but in early November, it climbed to around 2%. This rise shows the usual seasonal spike in farm fires, which typically peaks in early November.

Other Factors Behind Delhi’s Falling Air Quality

Delhi’s poor air is not caused by one source alone. Vehicle emissions, construction and demolition dust, and industrial discharge all play major roles in making the air toxic. Seasonal triggers such as stubble burning in Punjab and Haryana and leftover Diwali fireworks make the situation worse. Winds blowing from the northwest carry smoke from these fires directly into Delhi. According to EWS data, wind speeds dropped below 5 kmph on the night of November 2, allowing pollutants to stay close to the ground rather than dispersing.

Why Delhi Suffers More During Pollution Season

Delhi’s geography makes it especially prone to pollution build-up. The city sits in a low-lying plain surrounded by hills and plateaus, forming a basin that traps smog and fine particles. As winter sets in, the cooler air and frequent temperature inversions make the problem worse, preventing pollutants from rising and dispersing into the upper layers of the atmosphere.

Starting November 1, the Delhi government began enforcing the Commission for Air Quality Management (CAQM) directive across the NCR and nearby regions.

The rule bans entry of commercial vehicles that are either not registered in Delhi or fail to meet BS-IV emission norms. Only vehicles powered by CNG, LNG, electricity, or those compliant with BS-VI standards are allowed into the city.

According to official data, October ended on a worrying note for Delhi. The city’s average AQI for the month stood at 223, ranking it in the “poor” category and marking it as the second-worst October for air quality in the past five years.

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Can TikTok’s ‘Potato Bed’ Hack Really Help You Sleep Better? Experts Are Not So Sure

Updated Nov 3, 2025 | 03:46 PM IST

SummaryTikTok’s “potato bed” trend has people turning their beds into soft, cocoon-like nests, claiming it is the secret to deeper sleep. The viral setup looks warm and comforting, but experts say there is more to it than meets the eye. Could this viral hack really help you sleep better, or is it just another internet fad?
tiktok potato bed hack

Credits: CANVA

Whether you have been bed rotting, taking a lazy nap on a cold Sunday, or simply trying to sleep better this fall, you might be tempted to try the viral “potato bed.” The cozy sleep setup is trending on TikTok, where users are layering their blankets and pillows into potato-shaped nests and inspiring thousands of others to do the same.

Insomnia affects roughly one in three people in the UK, leaving many unable to fall or stay asleep, and this viral “potato bed” trend is being hailed online as a possible fix. In a clip shared on October 29, TikTok creator @alicekateea demonstrated how she built her own potato bed, later claiming, “I had the best night’s sleep ever, omg.”

Her video shows her arranging a fitted sheet with blankets and pillows before curling up inside. Since then, the trend has sparked debate across social media, with many questioning whether the hack actually works, and what sleep experts think about it. Below, we look at why this trend went viral and whether it truly delivers better rest.

What Is the Viral ‘Potato Bed’ Hack?

It is easy to see why the potato bed has caught on so quickly. The setup takes only a few minutes and uses things you likely already own, a fitted sheet, a few pillows, and some blankets, yet the result looks instantly inviting. To create your own, start by clearing your bed and flipping a fitted sheet upside down so the elastic faces up. The elastic edge is what helps form the signature potato shape.

Next, line the inside edges with pillows or folded blankets to form soft, rounded sides. Rearrange and fluff them until you have a snug, oval-shaped nest. For extra comfort, spread one blanket along the bottom, then pull another one over yourself. Once you’ve built your potato, imagine you’re a melting pat of butter — climb in, sink down, and let yourself relax completely.

Is the Viral ‘Potato Bed’ Hack Useful for Sleeping?

The “potato bed” creates a soft, cocoon-like sleeping space that resembles a baked potato. It looks warm and comforting, but does it actually improve sleep quality? Hannah Shore, Head of Sleep Science at Mattress Online, offered her insight into the trend’s possible pros and cons. She explained that if you enjoy being wrapped up and surrounded by warmth, you may find it easier to drift off inside a potato bed. The snug pressure from the cushions mimics the feeling of being held, similar to the soothing effect of a weighted blanket. “That gentle pressure triggers the release of feel-good hormones, helping you feel calm, content, and ready for sleep,” she said.

Still, experts note that the potato bed won’t suit everyone. Not everyone enjoys sleeping in a tightly wrapped or enclosed space, and for some, it may even make falling asleep harder.

Our Body Temperature Needs to Drop a Couple of Degrees to Get Good Quality Sleep

According to Hannah, the main concern lies in temperature control. “Adding more pillows and blankets can reduce airflow, trapping warm air around the body,” she explained. “During sleep, our core body temperature needs to drop slightly for us to reach the deep, restorative stages of sleep.” She also pointed out that support can become an issue. “Mattresses and pillows are designed to support your body in specific ways. By stacking too many cushions or blankets, you could reduce that support, which might leave you sore or stiff in the morning.”

Her verdict? “The potato bed is similar to a nest bed — it has raised sides and plenty of blankets that create a snug feeling. It’s perfect for lounging or a short nap, but not ideal for an entire night’s sleep.”

Nobody sleeps perfectly every night, and that’s normal. It’s still important to pay attention to how we rest, since good sleep affects everything from mood to physical health.

While sleep experts remain divided on whether the potato bed actually helps, they all agree on one thing: real rest depends on consistent sleep hygiene. That means building a wind-down routine, keeping a regular sleep schedule, and maintaining healthy daily habits like exercising, eating well, and managing stress.

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Melatonin or Magnesium: Which One Actually Helps You Sleep Faster?

Updated Nov 3, 2025 | 03:00 AM IST

SummaryMelatonin is a natural hormone that helps regulate your sleep-wake cycle and may be useful for jet lag or trouble falling asleep, though research on its effectiveness is mixed. Magnesium, on the other hand, promotes relaxation and supports the body’s natural melatonin production, helping with restless or anxious sleep.
melatonin or magnesium

Credits: CANVA

Getting good-quality sleep does more than just help you wake up refreshed—it could also extend your lifespan. A 2023 study found that people who consistently fell asleep easily, stayed asleep through the night, and woke up feeling rested had a significantly lower risk of early death, and were 30% less likely to die from any cause, 21% less likely to have heart disease, 19% lower risk of cancer, and 40% lower risk from other causes.

Given these benefits, it’s no wonder many turn to supplements to improve their sleep. Two of the most popular options are melatonin and magnesium. But which one truly helps you drift into deep, peaceful sleep?

Role of Melatonin In Sleep

Melatonin is a hormone naturally produced by the body that helps signal it’s time to sleep,” says Kenneth Lee, M.D., medical director of the Sleep Disorders Center at UChicago Medicine. According to the Mayo Clinic, melatonin levels rise in the evening when it gets dark and drop in the morning with daylight. “It regulates your circadian rhythm, telling your body when to rest,” adds dietitian Stephanie Crabtree, M.S., R.D.

Melatonin production stays steady through young adulthood but begins to decline after age 40, according to the Cleveland Clinic. That’s one reason melatonin supplements are often studied for older adults. Dr. Lee notes that it can be especially helpful for issues like jet lag, shift work, or misaligned sleep schedules. “If you’re someone who can’t fall asleep until 1 a.m. but need to wake up early, melatonin taken at the right time can help shift your body clock,” he explains.

A 2022 review in Neuroscience & Biobehavioral Reviews found that melatonin helped people with sleep and neurodevelopmental disorders fall asleep faster and stay asleep longer. However, research is mixed for those using it as a general sleep aid. A Sleep Medicine Reviews analysis of 24 studies concluded that melatonin may help some people but is not consistently effective for all.

Side Effects of Melatonin

According to the Mayo Clinic, oral melatonin can sometimes cause headaches, dizziness, or nausea. Less common effects may include mild tremors, anxiety, or confusion. It can also interact with medications such as blood thinners, diabetes drugs, and contraceptives, so it’s important to consult your doctor before use.

How Magnesium Supports Better Sleep

Magnesium is a vital mineral involved in hundreds of body processes, including those linked to rest. “It helps calm the nervous system, relax muscles, and regulate neurotransmitters, which together promote sleep,” says Crabtree. It also supports the body’s natural production of melatonin.

Unlike melatonin, magnesium doesn’t directly trigger sleep but may improve relaxation and reduce nighttime restlessness. “It helps regulate GABA, a neurotransmitter that quiets the brain,” says Dr. Lee. A 2024 study in Sleep Medicine: X found that magnesium L-threonate supplementation improved sleep quality, though the results were based on self-reported data. “In my experience, some patients find magnesium helpful, while others notice little change,” Dr. Lee adds.

Side Effects of Magnesium

According to Dr. Lee, magnesium may cause nausea, diarrhea, or stomach cramps, especially at high doses. The NIH also notes that it can interfere with certain medications, including antibiotics, diuretics, and drugs for osteoporosis or acid reflux.

Melatonin vs. magnesium: Which Is Better?

Research remains inconclusive on which supplement works best. “Melatonin may help if your main issue is falling asleep, or if you’re adjusting to jet lag or shift changes,” says Crabtree. “But magnesium can be more effective for restless nights or tension that keeps you from relaxing. It also supports deep, restorative sleep and can be used safely for longer periods.”

Natural Ways To Sleep Better

Before turning to supplements, experts suggest improving your sleep habits. Dr. Lee recommends:

  • Practicing good sleep hygiene: Use your bed only for sleep and intimacy, avoid screens or heavy meals before bed, and create a calming pre-sleep routine.
  • Trying cognitive behavioral therapy for insomnia (CBT-I): This structured approach helps retrain your mind and body for better sleep.
  • Getting screened for sleep disorders: Persistent sleep problems may signal conditions like sleep apnea or restless legs syndrome, which require medical care.

Dietary supplements are meant to complement your diet, not replace medical treatment. They are not designed to diagnose, treat, or cure illnesses. Always consult a healthcare professional before starting any supplement, especially if you are pregnant, breastfeeding, or considering giving it to a child.

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