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Menstrual Cycle and Headache in Teenagers.
Luigi Bianchin1, Mauro Bozzola2, Antonio Battistella Pier3
1Child Psychiatric Unit, Local Health and Social Care Services - ULSS 6 Euganea, Padua, Italy.
Indian Journal of Pediatrics
|January 15, 2019
Summary
Peri-menstrual headache is common in adolescent girls, affecting over 64%. Gynecological age and dysmenorrhea are key factors associated with headache patterns in this population.
Area of Science:
- Reproductive Health
- Adolescent Medicine
- Neurology
Background:
- Headache is a common complaint among adolescents.
- Peri-menstrual headache, linked to the menstrual cycle, requires further investigation in school-aged girls.
- Understanding associated factors is crucial for effective management.
Purpose of the Study:
- To estimate the prevalence of peri-menstrual headache in school-aged girls.
- To analyze headache pain patterns throughout the menstrual cycle.
- To identify relationships between headache and physical, psychosocial, and lifestyle factors.
Main Methods:
- A population-based study involving 4973 school-aged girls.
- Self-administered questionnaires collected data on demographics, menstrual characteristics, and headache/dysmenorrhea.
- Analysis included estimation of prevalence, mean pain intensity, and logistic regression for associated factors.
Main Results:
- Overall headache prevalence was 64.4%.
- Peri-menstrual headache accounted for 83.4% of cases (44.6% premenstrual, 38.8% menstrual).
- Gynecological age, middle social level, physical activity, oral contraceptive use, and dysmenorrhea were significantly associated with headache. Dysmenorrhea and gynecological age influenced headache patterns.
Conclusions:
- Peri-menstrual headache is highly prevalent in adolescents.
- Headache rates increase with gynecological age, and headache and dysmenorrhea are strongly interrelated.
- Routine assessment of menstrual health is recommended for girls experiencing headaches.
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