2012年3月13日 星期二

Menstrual Migraine Headaches Do Exist!


I was asked to write about menstrual migraine headaches. Though I am not a neurologist you will see from my comments and personal experiences I have had that it is truely an entity . As this website is intended to be supportive and informative it clearly cannot be used to diagnosis , treat, prevent or cure any condition as you need to have a complete history and physical exam by your personal clinician to accomplish this. I will refer you to a great government resource at the end of this article that covers this condition in more depth and can lead you to more helpful information.

Menstrual migraine headaches have been recognized as an entity in the relatively recent past as menstruation was clearly seen as a contributing factor to the onset of migraine episodes for many women. There have been countless articles written about this topic primarily by neurologists as they deal with headaches of any sort and this particular area is very intriquing as to how it shoud be managed. I frequently referred this condition to neurologists when I suspected it, as such doctors are most up to date on the diagnosis/confirmation of menstrual migraines and the treatments considered helpful to alleviate this problem.

Migraine headaches can be debilitating to the point that one has to stay in a quiet room with the lights out to tolerate the throbbing pain.The cause of migraines in general is constantly being studied and many drug companies are constantly coming out with medications that help some but not all those affected.

Migraines account for a significant impact on quality of life and absence from work.

It is interesting as I continue to learn about this problem to realize that migraines in general are actually three times more common in women than men. The causes are numerous including hormonal as discussed here, sleep deprivation, red wine, stress, etc. the list seems endless. The insult that causes migraines can have a genetic predisposition and appears to be related to perivascular inflammation in the brain causing this often referred to as "vascular" headache with or without a preceding aura which is a particular sensory change such as flashing lights, numbness, smells etc . Migraines often require substantial pain medication to stop.

It is essential that their is an understanding and support system for those women suffering from this condition. I say this as it is not an objective finding (as with bleeding or an obvious injury) but instead, is based on a patient's subjective complaints which should be taken very seriously.

I refer my readers to an excellent Government-managed website to obtain more information.

womenshealth.gov/faq/migraine.cfm

If I have even opened the door for some to the information that is available on this topic to those who need it then I feel I have done my job. Please take care.

Douglas Penta MD




http://healthcenterforwomen.com

http://twitter.com/dougpmd





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