A migraine attack can occur once in a month, once a week or even once every day and hence it is episodic. It occurs in the brain and nerves and so is neurological and therefore, migraine is defined as an episodic neurological disorder.

The migraine attack may occur for the first time for boys at about 10 years of age and for girls, the peak age for experiencing a migraine is near 14 years, during their first menstrual period. So, it is sensible to conclude that migraines may be hormonally related and is often referred to as a menstrual migraine.
When compared to other migraines, menstrual migraines last longer, are more severe, occur more often with nausea and vomiting and are more difficult to treat. Migraines are related to changes in the level of estrogen during a woman’s menstrual cycle, which drops immediately before the start of menstrual flow.
Premenstrual migraines regularly occur during or after the time when the female hormones estrogen and progesterone decrease to their lowest levels. But generally, migraine attacks disappear during pregnancy. Women who undergo hormone replacement therapy for menopause and those who take birth control pills experience change in the frequency or severity of migraine headaches.
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