Migraine in menopausal women: a systematic review

International Journal of Women's Health
Patrizia RipaSimona Sacco

Abstract

Evidence suggests that migraine activity is influenced by hormonal factors, and particularly by estrogen levels, but relatively few studies have investigated the prevalence and characteristics of migraine according to the menopausal status. Overall, population-based studies have shown an improvement of migraine after menopause, with a possible increase in perimenopause. On the contrary, the studies performed on patients referring to headache centers have shown no improvement or even worsening of migraine. Menopause etiology may play a role in migraine evolution during the menopausal period, with migraine improvement more likely occurring after spontaneous rather than after surgical menopause. Postmenopausal hormone replacement therapy has been found to be associated with migraine worsening in observational population-based studies. The effects of several therapeutic regimens on migraine has also been investigated, leading to nonconclusive results. To date, no specific preventive measures are recommended for menopausal women with migraine. There is a need for further research in order to clarify the relationship between migraine and hormonal changes in women, and to quantify the real burden of migraine after the menopause. Hormo...Continue Reading

Citations

Oct 25, 2016·Journal of Affective Disorders·M de KruifM L Molendijk
Jan 13, 2018·Frontiers in Neurology·Francisco J AscasoAndrzej Grzybowski
Feb 22, 2017·American Journal of Medical Genetics. Part C, Seminars in Medical Genetics·Fraser C HendersonNicol C Voermans
May 21, 2019·Journal of Cellular and Molecular Medicine·Qing ZhangWeibo Liu
Aug 30, 2018·Frontiers in Molecular Biosciences·Maite Artero-MoralesAntonio Ferrer-Montiel
Nov 17, 2020·Frontiers in Neurology·Linda Al-HassanyJessica L Rohmann
Mar 30, 2021·Neuropsychiatric Disease and Treatment·Raffaele OrnelloSimona Sacco
May 1, 2021·Journal of Clinical Medicine·Elisa BelleiAnna Ferrari
May 11, 2021·Frontiers in Neurology·Pamela Alebna, Nasim Maleki
Jun 3, 2021·Journal of Clinical Medicine·Raffaele OrnelloSimona Sacco
Oct 13, 2020·Women's Midlife Health·Jelena M Pavlović

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Methods Mentioned

BETA
hormone replacement therapy
bilateral oophorectomy
chemical oophorectomy
hysterectomy
bilateral

Software Mentioned

Embase
Google scholar

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