{"id":61735,"date":"2026-04-17T08:59:16","date_gmt":"2026-04-17T07:59:16","guid":{"rendered":"https:\/\/www.mediconanet.pt\/?p=61735"},"modified":"2026-04-17T16:32:30","modified_gmt":"2026-04-17T15:32:30","slug":"enxaqueca-menstrual-menstruacao-tratamento","status":"publish","type":"post","link":"https:\/\/www.mediconanet.pt\/en\/enxaqueca-menstrual-menstruacao-tratamento\/","title":{"rendered":"Enxaqueca Menstrual: Quando a Dor de Cabe\u00e7a Acompanha o Ciclo"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"61735\" class=\"elementor elementor-61735\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-570cfe3 e-flex e-con-boxed e-con e-parent\" data-id=\"570cfe3\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1761780 elementor-widget elementor-widget-text-editor\" data-id=\"1761780\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2>Introdu\u00e7\u00e3o<\/h2><p>Cerca de 60% das mulheres com enxaqueca reportam uma rela\u00e7\u00e3o com o ciclo menstrual. A queda dos n\u00edveis de estrog\u00e9nio nos dias que antecedem a <b>menstrua\u00e7\u00e3o <\/b>\u00e9 o principal fator desencadeante. A enxaqueca menstrual tende a ser mais intensa, mais prolongada e mais refrat\u00e1ria ao tratamento do que as crises n\u00e3o menstruais.<\/p><h2>Defini\u00e7\u00f5es<\/h2><p>Segundo a ICHD-3, distingue-se enxaqueca menstrual pura (crises ocorrem exclusivamente no per\u00edodo perimenstrual: dia \u22122 a +3 do in\u00edcio da <b>menstrua\u00e7\u00e3o<\/b>, em pelo menos 2 de 3 ciclos) de enxaqueca relacionada com a <b>menstrua\u00e7\u00e3o <\/b>(crises ocorrem tamb\u00e9m noutras alturas do ciclo). A segunda \u00e9 muito mais frequente.<\/p><h2>Tratamento agudo<\/h2><p>Os triptanos continuam a ser a primeira linha, com sumatriptano e rizatriptano entre os mais estudados neste contexto. Os AINE de longa a\u00e7\u00e3o (naproxeno 500 mg) s\u00e3o tamb\u00e9m eficazes. A associa\u00e7\u00e3o triptano + AINE pode ser \u00fatil nas crises mais graves. Os antiem\u00e9ticos devem ser inclu\u00eddos se houver n\u00e1useas significativas.<\/p><h2>Profilaxia de curta dura\u00e7\u00e3o (mini profilaxia)<\/h2><p>Se as crises s\u00e3o previs\u00edveis, pode utilizar-se profilaxia perimenstrual: frovatriptano 2,5 mg 2x\/dia (do dia \u22122 ao dia +3 da\u00a0<a href=\"https:\/\/www.mediconanet.pt\/candidiase-vaginal-sintomas-tratamento\/\" target=\"_blank\" rel=\"noopener\">menstrua\u00e7\u00e3o<\/a>), naproxeno 500 mg 2x\/dia, ou suplementa\u00e7\u00e3o com magn\u00e9sio. O frovatriptano tem a semi-vida mais longa entre os triptanos e \u00e9 particularmente estudado para esta indica\u00e7\u00e3o.<\/p><h2>Estrat\u00e9gias hormonais<\/h2><p>Estabilizar os n\u00edveis de estrog\u00e9nio pode reduzir crises. O uso cont\u00ednuo da p\u00edlula combinada (sem pausa) \u00e9 eficaz em algumas mulheres. Estradiol transcut\u00e2neo (100 \u00b5g) nos dias perimenstruais \u00e9 outra op\u00e7\u00e3o. Importante: a p\u00edlula combinada est\u00e1 contraindicada em mulheres com enxaqueca com aura, pelo risco aumentado de AVC.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1545e08 e-flex e-con-boxed e-con e-parent\" data-id=\"1545e08\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8ee3907 elementor-widget elementor-widget-image\" data-id=\"8ee3907\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-17T124745.772-1024x576.jpg\" class=\"attachment-large size-large wp-image-61847\" alt=\"Mulher com dor de cabe\u00e7a e desconforto durante a menstrua\u00e7\u00e3o\" srcset=\"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-17T124745.772-1024x576.jpg 1024w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-17T124745.772-300x169.jpg 300w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-17T124745.772-768x432.jpg 768w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-17T124745.772-18x10.jpg 18w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-17T124745.772-600x337.jpg 600w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-17T124745.772.jpg 1366w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9ad30cf e-con-full e-flex e-con e-child\" data-id=\"9ad30cf\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-66e4f21 e-con-full e-flex e-con e-child\" data-id=\"66e4f21\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c44ae3e elementor-widget elementor-widget-heading\" data-id=\"c44ae3e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Perguntas frequentes (FAQ)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-439b5c3 elementor-widget elementor-widget-n-accordion\" data-id=\"439b5c3\" data-element_type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7080\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7080\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Posso tomar a p\u00edlula se tenho enxaqueca? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-d801294 e-con-full e-flex e-con e-child\" data-id=\"d801294\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-67dd609 e-flex e-con-boxed e-con e-child\" data-id=\"67dd609\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2204be5 elementor-widget elementor-widget-text-editor\" data-id=\"2204be5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Depende. Enxaqueca sem aura: a p\u00edlula combinada \u00e9 geralmente segura. Enxaqueca com aura: a p\u00edlula combinada \u00e9 contraindicada; devem usar-se m\u00e9todos s\u00f3 com progestativo.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7081\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7081\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Porque \u00e9 que a enxaqueca piora antes da menstrua\u00e7\u00e3o? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-f07e3ff e-con-full e-flex e-con e-child\" data-id=\"f07e3ff\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-ba0d7df e-flex e-con-boxed e-con e-child\" data-id=\"ba0d7df\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bd0918d elementor-widget elementor-widget-text-editor\" data-id=\"bd0918d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Depende. Enxaqueca sem aura: a p\u00edlula combinada \u00e9 geralmente segura. Enxaqueca com aura: a p\u00edlula combinada \u00e9 contraindicada; devem usar-se m\u00e9todos s\u00f3 com progestativo.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7082\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7082\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> A menstrua\u00e7\u00e3o melhora com a idade? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-1948aa2 e-con-full e-flex e-con e-child\" data-id=\"1948aa2\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-44203e4 e-flex e-con-boxed e-con e-child\" data-id=\"44203e4\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-90363e4 elementor-widget elementor-widget-text-editor\" data-id=\"90363e4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Muitas mulheres melhoram ap\u00f3s a menopausa. Contudo, a perimenopausa pode agravar transitoriamente a enxaqueca.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Posso tomar a p\\u00edlula se tenho enxaqueca?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Depende. Enxaqueca sem aura: a p\\u00edlula combinada \\u00e9 geralmente segura. Enxaqueca com aura: a p\\u00edlula combinada \\u00e9 contraindicada; devem usar-se m\\u00e9todos s\\u00f3 com progestativo.\"}},{\"@type\":\"Question\",\"name\":\"Porque \\u00e9 que a enxaqueca piora antes da menstrua\\u00e7\\u00e3o?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Depende. Enxaqueca sem aura: a p\\u00edlula combinada \\u00e9 geralmente segura. Enxaqueca com aura: a p\\u00edlula combinada \\u00e9 contraindicada; devem usar-se m\\u00e9todos s\\u00f3 com progestativo.\"}},{\"@type\":\"Question\",\"name\":\"A menstrua\\u00e7\\u00e3o melhora com a idade?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Muitas mulheres melhoram ap\\u00f3s a menopausa. Contudo, a perimenopausa pode agravar transitoriamente a enxaqueca.\"}}]}<\/script>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-02d7fba e-flex e-con-boxed e-con e-parent\" data-id=\"02d7fba\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca91313 elementor-widget elementor-widget-text-editor\" data-id=\"ca91313\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2>Refer\u00eancias<\/h2><a href=\"https:\/\/thejournalofheadacheandpain.biomedcentral.com\/\" target=\"_blank\" rel=\"dofollow noopener\">EHF \u2013 Menstrual Migraine Guideline<\/a>\n\n<a href=\"https:\/\/www.nice.org.uk\/\" target=\"_blank\" rel=\"dofollow noopener\">NICE CKS \u2013 Migraine<\/a>\n\n<a href=\"https:\/\/americanheadachesociety.org\/\" target=\"_blank\" rel=\"dofollow noopener\">AHS \u2013 Menstrual Migraine<\/a>\n\n<a href=\"https:\/\/ichd-3.org\/\" target=\"_blank\" rel=\"dofollow noopener\">ICHD-3 \u2013 Diagnostic Criteria<\/a>\n\n<a href=\"https:\/\/www.fsrh.org\/\" target=\"_blank\" rel=\"dofollow noopener\">FSRH \u2013 Hormonal Contraception and Headaches<\/a>\n\n<a href=\"https:\/\/www.spc.pt\/\" target=\"_blank\" rel=\"dofollow noopener\">SPC \u2013 Sociedade Portuguesa de Cefaleias<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Introdu\u00e7\u00e3o Cerca de 60% das mulheres com enxaqueca reportam uma rela\u00e7\u00e3o com o ciclo menstrual. A queda dos n\u00edveis de estrog\u00e9nio nos dias que antecedem a menstrua\u00e7\u00e3o \u00e9 o principal fator desencadeante. A enxaqueca menstrual tende a ser mais intensa, mais prolongada e mais refrat\u00e1ria ao tratamento do que as crises n\u00e3o menstruais. Defini\u00e7\u00f5es Segundo [&hellip;]<\/p>\n","protected":false},"author":13102,"featured_media":61851,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[150],"tags":[],"class_list":["post-61735","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-enxaqueca"],"jetpack_featured_media_url":"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-17T124238.566.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/61735","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/users\/13102"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/comments?post=61735"}],"version-history":[{"count":7,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/61735\/revisions"}],"predecessor-version":[{"id":61850,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/61735\/revisions\/61850"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media\/61851"}],"wp:attachment":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media?parent=61735"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/categories?post=61735"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/tags?post=61735"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}