Menstrual headaches are strongly influenced by hormonal fluctuations, particularly drops in oestrogen around the cycle. A root cause analysis is essential because symptom-focused treatments overlook the complex interplay of hormones, stress, nutrition, and lifestyle. By examining cycle patterns, thyroid and adrenal function, nutrient status, liver detoxification, and stress resilience, practitioners can uncover the underlying drivers of hormonal imbalance. This comprehensive approach allows for targeted strategies—such as nutritional support, lifestyle adjustments, and hormonal balancing therapies—that reduce the frequency and intensity of headaches, while improving overall hormonal health, brain vitality, and long-term wellbeing.