
Migraines are much more than just severe headaches—they are complex, disabling neurological events that affect many people, especially women. Dr Zhao Yi Jing, a clinical neurologist at Zhao Neurology & Headache Clinic, explains that women are more susceptible to migraines due to the significant impact of oestrogen, the female hormone.
What Are Migraines?
Migraines are intense, often debilitating headaches characterized by throbbing or pulsating pain, typically on one side of the head. Unlike regular headaches, migraines can cause nausea, vomiting, and heightened sensitivity to light and sound. They can significantly impair daily functioning, affecting work, social activities, and overall quality of life.
Why Are Women More Affected?
Women are about twice as likely to suffer from migraines compared to men. Dr Zhao attributes this gender disparity to hormonal fluctuations, particularly in relation to oestrogen. During puberty, women often begin to experience migraines, which can become more pronounced around menstruation, pregnancy, and menopause due to the changes in hormone levels. These fluctuations play a key role in both the frequency and severity of migraine attacks.

Understanding Migraine Triggers
Migraine triggers are unique to each individual but commonly include certain environmental, lifestyle, and dietary factors. These triggers often vary between men and women, with women more likely to experience attacks linked to hormonal changes. Other common migraine triggers include:
- Sleep disturbances: Irregular sleep patterns can significantly impact migraine frequency.
- Stress: Emotional stress and anxiety are common migraine triggers.
- Dietary factors: Certain foods, such as chocolate, caffeine, cheese, and alcohol, can provoke migraines.
Recognizing personal triggers and making lifestyle changes to avoid them can be one of the most effective ways to manage migraines.
Symptoms and Warning Signs
A migraine attack can be debilitating, and recognizing early warning signs is crucial for effective intervention. Common symptoms include:
- Throbbing or pulsating pain, often on one side of the head
- Nausea and vomiting
- Sensitivity to light and sound
- Aura: Visual disturbances, such as flashing lights or blind spots, often occur before the headache phase.
Dr Zhao highlights that some women experience a premonitory phase, which can occur hours or even days before the headache itself. Symptoms like irritability, fatigue, and food cravings during this phase serve as warning signs that a migraine may be imminent.
Managing Migraines Effectively
While migraines cannot always be fully prevented, effective management is possible with the right approach. Dr Zhao recommends a combination of medical treatment and lifestyle adjustments:
- Acute treatments: Medications such as pain relievers or triptans taken at the onset of a migraine can help reduce symptoms and prevent the headache from worsening.
- Preventive strategies: Regular sleep patterns, balanced nutrition, hydration, and stress-reduction techniques like mindfulness and yoga can help reduce the frequency of attacks.
Dr Zhao also emphasizes that women suffering from frequent migraines should consult a healthcare professional for a personalized treatment plan. There are a variety of medications, including preventive treatments, that can help reduce the frequency and severity of migraines.
Living with Migraines
Living with migraines requires a holistic approach. For many women, understanding the condition and its triggers helps them manage their lives better. Dr Zhao encourages open communication with family and colleagues about migraine triggers and symptoms. This support system is crucial in ensuring that women with migraines feel understood and supported.
Conclusion
Migraines are a serious health concern, especially for women, but with the right treatment and lifestyle changes, they can be managed effectively. Dr Zhao Yi Jing’s insights into migraine triggers, symptoms, and management offer valuable guidance for anyone affected by this condition. If you’re struggling with frequent or severe migraines, seeking professional medical advice can help you find a treatment plan tailored to your needs.
Credit: SingaporeMotherhood



