The Hormonal Link to Menstrual Migraines
There is a higher prevalence of migraine among women during the reproductive years according to information cited in a review article published online in Headache. Menstrual migraines are more severe, longer lasting, and are more resistant to treatments compared to non-menstrual migraines. Pain intensity, disability score, and duration of migraine are most severe during the first 2 days of menses compared to other headache types. Uniquely, fluctuation of hormones has also been shown to have a causative relationship with menstrual migraine. There is a link between estrogen drop and migraine, confirming that perimenstrual estrogen withdrawal gives rise to migraine attacks. Menstrual migraine occurred in 22% of female migraineurs and 7.6% of general population.
Maasumi K, Tepper SJ, Kriegler JS. Menstrual Migraine and Treatment Options: Review. Headache. 2017;57(2):194-208.
http://www.medscape.com/viewarticle/876558
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