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Hormonal manipulation strategies in the management of menstrual migraine and other hormonally related headaches.
Curr Neurol Neurosci Rep. 2011 Apr; 11(2):131-8.CN

Abstract

Menstrual migraine and other hormonally related headaches are common in women. Falling estrogen levels or estrogen withdrawal after periods of sustained higher levels can trigger migraine. It makes sense to target this trigger for management of hormonally related headaches, particularly when nonhormonal strategies have been unsuccessful. Decision making regarding the use of hormonal contraception and menopausal hormone therapy is complex and commonly driven by other factors, but hormonal manipulation can potentially improve the course of migraine. Providers caring for migraineurs are appropriately concerned about stroke risk. Estrogen-containing hormonal contraceptives are relatively contraindicated for women who have migraine with aura. Postmenopausal hormone therapy is acceptable for women with a history of migraine. For these women, transdermal estradiol is recommended. Estrogen replacement is important for women who undergo an early menopause, whether natural or induced. Practical strategies for hormonal manipulation in the management of migraine and other hormonally related headaches are presented.

Authors+Show Affiliations

Women's Health Clinic, Department of Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. lshuster@mayo.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21207200

Citation

Shuster, Lynne T., et al. "Hormonal Manipulation Strategies in the Management of Menstrual Migraine and Other Hormonally Related Headaches." Current Neurology and Neuroscience Reports, vol. 11, no. 2, 2011, pp. 131-8.
Shuster LT, Faubion SS, Sood R, et al. Hormonal manipulation strategies in the management of menstrual migraine and other hormonally related headaches. Curr Neurol Neurosci Rep. 2011;11(2):131-8.
Shuster, L. T., Faubion, S. S., Sood, R., & Casey, P. M. (2011). Hormonal manipulation strategies in the management of menstrual migraine and other hormonally related headaches. Current Neurology and Neuroscience Reports, 11(2), 131-8. https://doi.org/10.1007/s11910-010-0174-7
Shuster LT, et al. Hormonal Manipulation Strategies in the Management of Menstrual Migraine and Other Hormonally Related Headaches. Curr Neurol Neurosci Rep. 2011;11(2):131-8. PubMed PMID: 21207200.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hormonal manipulation strategies in the management of menstrual migraine and other hormonally related headaches. AU - Shuster,Lynne T, AU - Faubion,Stephanie S, AU - Sood,Richa, AU - Casey,Petra M, PY - 2011/1/6/entrez PY - 2011/1/6/pubmed PY - 2011/6/4/medline SP - 131 EP - 8 JF - Current neurology and neuroscience reports JO - Curr Neurol Neurosci Rep VL - 11 IS - 2 N2 - Menstrual migraine and other hormonally related headaches are common in women. Falling estrogen levels or estrogen withdrawal after periods of sustained higher levels can trigger migraine. It makes sense to target this trigger for management of hormonally related headaches, particularly when nonhormonal strategies have been unsuccessful. Decision making regarding the use of hormonal contraception and menopausal hormone therapy is complex and commonly driven by other factors, but hormonal manipulation can potentially improve the course of migraine. Providers caring for migraineurs are appropriately concerned about stroke risk. Estrogen-containing hormonal contraceptives are relatively contraindicated for women who have migraine with aura. Postmenopausal hormone therapy is acceptable for women with a history of migraine. For these women, transdermal estradiol is recommended. Estrogen replacement is important for women who undergo an early menopause, whether natural or induced. Practical strategies for hormonal manipulation in the management of migraine and other hormonally related headaches are presented. SN - 1534-6293 UR - https://www.unboundmedicine.com/medline/citation/21207200/Hormonal_manipulation_strategies_in_the_management_of_menstrual_migraine_and_other_hormonally_related_headaches_ L2 - https://dx.doi.org/10.1007/s11910-010-0174-7 DB - PRIME DP - Unbound Medicine ER -