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Related Experiment Videos

Migraine and menstruation: a pilot study.

E A MacGregor1, H Chia, R C Vohrah

  • 1City of London Migraine Clinic.

Cephalalgia : an International Journal of Headache
|December 1, 1990
PubMed
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True menstrual migraine, defined as attacks occurring only during menstruation, affects a small percentage of women. Many others experience menstrually related migraine, which may also benefit from hormonal treatment.

Area of Science:

  • Neurology
  • Gynecology

Background:

  • Menstrual migraine is a common subtype of migraine.
  • Accurate definition and classification are crucial for effective treatment.

Purpose of the Study:

  • To define "menstrual" migraine.
  • To determine the prevalence of menstrual migraine in women attending a specialized clinic.

Main Methods:

  • Prospective study involving 55 women.
  • Participants recorded migraine attacks and menstrual cycles for at least 3 cycles.
  • Defined "menstrual" migraine as attacks occurring exclusively between days -2 and +3 of the menstrual cycle.

Main Results:

  • 7.2% of women met the strict definition of menstrual migraine.

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  • 34.5% experienced increased migraine attacks around menstruation (menstrually related migraine).
  • 32.7% had cyclical attacks without a specific increase during menstruation, and 25.5% had no menstrual cycle-related attacks.

    • Conclusions:

    • True menstrual migraine is rare but identifiable.
    • Menstrually related migraine, characterized by increased attacks during menstruation, may respond to hormonal therapy.
    • Migraine patterns throughout the cycle help predict response to hormonal treatments.