Abstract
At menarche the incidence of migraine in girls increases. Migraine also changes at other key times in a women’s life: during menses, with the use of oral contraceptive therapy, and with pregnancy, lactation, and menopause. Each of these hormonal milieus is discussed in this chapter with relation to headache. The chapter includes sections on diagnosis of menstrual migraine, followed by discussion of acute, preventive, and miniprevention strategies. The impact and controversies of contraception in female migraineurs are considered, with special discussion on stroke risk. An extensive set of parts on migraine and pregnancy and lactation, with emphasis on practical treatment follows. The chapter ends with clinical pearls on treatment during perimenopause and menopause.
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Kriegler, J.S. (2011). Treatment and Consideration of Women’s Issues in Headache. In: Tepper, S.J., Tepper, D.E. (eds) The Cleveland Clinic Manual of Headache Therapy. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0179-7_18
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DOI: https://doi.org/10.1007/978-1-4614-0179-7_18
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