Breastfeeding and Migraines: What to Expect After Pregnancy

For many women, pregnancy brings a temporary reprieve from migraines due to hormonal changes. But what happens after birth? If you’re a new mother navigating the postpartum period while managing migraines, you’re not alone. Understanding how breastfeeding impacts migraines can help you prepare and take control of your health during this crucial time.

How Breastfeeding Affects Migraines

🎉 Good News: Migraines May Stay in Remission 🎉

One of the most encouraging facts about breastfeeding and migraines is that many women experience continued relief from their symptoms. This is because estrogen and progesterone levels remain relatively stable while breastfeeding, preventing the hormonal fluctuations that often trigger migraines.

For some women, migraines may not return until menstruation resumes or breastfeeding stops. This means you could enjoy a period of migraine relief for months postpartum.

⚠️ When Migraines Return ⚠️

While some mothers experience relief, others may see their migraines return within weeks after delivery. Common postpartum migraine triggers include:

• Sleep deprivation – Newborns require round-the-clock care, which can lead to fatigue and trigger headaches.
• Hormonal fluctuations – As your body adjusts after birth, even slight hormonal shifts can contribute to migraines.
• Dehydration and nutritional deficiencies – Breastfeeding requires extra hydration and nutrients; insufficient intake may increase the risk of headaches.
• Stress and lifestyle changes – The transition to motherhood can be overwhelming, and stress is a well-known migraine trigger.

Managing Migraines While Breastfeeding

💊 Safe Medications for Migraine Relief 💊

Many migraine treatments that were restricted during pregnancy become safe options while breastfeeding. Some of the most effective medications include:

• NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) – Ibuprofen (Advil, Motrin) and naproxen (Aleve) are safe for breastfeeding mothers. However, adult-strength aspirin should be avoided due to its association with Reye's syndrome in infants.
• Triptans – Medications like sumatriptan (Imitrex) and rizatriptan (Maxalt) are considered compatible with breastfeeding.
• Gepants – Newer migraine treatments like Nurtec (rimegepant) and Ubrelvy (ubrogepant) have very low transfer rates into breast milk and are generally safe.
• Anti-nausea medications – Zofran (ondansetron) is a safe and effective option for migraine-related nausea.

To ensure the safest treatment plan, always consult the LactMed database or speak with your healthcare provider before taking any medication.

🌿 Natural and Preventive Strategies 🌿

In addition to medications, adopting healthy habits can help manage migraines:

• Hydration: Breastfeeding increases water needs—aim for at least 10-12 cups of water daily.
• Nutrition: Eat balanced meals rich in protein, healthy fats, and complex carbs to stabilize blood sugar.
• Supplements: Magnesium (200mg twice daily) and riboflavin (B2, 200mg twice daily) are safe and effective migraine preventives.
• Rest and Stress Management: Prioritize sleep when possible and practice relaxation techniques such as deep breathing or meditation.

What to Expect Long-Term

When Weaning Triggers Migraines

Many women report that their migraines return or worsen when they stop breastfeeding. This is due to the reactivation of ovarian hormone fluctuations, which can be a major trigger.

To minimize weaning-related migraines:

• Gradually transition from breastfeeding to allow your body to adjust slowly.
• Maintain hydration and proper nutrition throughout the weaning process.
• Consider preventive treatments if migraines become severe during weaning.

💡 Final Thoughts 💡

Migraines during breastfeeding can be unpredictable, but the good news is that relief is possible. By understanding how your body responds postpartum and implementing both preventive and medical strategies, you can reduce the frequency and intensity of migraines while safely nourishing your baby.

If you experience severe or worsening migraines, don’t hesitate to reach out to a headache specialist for personalized guidance. At Haven Headache, we are dedicated to providing expert care for women navigating headaches and migraines during all stages of life—including pregnancy and postpartum. Book an appointment with our specialists today to receive expert, personalized migraine care.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare provider for medical guidance tailored to your individual needs.

Looking for more information? Explore our other blog posts on safe migraine medications while breastfeeding, natural headache relief strategies, and tips for sleep-deprived moms managing migraines.