Resident Physician.
Professor, Department of Obstetrics and Gynecology.
Obstet Gynecol Surv. 2018 Mar;73(3):161-173. doi: 10.1097/OGX.0000000000000540.
Headaches affect women across their life span, with menses, pregnancy, and menopause being times that pose unique challenges in diagnosis and treatment. The correct diagnosis and treatment of headache can prevent unnecessary interventions, the worsening of chronic headache disorders, and complications of secondary headaches.
The objective of this article is to educate women's health care providers about the diagnosis, differential diagnosis, and treatment of headache during menses, pregnancy, the puerperium, and menopause to improve the quality of care for women with chronic and acute headache.
Current articles were reviewed addressing headache during menses, pregnancy, the postpartum period, and menopause. Articles with the highest level of evidence were compiled in this article to provide a summary of recommendations.
Multiple diagnostic and therapeutic options for chronic and acute headache are available for women regardless of their stage in life or comorbidities.
The effects of headaches span a woman's life span, with puberty and menopause being times of increased frequency. Pregnancy is an at-risk time for women to develop secondary headache disorders. All women's health care providers should know how to screen for, diagnose, and treat headache at all stages of a woman's life. Effective treatment options are available for acute and chronic headache both during and outside pregnancy.
头痛影响女性一生，月经期、怀孕期和绝经期是诊断和治疗方面存在独特挑战的时期。正确诊断和治疗头痛可以防止不必要的干预、慢性头痛疾病的恶化以及继发性头痛的并发症。
本文旨在教育女性健康护理人员关于月经期、怀孕期间、产后期和绝经期头痛的诊断、鉴别诊断和治疗，以提高对慢性和急性头痛女性的护理质量。
综述了有关月经期、怀孕期间、产后期和绝经期头痛的现有文章。本文汇总了具有最高证据水平的文章，以提供建议摘要。
无论女性处于生命的哪个阶段或是否存在合并症，都有多种针对慢性和急性头痛的诊断和治疗选择。
头痛的影响贯穿女性一生，青春期和绝经期头痛更为频繁。怀孕期间是女性发生继发性头痛疾病的高危时期。所有女性健康护理人员都应了解如何在女性生命的各个阶段筛查、诊断和治疗头痛。在怀孕期间和怀孕期间之外，都有有效的急性和慢性头痛治疗选择。
