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Some female friends have headaches, uncomfortable head, anxiety, and even their life and work are affected as soon as they menstruate
.
In short, it's too difficult.
.
.
If you want to solve this problem well, you still need to see a doctor in time to clarify the type of headache and intervene accordingly
.
Today, we are going to tell you about one of the common conditions, estrogen-related migraine, and how to deal with it
.
I hope that after reading this article, you can relieve a little anxiety, seek medical treatment in time for a clear diagnosis, and find a way to deal with headaches that suits you
.
What is estrogen-related migraine? Estrogen-related migraine is a sub-type of migraine that refers to migraine headaches caused by a decrease in the concentration of estrogen for various reasons after high levels of estrogen in the body persist for several days
.
Decreased estrogen is one of the important factors that trigger migraine headaches in women
.
Who are estrogen-related migraine headaches? Commonly seen in women who: before and after the onset of their menstrual cycle; just after having a baby; approaching menopause; discontinuing or diminishing the ability to absorb estrogen-containing medications previously used regularly
.
Image source: What are the common manifestations of estrogen-related migraine headaches? The disease is similar to non-estrogen-related migraine
.
Typical manifestations are divided into 4 stages: 1.
The prodromal stage refers to the emotional symptoms or autonomic symptoms that appear 24 to 48 hours before the attack, such as increased yawning, depression, irritability, and euphoria
.
2.
The aura stage appears gradually and lasts no more than 1 hour, mainly in the following aspects: vision (such as bright lines, shapes or loss of vision in the visual field, etc.
) auditory (tinnitus, noise or hearing loss, etc.
) somatosensory Estrogen-related migraine headaches are relatively rare with these auras
.
3.
The headache phase is usually unilateral headache, showing pulsatile nature consistent with the pulse, and may be accompanied by nausea, vomiting, phonophobia or photophobia
.
Image credit: Graphworm Idea 4.
The headache disappears in the later stages of the headache, but the sudden head movement causes a short-lived pain in the area of the previous headache
.
Suspected estrogen-related migraine, what tests are needed to confirm the diagnosis? Usually need to check blood pressure, body temperature, head and paranasal sinus area for inflammatory tenderness, mental state and so on
.
On this basis, head CT or MRI may be performed to exclude headaches caused by organic diseases such as hypertension, sinusitis, intracranial lesions, and other functional headaches (such as tension headaches).
and performance in order to make a diagnosis
.
How is estrogen-related migraine treated? 1.
In the acute attack stage of this disease, it is usually a "headache to treat the head", that is, analgesic treatment is given
.
Commonly used drugs include: triptans: sumatriptan, etc.
; non-steroidal anti-inflammatory drugs: diclofenac sodium, ibuprofen, etc.
, or combined triptans; antiemetics: injection of metoclopramide, chlorpromazine Etc.
; ergotamines: dihydroergotamine, etc.
, can be used in combination with antiemetics
.
Image credit: Graphworm Idea 2.
If treatment of an acute attack is inadequate or unsatisfactory, preventive treatment is required
.
Estrogen-based preventive therapy is recommended for women who need contraception or who need estrogen for other reasons
.
The initial approach is to take extended-cycle estrogen-progestin contraceptive pills or a 10 μg ethinyl estradiol formulation; the second option is estrogen supplementation for menstrual cycle fluctuations
.
If there is a contraindication to estrogen therapy or the patient chooses to avoid estrogen, non-hormonal therapy can be considered, that is, the use of long-acting triptans twice a day, starting 2 days before the expected menstruation, and continuing to use 5 day
.
Estrogen-related migraine sufferers may also experience some emotional distress, so don’t forget to take care of your emotions while focusing on symptom relief
.
You can improve your mood through life>
.
In addition, patients at this time need to be supported and understood, so the care of family and friends will also be of great help to them
.
Entry author Dr.
Lilac Health Encyclopedia Team Review Expert Li Kai, Deputy Chief Physician of Neurology Learn more What precautions should be taken during drug treatment for estrogen-related migraine? Can estrogen-related migraine be completely cured? What can be done to reduce migraine attacks in other situations? What about tension-type headaches? Try searching for the corresponding headache keywords in the Clove Doctor App to find the relevant answers immediately
.
In short, it's too difficult.
.
.
If you want to solve this problem well, you still need to see a doctor in time to clarify the type of headache and intervene accordingly
.
Today, we are going to tell you about one of the common conditions, estrogen-related migraine, and how to deal with it
.
I hope that after reading this article, you can relieve a little anxiety, seek medical treatment in time for a clear diagnosis, and find a way to deal with headaches that suits you
.
What is estrogen-related migraine? Estrogen-related migraine is a sub-type of migraine that refers to migraine headaches caused by a decrease in the concentration of estrogen for various reasons after high levels of estrogen in the body persist for several days
.
Decreased estrogen is one of the important factors that trigger migraine headaches in women
.
Who are estrogen-related migraine headaches? Commonly seen in women who: before and after the onset of their menstrual cycle; just after having a baby; approaching menopause; discontinuing or diminishing the ability to absorb estrogen-containing medications previously used regularly
.
Image source: What are the common manifestations of estrogen-related migraine headaches? The disease is similar to non-estrogen-related migraine
.
Typical manifestations are divided into 4 stages: 1.
The prodromal stage refers to the emotional symptoms or autonomic symptoms that appear 24 to 48 hours before the attack, such as increased yawning, depression, irritability, and euphoria
.
2.
The aura stage appears gradually and lasts no more than 1 hour, mainly in the following aspects: vision (such as bright lines, shapes or loss of vision in the visual field, etc.
) auditory (tinnitus, noise or hearing loss, etc.
) somatosensory Estrogen-related migraine headaches are relatively rare with these auras
.
3.
The headache phase is usually unilateral headache, showing pulsatile nature consistent with the pulse, and may be accompanied by nausea, vomiting, phonophobia or photophobia
.
Image credit: Graphworm Idea 4.
The headache disappears in the later stages of the headache, but the sudden head movement causes a short-lived pain in the area of the previous headache
.
Suspected estrogen-related migraine, what tests are needed to confirm the diagnosis? Usually need to check blood pressure, body temperature, head and paranasal sinus area for inflammatory tenderness, mental state and so on
.
On this basis, head CT or MRI may be performed to exclude headaches caused by organic diseases such as hypertension, sinusitis, intracranial lesions, and other functional headaches (such as tension headaches).
and performance in order to make a diagnosis
.
How is estrogen-related migraine treated? 1.
In the acute attack stage of this disease, it is usually a "headache to treat the head", that is, analgesic treatment is given
.
Commonly used drugs include: triptans: sumatriptan, etc.
; non-steroidal anti-inflammatory drugs: diclofenac sodium, ibuprofen, etc.
, or combined triptans; antiemetics: injection of metoclopramide, chlorpromazine Etc.
; ergotamines: dihydroergotamine, etc.
, can be used in combination with antiemetics
.
Image credit: Graphworm Idea 2.
If treatment of an acute attack is inadequate or unsatisfactory, preventive treatment is required
.
Estrogen-based preventive therapy is recommended for women who need contraception or who need estrogen for other reasons
.
The initial approach is to take extended-cycle estrogen-progestin contraceptive pills or a 10 μg ethinyl estradiol formulation; the second option is estrogen supplementation for menstrual cycle fluctuations
.
If there is a contraindication to estrogen therapy or the patient chooses to avoid estrogen, non-hormonal therapy can be considered, that is, the use of long-acting triptans twice a day, starting 2 days before the expected menstruation, and continuing to use 5 day
.
Estrogen-related migraine sufferers may also experience some emotional distress, so don’t forget to take care of your emotions while focusing on symptom relief
.
You can improve your mood through life>
.
In addition, patients at this time need to be supported and understood, so the care of family and friends will also be of great help to them
.
Entry author Dr.
Lilac Health Encyclopedia Team Review Expert Li Kai, Deputy Chief Physician of Neurology Learn more What precautions should be taken during drug treatment for estrogen-related migraine? Can estrogen-related migraine be completely cured? What can be done to reduce migraine attacks in other situations? What about tension-type headaches? Try searching for the corresponding headache keywords in the Clove Doctor App to find the relevant answers immediately
