Diagnosis and treatment of the menstrual migraine patient

Headache
S D Silberstein, Susan Hutchinson

Abstract

Women presenting with recurrent disabling headache frequently have migraine; but physicians need to rule out other headache disorders before they reach a diagnosis of migraine with or without aura. Many women who experience migraine in close association to their menstrual cycle may meet the diagnostic criteria for either menstrually related migraine (MRM), or pure menstrual migraine (PMM). Once an accurate diagnosis is made, treatment may be established to best suit the individual needs of that patient. Most women will find that migraine associated with hormone fluctuations respond well to standard treatment approaches including pharmacological and nonpharmacological treatments. Pharmacological approaches include acute, preventive, and short-term prophylaxis. Herein we review the difference between non-menstrual migraine, PMM, and MRM and identify effective treatment strategies for appropriate management of migraine associated with hormonal fluctuations.

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Citations

Jul 28, 2010·Cephalalgia : an International Journal of Headache·Gianni AllaisGiancarlo Acuto
Mar 29, 2016·Seminars in Pediatric Neurology·Ann Pakalnis
Nov 9, 2011·Journal of Midwifery & Women's Health·Joyce King
May 4, 2011·Journal of Midwifery & Women's Health·Margaret F Moloney, Constance J Johnson
May 25, 2015·Journal of the Neurological Sciences·Franziska WickmannAndrea Antal
Apr 7, 2016·Arquivos de neuro-psiquiatria·Carlos Alberto BordiniMaurice Borges Vincent
Nov 27, 2016·Pharmacotherapy·Julia K WarnockJordan E Hammond
Apr 8, 2014·Expert Review of Neurotherapeutics·Andrea NegroPaolo Martelletti
Jun 10, 2021·Pain and Therapy·Marcello SilvestroAntonio Russo

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