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Menstrual Migraine

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1. Development of a simple menstrual migraine screening tool for obstetric and gynecology clinics: the menstrual migraine assessment tool. (PubMed)

Development of a simple menstrual migraine screening tool for obstetric and gynecology clinics: the menstrual migraine assessment tool. To develop and validate a brief questionnaire to screen for menstrual migraine (MM), and to estimate MM prevalence in an obstetrics and gynecology (OB/GYN) setting in a pilot study.Patients with unknown MM status from a headache clinic completed a 9-item questionnaire. The attributes of each question were compared with a validated headache calendar to develop (...) a 3-item MM questionnaire. The headache calendar and questionnaire were then administered to nonpregnant/nonmenopausal OB/GYN patients. A diagnosis was assigned by a blinded specialist using the headache calendar, and MM prevalence was determined.The analysis yielded 3 relevant questions administered to 250 women for our tool, called the Menstrual Migraine Assessment Tool (MMAT): (1) "Do you have headaches that are related to your period (ie, occur between 2 days before the onset of your period

2017 Headache

2. Characteristics of menstrual versus non-menstrual migraine during pregnancy: a longitudinal population-based study (PubMed)

Characteristics of menstrual versus non-menstrual migraine during pregnancy: a longitudinal population-based study Migraine is a common headache disorder that affects mostly women. In half of these, migraine is menstrually associated, and ranges from completely asymptomatic to frequent pain throughout pregnancy.The aim of the study was to define the pattern (frequency, intensity, analgesics use) of migrainous headaches among women with and without menstural migraine (MM) during pregnancy (...) , and define how hormonally-related factors affect its intensity.The analysis was based upon data from 280 women, 18.6% of them having a self-reported MM. Women with MM described a higher headache intensity during early pregnancy and postpartum compared those without MM, but both groups showed improvement during the second half of pregnancy and directly after delivery. Hormonal factors and pre-menstrual syndrome had no effect upon headache frequency, but may affect headache intensity.Individual treatment

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2018 The journal of headache and pain

3. The NRP1 migraine risk variant shows evidence of association with menstrual migraine (PubMed)

The NRP1 migraine risk variant shows evidence of association with menstrual migraine In 2016, a large meta-analysis brought the number of susceptibility loci for migraine to 38. While sub-type analysis for migraine without aura (MO) and migraine with aura (MA) found some loci showed specificity to MO, the study did not test the loci with respect to other subtypes of migraine. This study aimed to test the hypothesis that single nucleotide polymorphisms (SNPs) robustly associated with migraine (...) are individually or collectively associated with menstrual migraine (MM).Genotyping of migraine susceptibility SNPs was conducted using the Agena MassARRAY platform on DNA samples from 235 women diagnosed with menstrual migraine as per International Classification for Headache Disorders II (ICHD-II) criteria and 140 controls. Alternative genotyping methods including restriction fragment length polymorphism, pyrosequencing and Sanger sequencing were used for validation. Statistical analysis was performed using

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2018 The journal of headache and pain

4. Acupuncture for menstrual migraine: a systematic review

Acupuncture for menstrual migraine: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith

2019 PROSPERO

5. Triptans in prevention of menstrual migraine: a systematic review with meta-analysis

Triptans in prevention of menstrual migraine: a systematic review with meta-analysis Triptans in prevention of menstrual migraine: a systematic review with meta-analysis Triptans in prevention of menstrual migraine: a systematic review with meta-analysis Hu Y, Guan X, Fan L, Jin L CRD summary The authors concluded that triptans were an effective short-term prophylactic treatment for menstrual migraines. Considering migraine frequency, severity and adverse events, frovatriptan 2.5mg twice daily (...) and zolmitriptan 2.5mg three times daily were the most preferable regimens. The conclusion regarding the effectiveness of triptans seems reliable; the recommendations for further research were justified. Authors' objectives To evaluate the efficacy and tolerability of triptans in the prevention of menstrual migraine. Searching MEDLINE, EMBASE and Cochrane Central Register of Controlled Trials (CENTRAL) were searched to October 2012 with no language restrictions. Search terms were reported. Reference lists

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2013 DARE.

6. Comparison of the Prophylactic Effect Between Acupuncture and Acupressure on Menstrual Migraine: Results of a Pilot Study. (PubMed)

Comparison of the Prophylactic Effect Between Acupuncture and Acupressure on Menstrual Migraine: Results of a Pilot Study. To compare between acupuncture and acupressure for preventing menstrual migraine (MM).MM is one kind of migraine associated with menses in female. It is often associated with increased menstrual distress and disability, leading to decreased daily activity and quality of life. A randomized and controlled pilot study was conducted with three groups: verum acupuncture (VA (...) ) group, acupressure (AP) group, and control acupuncture (CA) group. The study lasted for 7 cycle-months, with a 1 cycle-month baseline observation (T1), a 3 cycle-month intervention (3 times per cycle-month) (T2-T4), and a 3 cycle-month follow-up (T5-T7). Outcome measures were number of migraine days, average and peak pain, total duration period of MM, and percentage of patients with ≥50% reduction in the number of MM days.A total of 18 participants were included in the analysis (VA, n = 7; AP, n = 6

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2018 Journal of acupuncture and meridian studies

7. Understanding Menstrual Migraine. (PubMed)

Understanding Menstrual Migraine. Menstrual-related migraine is very prevalent, very disabling, yet very easy to manage given a good understanding of its cause.This article is intended to help with that understanding and to enable headache specialists to prescribe or create effective hormonal preventives of menstrual-related migraine.© 2018 American Headache Society.

2018 Headache

8. Non-invasive Vagus Nerve Stimulation (nVNS) as mini-prophylaxis for menstrual/menstrually related migraine: an open-label study (PubMed)

Non-invasive Vagus Nerve Stimulation (nVNS) as mini-prophylaxis for menstrual/menstrually related migraine: an open-label study Menstrual migraine and menstrually related migraine attacks are typically longer, more disabling, and less responsive to medications than non-menstrual attacks. The aim of this study was to evaluate the efficacy, safety, and tolerability of non-invasive vagus nerve stimulation for the prophylactic treatment of menstrual migraine/menstrually related migraine.Fifty-six (...) enrolled subjects (menstrual migraine, 9 %; menstrually related migraine, 91 %), 33 (59 %) of whom were receiving other prophylactic therapies, entered a 12-week baseline period. Fifty-one subjects subsequently entered a 12-week treatment period to receive open-label prophylactic non-invasive vagus nerve stimulation adjunctively (31/51; 61 %) or as monotherapy (20/51; 39 %) on day -3 before estimated onset of menses through day +3 after the end of menses.The number of menstrual migraine/menstrually

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2016 The journal of headache and pain

9. Treatment of menstrual migraine; multidisciplinary or mono-disciplinary approach (PubMed)

Treatment of menstrual migraine; multidisciplinary or mono-disciplinary approach The aim of this study was to compare a multidisciplinary approach of menstrual (related) migraine, combining the neurological and gynaecological consultation, to a mono-disciplinary approach involving neurological treatment. There is a clear relationship between the menstruation cycle and the occurrence of migraine (menstrual migraine). Nowadays the treatment of menstrual (related) migraine is performed (...) by a neurologist. A treatment with attention to hormonal treatment seems more convenient.This retrospective study was performed in a cohort using data of 88 women with menstrual (related) migraine who visited the menstrual migraine clinic between 2012 and 2014 (intervention group). The results were compared to a historical control group, which consisted of women with menstrual (related) migraine who were treated before 2012 and received a mono-disciplinary approach.In the intervention group the Headache Impact

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2017 The journal of headache and pain

10. Menstrual migraine: case studies of women with estrogen-related headaches. (PubMed)

Menstrual migraine: case studies of women with estrogen-related headaches. This paper presents 2 case scenarios that illustrate the complexity of diagnosing and managing migraine associated with hormonal changes. Migraine is commonly associated with comorbidies such as depression, anxiety, obesity, cardiovascular disease, as well as other conditions, thereby making management more challenging for the physician and the patient. The first case is a 35-year-old woman who has migraine almost (...) exclusively during menstruation. She is under a physician's care for long-term management of premenstrual dysphoric disorder (PMDD). Achieving a differential diagnosis of pure menstrual migraine is illustrated, and a detailed treatment plan including use of a migraine miniprophylaxis protocol, management of her PMDD, and prescription of acute treatment medications is reviewed. The second case scenario describes the diagnosis of menstrually associated migraine in a woman who suffers from a frequent

2017 Headache

11. Menstrual Migraine and Treatment Options: Review. (PubMed)

Menstrual Migraine and Treatment Options: Review. A review of treatment options for menstrual migraine.Migraine affects ∼30 million people in the US. A subset of female migraineurs have migraines that are mainly associated with menstruation. Menstrual migraine (MM) is divided into pure MM and menstrually related migraine. Pure MM attacks occur only with menstruation and have a prevalence of 1%. Menstrually related migraine has a prevalence of 6-7%, and occurs both during menstruation as well (...) as during the rest of the cycle. MM is usually without aura and is more severe, longer lasting, and more resistant to treatment due to the effects of ovarian hormones, specifically estrogen. MM treatment is divided into acute, short-term prophylaxis, and daily prevention. The best-studied acute treatments are triptans. For short-term prophylaxis, triptans, non-triptans, or combinations are used. Some preventive medications may be used daily to prevent MM. Many anti-epileptic medications used in migraine

2016 Headache

12. Women Living Together Have a Higher Frequency of Menstrual Migraine. (PubMed)

Women Living Together Have a Higher Frequency of Menstrual Migraine. Menstrual migraine is a highly prevalent disorder among adult women, resulting in disability and loss of quality of life. Some studies have reported menstrual cycle synchrony among women living together. No study has reported whether there may also be a higher prevalence of menstrual migraine among these women. Thus, they reported here the prevalence of menstrual migraine in a group of women living together compared (...) and assessed for 3 months by means of a paper pain diary. The data evaluated included frequency of headache, presence of menstrual migraine, intensity of headache, medications used including contraceptives, and triggering factors such as diet, sleep deprivation, and stress. The menstrual data and data related to migraine were also investigated in the roommates.A higher occurrence of menstrual migraine among women living together (9, 50%) compared with women living alone (3, 16.7%) (P = .03) was detected

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2016 Headache

13. Menstrual migraines: Which options and when? (PubMed)

Menstrual migraines: Which options and when? Would your patient benefit from abortive therapy or prophylactic treatment? And which regimen is likely to provide the best--and safest--relief?

2016 Journal of Family Practice

14. Presenting a New, Non-Hormonally Mediated Cyclic Headache in Women: End-Menstrual Migraine. (PubMed)

Presenting a New, Non-Hormonally Mediated Cyclic Headache in Women: End-Menstrual Migraine. This retrospective observational study describes what appears to be a not-uncommon yet not previously typified headache disorder, "end-menstrual migraine" (EMM) named for its proximate occurrence with the terminal days of menstrual bleeding each month.Our menstrual migraine (MM) clinic's database was queried for patients with migraine, regular menses, and the locally used diagnostic code of EMM (...) the generally accepted lower desirable limit of 50 ng/mL (mean = 21.9 ng/mL) - half of whom fell below 18 ng/mL, the established minimum levels for women.EMM is a common complaint in women evaluated for menstrual-related migraine (MRM), yet these migraines occur many days after the estrogen withdrawal that precipitates MRM. The authors do not believe that EMM is hormonally mediated, but rather that it is causally related to menstrual blood loss, resulting in a brief relative anemia with consequent migraine

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2016 Headache

15. Menstrual Migraine

Menstrual Migraine Menstrual Migraine Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Menstrual Migraine Menstrual Migraine Aka (...) : Menstrual Migraine , Migraine Headache in Women II. Pathophysiology withdrawal precipitates s s often improve in pregnancy III. Symptoms onset 2 days prior to lasts until final day of IV. Associated conditions V. Management: Acute See Most effective agents used to abort Menstrual Migraine s (with current body of evidence) Mefanamic Acid ( tel) VI. Prevention Protocol: Standard See s Protocol: "Mini-Prophylaxis" Start 3 days prior to expected first day Continue until is finished (up to 5-6 days total

2018 FP Notebook

16. Pharmacological management of migraine

4.14 Occipital nerve block 19 4.15 Calcitonin gene-related peptide 19 4.16 Menstrual migraine prophylaxis 19 Pharmacological management of migraine Contents5 Medication-overuse headache 21 6 Devices for migraine therapy 23 6.1 Vagus nerve stimulation 23 6.2 Transcutaneous supraorbital nerve stimulation 23 6.3 Transcranial magnetic stimulation 23 7 Provision of information 24 7.1 Publications from SIGN 24 7.2 Sources of further information 24 7.3 Checklist for provision of information to patients 25 (...) in hormone levels during the menstrual cycle, which can be more pronounced at puberty and perimenopause. Before puberty migraine frequency is the same in boys and girls. 11 Following the menopause migraine often improves. 11,12 Migraine is often underdiagnosed, misdiagnosed (eg as sinusitis) and undertreated in both primary and secondary care. 13 In a multicentre primary care-based study more than 90% of patients presenting to primary care with headache had migraine. 14 In recent years there have been

2018 SIGN

17. Migraine and Tension Headache

Background This guideline includes diagnosis and treatment of the most common headache types that are managed in primary care: • Tension headache • Migraine headache, including menstrual migraine • Medication overuse headache (also known as rebound headache) Cluster headaches are excluded from this guideline because of their low prevalence in the general population and the severity of the symptoms. For patients with suspected cluster headaches, consider consulting with Neurology for evaluation (...) -related migraine headache Source: International Headache Society 2013 Episodes of migraine without aura (as defined in Table 1) occurring in the window of 2 days before to 3 days after menstruation, in at least two out of three menstrual cycles. (Menstruation is endometrial bleeding resulting from either the normal menstrual cycle or from the withdrawal of exogenous progestogens, as in the use of combined oral contraceptives or cyclical hormone replacement therapy.) 4 Tension Headache Acute treatment

2018 Kaiser Permanente Clinical Guidelines

18. Migraine

Migraine headache, including menstrual migraine • Medication overuse headache (also known as rebound headache) Cluster headaches are excluded from this guideline because of their low prevalence in the general population and the severity of the symptoms. For patients with suspected cluster headaches, consider consulting with Neurology for evaluation 2018 11. Migraine in adults: preventive pharmacologic treatments Migraine in adults: preventive pharmacologic treatments Migraine in adults: preventive (...) Migraine Top results for migraine - Trip Database or use your Google+ account Turning Research Into Practice ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3

2018 Trip Latest and Greatest

19. Comparing the efficacy of eletriptan for migraine in women during menstrual and non-menstrual time periods: a pooled analysis of randomized controlled trials. (PubMed)

Comparing the efficacy of eletriptan for migraine in women during menstrual and non-menstrual time periods: a pooled analysis of randomized controlled trials. To assess the efficacy and tolerability of eletriptan in treating migraine attacks occurring within the defined menstrual time period of 1 day before and 4 days after onset of menstruation (menses days -1 to +4) compared with attacks occurring during non-menstrual time periods (occurring outside of menses days -1 to +4).Migraine attacks (...) during menses have been associated with longer duration, higher recurrence rates, greater treatment resistance, and greater functional disability than those not associated with menses. The efficacy of eletriptan in treating migraine attacks associated with menstruation vs those outside a defined menstrual period has not been evaluated.Data were pooled from 5 similarly designed, double-blind, randomized, placebo-controlled trials of eletriptan 20 mg/40 mg/80 mg. Two groups were defined

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2014 Headache

20. what is the evidence for treating menstrual migraine with oestrogen? any other guidance on management of menstrual headaches

what is the evidence for treating menstrual migraine with oestrogen? any other guidance on management of menstrual headaches what is the evidence for treating menstrual migraine with oestrogen? any other guidance on management of menstrual headaches - Trip Database or use your Google+ account Turning Research Into Practice ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document (...) . As well as research evidence we also allow clinicians to search across other content types including images, videos, patient information leaflets, educational courses and news. For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com what is the evidence for treating menstrual migraine with oestrogen? any other guidance on management of menstrual headaches The CKS

2011 TRIP Answers

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