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Review, 2012

Does estrogen therapy help migraines linked to the menstrual cycle?

Evidence shows estrogen fluctuations trigger these migraines. Stopping these changes through treatment or menopause may help or sometimes worsen symptoms, though we need more research to confirm this works in practice.

Moderate study design Literature review of research on hormone-related migraine

What they did

This was a review of research on estrogen's role in migraine. The authors summarized both laboratory studies and clinical studies.

What they found

Evidence strongly supports that estrogen fluctuations trigger migraine attacks. Stopping these fluctuations (as happens at menopause) may lead to remission or, conversely, to worsening of migraines. The exact mechanisms remain unknown.

What it means for you

Controlling estrogen levels might help menstrual migraines. The main limitation is that this reviews existing research rather than testing new approaches, so clinical trials are needed to confirm effectiveness. The exact mechanisms are still unknown.

About the study

Original title
Transdermal hormonal therapy in perimenstrual migraine: why, when and how?
Authors
Tassorelli C, Greco R, Allena M et al.
Journal
Current pain and headache reports
Year
2012
Study design
Review
What was tested
Estrogen modulation through transdermal therapy

Topics