Perimenstrual headaches: unmet needs.

Curr Pain Headache Rep

The City of London Migraine Clinic, London, United Kingdom.

Published: December 2008

AI Article Synopsis

  • Women are at a higher risk of experiencing migraines in the 5-day period that starts 2 days before their period and lasts through the first 3 days of menstruation.
  • Many women with menstrual migraines experience more intense and longer-lasting headaches during this time.
  • There is a crucial need for better diagnosis and tailored treatments, since many women may seek help from the wrong specialists, leading to ineffective care.

Article Abstract

The risk of migraine is increased among women during a 5-day perimenstrual window that starts 2 days before the onset of menses and continues through the first 3 days of menstruation. For some women with menstrual migraine, headaches that occur at this time are more severe, of longer duration, and more disabling. Although it is recognized that menstrual migraine requires specific management, there remain a number of unmet needs. In particular, comorbidity can result in women with menstrual migraine presenting to obstetrician/gynecologists or psychiatrists rather than primary care physicians or neurologists. Failure to diagnose menstrual migraine will lead to suboptimal management. Accurate diagnosis is insufficient unless it results in effective treatment strategies. Although effective and specific treatments for menstrual migraine have been developed, there is a need to define individual timing and duration of perimenstrual prophylaxis.

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Source
http://dx.doi.org/10.1007/s11916-008-0079-1DOI Listing

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