What should you know about menstrual tension headache?

Tension-type headache commonly causes a pressing band-like feeling on both sides of the head, scalp or neck, without the strong nausea or movement sensitivity often associated with migraine. Hormonal shifts, muscle tension, poor sleep, dehydration, missed meals and emotional strain may coincide with menstruation.

A diary can show whether pain starts before bleeding, during it or afterwards. Note duration, location, neck symptoms, sleep, meals, fluids, medicines and any visual or neurological changes. A new or changing pattern deserves assessment rather than a self-diagnosis.

Drink water, eat regularly and take breaks from screens. Gentle neck and shoulder movement, a warm compress, relaxation breathing and consistent sleep may reduce muscle tension. If suitable for your health history, use an over-the-counter pain reliever exactly as directed; avoid repeated use without advice because frequent treatment can maintain headaches. A GP consultation can help if attacks recur or interfere with life.

Seek urgent care for a sudden explosive headache, weakness, facial drooping, difficulty speaking, confusion, fainting, fever with neck stiffness or a serious head injury. Arrange a GP assessment for a first severe headache, a persistent change, repeated vomiting, or pain that is not responding to your usual approach.

Does this sound like tension-type headache or another pattern? What pain relief is suitable for me, and how can I avoid headaches linked with frequent medicine use?