Lay C L, Mascellino A M
The Headache Institute, St. Lukes-Roosevelt Hospital Center, New York, NY 10019, USA.
Curr Pain Headache Rep. 2001 Apr;5(2):195-9. doi: 10.1007/s11916-001-0089-8.
Of the nearly 20 million American women suffering with migraine, approximately 12 million experience a worsening of their migraines in association with their menstrual cycle. Prior to puberty the prevalence of migraine is slightly higher in boys; however, after puberty there is an emerging female predominance. Estrogen likely plays an important role in explaining this gender difference; however, hormones unlikely explain the entire epidemiologic variation. This article reviews the diagnosis and treatment options for menstrually associated migraine.
在近2000万患有偏头痛的美国女性中,约有1200万女性的偏头痛会在月经周期时加重。青春期前,男孩患偏头痛的患病率略高;然而,青春期后,女性患病率开始占主导。雌激素可能在解释这种性别差异方面发挥重要作用;然而,激素不太可能解释全部的流行病学差异。本文综述了与月经相关偏头痛的诊断和治疗选择。