Acute and Preventive Management of Migraine during Menstruation and Menopause

Ornello, Raffaele; Felice, Chiara Di; Caponnetto, Valeria; Pistoia, Francesca; Sacco, Simona

doi:10.3390/jcm10112263

Cited by 11 publications

(6 citation statements)

References 132 publications

(164 reference statements)

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“…Earlier studies have noted an increased risk of migraine and menstrual migraine among women with PMS. (39) Women with MM in this study stated nearly 8 (5)(6)(7)(8)(9)(10)(11)(12) attacks this year with the menstrual cycle. around 73% of them reported moderate to severe pain, nausea 68%, photophobia 86.1%.…”

Section: Discussionmentioning

confidence: 75%

“…The symptoms of a menstrual migraine can include severe headache pain, nausea, vomiting, and light sensitivity. (10) (11) Premenstrual syndrome (PMS) symptoms can have a significant impact on the occurrence of menstrual migraines. Premenstrual migraine (PMM) refers to migraines that occur with the menstrual cycle.…”

Section: Introductionmentioning

confidence: 99%

“…These symptoms can contribute to the onset of menstrual migraines, menstrual migraines have symptoms of a dull throbbing or severe pulsing headache, fatigue, dizziness, nausea, and sensitivity to light. (10) The exact etiology of PM is not well understood, but it is thought to involve complex interactions between hormonal, genetic, and environmental factors. Hormonal factors are thought to play a major role in the development of PM.…”

Section: Introductionmentioning

confidence: 99%

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Study to Determine the Prevalence of Premenstrual Migraine among Women with Premenstrual Syndrome in Saudi Arabia

Al-Qahtani,

Narapureddy,

Reddy

et al. 2023

Preprint

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Background: Migraine is one of the most common health conditions in the reproductive male and female population. Premenstrual syndrome (PMS) is a common condition that affects many women during their menstrual cycle. around 50 to 60% have menstrual headaches among the migraineur women. The symptoms in the majority were mild, but 5–8% may suffer moderate to severe symptoms, accompanied by considerable distress or functional dysfunction. Premenstrual migraine (PMM) refers to migraines that occur with the menstrual cycle. It affects approximately 50% of women with migraine and can be debilitating in terms of both frequency and severity of symptoms. This information is important for medical professionals in Saudi Arabia to be aware of so, as to provide better medical care and support which can significantly improve the person's quality of life of women who suffer from PMS and menstrual migraines. Objectives: To estimate the prevalence of menstrual migraines in women, to evaluate the severity and frequency of menstrual migraines in women with PMS, and to identify potential risk factors aggravating menstrual migraines in women with PMS. Methodology: A cross-sectional community-based study was conducted on reproductive age (18-50Years) women who have regular menstrual cycles with experience migraine headaches and are diagnosed with PMS and menstrual migraine, using a self-administered questionnaire between December 2022 to May 2023 in Saudi Arabia. Results: Out of 2130 women participants 397 were suffering from migraine which is 18.6%. Of the total 397(18.6%) Migraineurs individuals 230 (57.9%) were suffering from menstrual migraine and 167 (42.1%) were non-menstrual migraineurs, in general, reproductive women menstrual migraine is 10.7% and non-menstrual migraine is 7.8%. The BMI is increasing the incidence of menstrual migraines is increasing. Migraine Disability Around one-third of the participants were suffering from III–moderate disability 134 (33.8) Most of the menstrual migraine victims at least 3 days in the last three months were absent from their duties due to their menstrual migraines. Conclusions: Migraine attacks during the menstrual cycle cause the impairment of their social and physical ability to perform their routine household, and academic activities and unable to fulfill their professional commitments. To better understand the Menstrual Migraine and Non-menstrual migraine large prospective studies are required to plan the best management methods.

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Section: Discussionmentioning

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Study to Determine the Prevalence of Premenstrual Migraine among Women with Premenstrual Syndrome in Saudi Arabia

Al-Qahtani,

Narapureddy,

Reddy

et al. 2023

Preprint

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“…It is uncertain whether this is because of a prolonged course of luteal phase liability to elevated estrogen levels; consequently, genetic impacts on nuclear estradiol receptors occur, e.g., the interaction of progesterone-estrogen. [ 21 ] Estrogens can trigger the endogenous opioid process that improves pain and emphasizes oxytocin decay, a neurohormone secreted by the hypothalamus, that may have an anti-Mg impact. In Mg sufferers, estrogens and oxytocin influence the release of calcitonin gene-related peptide (CGRP), the chemical responsible for Mg pain.…”

Section: P Athophysiologymentioning

confidence: 99%

Genetics of Menstrual Migraine and Their Association with Female Hormonal Factors

Veerabathiran¹,

Kalarani²,

Mohammed³

2022

Annals of Indian Academy of Neurology

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Perimenopause is linked to increased migraine (Mg), especially menstrual Mg (MMg), influenced by hormonal changes. Compared to nonmenstrual attacks, menstrual attacks are more disabling and less responsive to treatment. Women with perimenstrual estrogen withdrawal have been linked to Mg during menstruation, whereas Mg during perimenopause has been linked to unpredictable fluctuations in estrogen levels. It has been widely established that female sex hormones play a role in Mg, but how it occurs remains unclear. This narrative review was identified using Medline and PubMed searches between 1946 and 2021. Search terms included “headache,” “migraine,” “menstrual migraine,” “menstruation,” “menopause,” “perimenopause,” “estrogen,” and “progesterone.” This article focuses on the candidate genes and female hormones that play a role in MMg. More study is necessary to understand better the environmental components that play a critical role in disease development. Currently, there is insufficient clinical evidence to support the function of menstrual Mg. The specific research facts examined MMg unique candidate genes and female hormonal factors that support their association and found MMg etiologic processes for generating an early diagnostic marker.

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“…These migraine attacks often coincide with the hormonal fluctuations that happen before, during, or after menstruation. Menstrual migraine attacks, with aura or without aura, classified into menstrual-related migraine (MRM), pure menstrual migraine (PMM), and non-menstrual migraine (NMM), occur 2 days before or during the first 3 days of menstruation, disrupting daily activities [9][10][11]. Pure menstrual migraine (PMM) coincides with the menstrual cycle in 50% of women with migraine attacks, often being frequent and severe [12,13].…”

Section: Introductionmentioning

confidence: 99%

Study to Determine the Prevalence of Menstrual Migraine in Reproductive-Age Women in Saudi Arabia

Al-Qahtani,

Narapureddy,

Reddy

et al. 2024

Healthcare

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Background: Migraine is a common health condition in both men and women. Premenstrual syndrome (PMS) affects many women during their menstrual cycle, with around 50–60% of women with migraine attacks experiencing menstrual headaches. Most have mild symptoms, but 5–8% suffer from moderate to severe symptoms, causing distress and functional issues. Pure menstrual migraine (PMM) occurs in about 50% of women with migraine, and it can be debilitating in terms of frequency and severity. This information is crucial for Saudi Arabian medical professionals to provide better care and support, improving the quality of life for women with PMS and menstrual migraine (MM) attacks. Objectives: To estimate the prevalence of MM in women, to evaluate the severity and frequency of MM in women with PMS, and to identify potential risk factors aggravating MM in women with PMS in Saudi Arabia. Methodology: A cross-sectional community-based study was conducted on reproductive-aged (18–50 years) women who had regular menstrual cycles and were diagnosed with PMS, using a self-administered questionnaire between December 2022 to May 2023 in Saudi Arabia. Results: Out of the 2130 female participants, 397 (18.6%) had migraine. Among these 397 migraine sufferers, 230 (57.9%) experienced MM, while 167 (42.1%) had non-MM. In reproductive women in general, MM occurred in 10.7% of cases, while non-MM was observed in 7.8%. There is a correlation between increasing BMI and an increased incidence of MM. About one-third of the participants experienced moderate disability due to migraine attacks, with 134 (33.8%) individuals affected. Additionally, most MM sufferers missed at least 3 days of work in the last 3 months due to their condition. Conclusions: Migraine attacks occurring during the menstrual cycle impair the ability to engage in social, physical, household, and academic activities, often hindering the fulfillment of professional commitments. To gain a deeper understanding of menstrual and non-menstrual migraine attacks, it is essential to conduct extensive prospective studies aimed at developing effective management strategies.

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Acute and Preventive Management of Migraine during Menstruation and Menopause

Cited by 11 publications

References 132 publications

Study to Determine the Prevalence of Premenstrual Migraine among Women with Premenstrual Syndrome in Saudi Arabia

Study to Determine the Prevalence of Premenstrual Migraine among Women with Premenstrual Syndrome in Saudi Arabia

Genetics of Menstrual Migraine and Their Association with Female Hormonal Factors

Study to Determine the Prevalence of Menstrual Migraine in Reproductive-Age Women in Saudi Arabia

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