Migraine in perimenopausal women

D. A. Klimentova, G. R. Tabeeva
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Abstract

Sex hormones have a significant influence on the course of migraine in women. Perimenopause is accompanied by unstable cycle length, vasomotor, urogenital and other symptoms, while the course of migraine usually worsens. In postmenopause ovarian follicular function decreases, and the course of migraine improves in most cases. However, a number of studies have shown that the course of migraine does not change or even worsen after menopause. Perimenopausal and postmenopausal migraine patients are also more likely to suffer from vasomotor symptoms. Hormone replacement therapy is prescribed to relieve vasomotor symptoms, which may worsen the course of migraine. In this review, the influence of perimenopause and postmenopause on the course of migraine, the use of hormone replacement therapy, and methods to relieve and prevent attacks in patients with migraine are examined in detail.
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围绝经期妇女的偏头痛
性激素对女性偏头痛的病程有重要影响。围绝经期伴有月经周期长短不稳定、血管舒缩、泌尿生殖等症状,而偏头痛病程通常加重。在绝经后卵泡功能下降,偏头痛的病程在大多数情况下改善。然而,许多研究表明,绝经后偏头痛的病程不会改变,甚至会恶化。围绝经期和绝经后偏头痛患者也更容易出现血管舒缩症状。激素替代疗法是用来缓解血管舒缩症状的,而血管舒缩症状可能会加重偏头痛的病程。本文就围绝经期和绝经后对偏头痛病程的影响、激素替代疗法的应用以及缓解和预防偏头痛发作的方法进行了详细的综述。
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来源期刊
Nevrologiya, Neiropsikhiatriya, Psikhosomatika
Nevrologiya, Neiropsikhiatriya, Psikhosomatika Psychology-Clinical Psychology
CiteScore
1.50
自引率
0.00%
发文量
95
期刊介绍: The journal’s chief mission is the postgraduate training of neurologists and psychiatrists through dissemination of current knowledge, new medical technologies and advances, the integration to the global scientific process, and the qualitative representation of achievements of global and Russian science. The journal “Nevrologiya, Neiropsikhiatriya, Psikhosomatika” publishes original articles dedicated to the practical and theoretical issues of neurological, mental, and psychosomatic diseases, conducted clinical, clinical-and-experimental studies and basic researches, as well as reviews, lectures, case reports, and ancillary materials on all relevant problems of neurology and psychiatry, including information on congresses, symposia, and new books. The journal is intended for a wide range of neurologists, psychiatrists, neuropsychologists, and specialists of related occupations.
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