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Headache and female hormones: what you need to know.
Curr Opin Neurol. 2001 Jun; 14(3):323-33.CO

Abstract

The normal female lifecycle is associated with hormonal milestones, including menarche, pregnancy, contraceptive use, menopause, and the use of replacement sex hormones. Attacks of migraine without aura, but not with aura, are more likely to occur 2 days before onset and on the first 2 days of menses, but they are not more severe than those that occur outside the perimenstrual period. Oral sumatriptan and naratriptan are effective as short-term perimenstrual prophylaxis. Postdural headache can occur during the postpartum period. The International Headache Society Task Force assessed the efficacy of treatment of women who had migraine with combined oral contraceptives and hormone replacement therapy, as well as the risk of ischemic stroke associated with their use. There is no contraindication to the use of oral contraceptives in women with migraine in the absence of migraine aura or other risk factors. There is a potentially increased risk of ischemic stroke in women with migraine who are using combined oral contraceptives and have additional risk factors that cannot easily be controlled, including migraine with aura. There is no compelling evidence that postmenopausal hormone replacement therapy either decreases or increases stroke risk.

Authors+Show Affiliations

Thomas Jefferson University Hospital, Jefferson Headache Center, Philadelphia, PA 19107, USA. stephen.silberstein@mail.tju.edu

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

11371755

Citation

Silberstein, S D.. "Headache and Female Hormones: what You Need to Know." Current Opinion in Neurology, vol. 14, no. 3, 2001, pp. 323-33.
Silberstein SD. Headache and female hormones: what you need to know. Curr Opin Neurol. 2001;14(3):323-33.
Silberstein, S. D. (2001). Headache and female hormones: what you need to know. Current Opinion in Neurology, 14(3), 323-33.
Silberstein SD. Headache and Female Hormones: what You Need to Know. Curr Opin Neurol. 2001;14(3):323-33. PubMed PMID: 11371755.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Headache and female hormones: what you need to know. A1 - Silberstein,S D, PY - 2001/5/24/pubmed PY - 2001/7/28/medline PY - 2001/5/24/entrez SP - 323 EP - 33 JF - Current opinion in neurology JO - Curr Opin Neurol VL - 14 IS - 3 N2 - The normal female lifecycle is associated with hormonal milestones, including menarche, pregnancy, contraceptive use, menopause, and the use of replacement sex hormones. Attacks of migraine without aura, but not with aura, are more likely to occur 2 days before onset and on the first 2 days of menses, but they are not more severe than those that occur outside the perimenstrual period. Oral sumatriptan and naratriptan are effective as short-term perimenstrual prophylaxis. Postdural headache can occur during the postpartum period. The International Headache Society Task Force assessed the efficacy of treatment of women who had migraine with combined oral contraceptives and hormone replacement therapy, as well as the risk of ischemic stroke associated with their use. There is no contraindication to the use of oral contraceptives in women with migraine in the absence of migraine aura or other risk factors. There is a potentially increased risk of ischemic stroke in women with migraine who are using combined oral contraceptives and have additional risk factors that cannot easily be controlled, including migraine with aura. There is no compelling evidence that postmenopausal hormone replacement therapy either decreases or increases stroke risk. SN - 1350-7540 UR - https://www.unboundmedicine.com/medline/citation/11371755/Headache_and_female_hormones:_what_you_need_to_know_ L2 - https://doi.org/10.1097/00019052-200106000-00010 DB - PRIME DP - Unbound Medicine ER -