Migraine and the menopause.

E Anne MacGregor
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引用次数: 21

Abstract

The prevalence of migraine peaks during the 40s and an increased association between migraine and menstruation is often noted. Migraine generally improves after the menopause. Although menstrual irregularity, hot flushes and other climacteric symptoms may warrant management with hormone replacement therapy (HRT), there has been some concern that HRT may aggravate migraine and potentially increase the risk of ischaemic stroke. This evidence-based review concludes that migraine is not a contraindication for HRT but continuous-release transdermal estrogen, in the lowest effective dose, is recommended.

偏头痛和更年期。
偏头痛的发病率在40多岁时达到高峰,偏头痛和月经之间的联系也越来越密切。偏头痛一般在绝经后好转。虽然月经不规律、潮热和其他更年期症状可能需要激素替代疗法(HRT)来管理,但有人担心HRT可能会加重偏头痛并潜在地增加缺血性中风的风险。这项基于证据的综述得出结论,偏头痛不是激素替代疗法的禁忌症,但建议使用最低有效剂量的连续释放透皮雌激素。
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