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Cohort study, 2007

When do migraines and PMS symptoms occur during the menstrual cycle, and how are they related?

Both migraines and PMS symptoms follow similar timing during the menstrual cycle, peaking around the time of the menstrual period. This suggests they may share a common cause.

Early or limited evidence 20 women with migraine

What they did

20 women with migraine tracked headaches and PMS symptoms daily for 3 consecutive months using an electronic diary. They rated 23 PMS criteria on a scale of 0 (no symptoms) to 3 (severe symptoms). The diary recorded the date and menstrual cycle day.

What they found

The women reported 2009 diary entries across 56 menstrual cycles. Headaches increased starting 5 days before the period, peaked 1 to 5 days after it started, and returned to normal by day 7. PMS symptom scores ranged from 2.4 to 12 daily. They peaked 6 days before to 2 days after the period started and returned to normal by day 8. The two conditions followed similar timing.

What it means for you

Migraines and PMS follow similar patterns during the menstrual cycle, suggesting a shared biological mechanism. Electronic diaries could help identify when migraines occur relative to menstrual symptoms. Main limitations: small sample (20 women) and no control group. Daily tracking is more reliable than retrospective reporting.

20

women with migraine

56

menstrual cycles tracked

days +1 to +5

peak headache timing

About the study

Original title
Evaluation of an electronic diary as a diagnostic tool to study headache and premenstrual symptoms in migraineurs
Authors
Goldberg J, Wolf A, Silberstein S et al.
Journal
Headache
Year
2007
Study design
Cohort study
What was tested
Electronic diary tracking over 3 months

Topics