Abstract: Background: Menstrual migraine associated with hormonal fluctuations and low pain threshold during the menstrual cycle is common but underrecognized condition. It significantly impairs daily functioning and quality of life yet research into their prevalence and impact remains limited. This study aims to address this gap by exploring the prevalence of menstrual migraine and to find its impact on quality of life as this pain occur along with menstrual pain. This highlights the importance of interventions to improve well-being during periods. Method: A cross-sectional study with 384 participants was conducted. Data was collected via an online survey incorporating demographic questions, the Menstrual Migraine Assessment Tool (MMAT), and the 12-Item Short Form Survey (SF-12). Pearson’s correlation analysed the relationship between menstrual migraines and quality of life using IBM SPSS Statistics version 26. Results: The study reported 30.2% females having menstrual migraines. Participants with menstrual migraines had lower SF-12 Physical Component Summary (PCS) and Mental Component Summary (MCS) scores compared to those without, with mean PCS and MCS scores of 43.3±5.91 and 38.6±8.21, respectively and an overall SF-12 score of 77.3±6.66. Mental health decline was more pronounced. Pearson’s correlation analysis showed a fair negative correlation between menstrual migraines (MMAT) and quality of life (SF-12) (r= -0.347, p <0.05), indicating that menstrual migraines reduced quality of life. Conclusion: Menstrual migraines are prevalent among female university students and adversely affect quality of life highlighting the need for targeted interventions to support their well-being.