Menstrual migraine (migraine without aura): diagnostic and possibility of hormonal treatment


Authors: Ingrid Niedermayerová
Authors‘ workplace: Neurologická ambulance Quattromedica, Brno, a Neurologická klinika FN Brno a LF MU
Published in: Prakt Gyn 2012; 16(1): 27-31
Category: Contraception

Overview

Migraine is the best known primary headache. It is divided in 2 types:
migraine with aura and migraine without aura. The aura is manifested by visual, sensitive, motoric symptoms or speech disturbances. Menstrual migraine occurs during menses (pure menstrual migraine and menstrually related migraine). By use of combined oral contraception (COC) can occur migraine attack during hormone free interval due to estrogen-withdrawal (oral contraceptive-induced menstrual migraine). Women with menstrual migraine can profit from continual use of COC. Another possibility of treatment is progestogen-only pill. Migraine with aura in females is more likely to worsen due to COC and is higher at risk of migraine stroke, especially with those who smoke. The type of migraine and the age of the women must be respected by the choose of the hormonal contraception.

Key words:
COC – estrogens – hormonal contraception – menstrual migraine – progestins


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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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