Hormonal Factors in Migraine: A Population‐Based Study of Women Aged 40 to 74 Years

Mattsson, Peter

doi:10.1046/j.1526-4610.2003.03005.x

Cited by 121 publications

(97 citation statements)

References 27 publications

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“…However, with regard to middle-aged women, the relationship between menopause and migraine remains controversial. A few studies have reported that migraine is affected by menopausal status [13,17], whereas others have not found a significant relationship [23,25,26]. We also found that there was no significant difference in migraine prevalence across the three groups.…”

Section: Discussionsupporting

confidence: 43%

“…In spite of the high prevalence of middle-aged patients in headache clinics, few studies have been conducted in headache clinics to examine these issues. Furthermore, previous studies have mainly focused on migraine headache [16,17,23]. In contrast, several studies have been conducted in menopausal clinics but without specific differential diagnosis of headaches [3,19,28].…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have concluded that demographic characteristics, lifestyle choices, psychosocial issues, and co-morbidities more strongly influence headaches during the menopausal transition [20,21,22]. Furthermore, some studies have not found any associations between menopause and headache [14,23,24,25,26]. The most significant hormonal changes related to menopause occur during the perimenopausal period [27].…”

Section: Introductionmentioning

confidence: 99%

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Headaches in Middle-Aged Women during Menopausal Transition: A Headache Clinic-Based Study

Jung

Choi

et al. 2012

Eur Neurol

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Middle-aged women are frequent visitors in headache clinics. We investigated the differences in headache characteristics of middle-aged women (aged 40–54 years) according to their menopausal status. In total, 229 women were divided into the following three groups: premenopausal (n = 78), perimenopausal (n = 69), and postmenopausal (n = 82). The prevalence of tension-type headaches was higher in the peri- and postmenopausal groups than in the premenopausal group (p < 0.05), whereas the prevalence of migraines was similar across the three groups. The proportion of patients with a short duration of headache history (<6 months) was significantly higher in the perimenopausal group (40.6%) than in the premenopausal (12.8%) or postmenopausal (17.1%) groups (p < 0.01). Analysis of headaches in perimenopausal patients who did not receive exogenous hormone treatment (n = 61) showed that current headaches were reported as new-onset headaches by 47.5% of subjects, as aggravations of prior headaches by 34.4% of subjects, or as unchanged from prior headaches in 18.0% of subjects. This study shows that the prevalence of tension-type headaches is different between menopausal periods, whereas the prevalence of migraines is not changed. Perimenopausal women tended to experience relatively more tension-type headaches and visited the hospital mainly due to new-onset headaches or aggravated headaches.

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Section: Discussionsupporting

confidence: 43%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Headaches in Middle-Aged Women during Menopausal Transition: A Headache Clinic-Based Study

Jung

Choi

et al. 2012

Eur Neurol

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“…Lack of sleep, low blood glucose level, dehydration, and stress contribute to the occurrence of migraine attacks (14). Most epidemiological studies demonstrated that pregnant women who experience headaches before pregnancy report to have a 55 -90% improvement in the severity of the attack after they become pregnant (15)(16)(17). A large-scale MIGRA study also revealed a significant decrease in the frequency of migraine during pregnancy (18).…”

Section: Discussionmentioning

confidence: 99%

Association Between Migraine and Diabetes in Pregnancy

Zain¹,

Mustafa²,

Khan³

et al. 2016

Avicenna J Med Biochem

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Background: Migraine ranks as the eighth most disabling condition and one of the most common causes of headache in Pakistan. Objectives: In this study, we aimed to determine the association between migraine and diabetes in pregnant women. Patients and Methods:This cross-sectional study recruited 498 pregnant women, grouped into pregnant without diabetes (n = 300) and pregnant with diabetes (n = 198) according to the International Association of the Diabetes and Pregnancy Study criteria. Seventy-five women with known migraine were also recruited as positive controls. After confirming that the study subjects had headache at least once a month, the researcher filled out a comprehensive form based on the International Classification of Headache Disorders version II. Migraine disability score was used to assess severity. Fasting blood glucose levels were measured by

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“…In the same review, the authors identified only three papers addressing perimenopausal symptomatology and the results were not uniform. One study with over 700 patients from a headache clinic showed no clear relationship between migraine and the menopause syndrome 4 . A population-based longitudinal study showed that it was only during the menopausal transition that a clear pattern of migraine and menopausal symptoms could be observed 5 .…”

mentioning

confidence: 99%

Migraine in the post-menopausal period is associated with higher levels of mood disorders, disability, and more menopausal symptoms

Carturan

Scorcine

Fragoso

2016

Arq. Neuro-Psiquiatr.

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Objective To assess the prevalence of headache in post-menopausal women. Methods Women attending gynecology outpatient services in the coastal region of the state of Sao Paulo, Brazil were invited to participate in this study. Only those with non-surgical menopause and no hormone replacement therapy were included. Prevalence and characterization of headaches were assessed, as well as the burden of migraine, traits of anxiety and depression, and menopausal symptomatology. Results One hundred and three women were included in the study. Migraine affected 14.7% of them. Some previous type of headache was reported by 86.2% of the women, most of whom improved during menopause but still presented with headache attacks. There was a correlation between higher migraine disability and depressive traits. Conclusions Many women believe that their headaches, particularly migraine, will end after menopause. This is, unfortunately, not the case for many of them.

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Hormonal Factors in Migraine: A Population‐Based Study of Women Aged 40 to 74 Years

Abstract: Although many women with migraine reported a close relationship between their attacks and menses, and relief during pregnancy, the cross-sectional associations between migraine and menopause and menopausal complaints were insignificant.

Cited by 121 publications

References 27 publications

Headaches in Middle-Aged Women during Menopausal Transition: A Headache Clinic-Based Study

Headaches in Middle-Aged Women during Menopausal Transition: A Headache Clinic-Based Study

Association Between Migraine and Diabetes in Pregnancy

Migraine in the post-menopausal period is associated with higher levels of mood disorders, disability, and more menopausal symptoms

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