Hormones and migraine, a clinical approach

Hormonas y migraña, una aproximación clínica

Migraine is the most frequent primary headache in women and if the various hormonal fluctuations are added over the course of life, the prevalence is up to three times higher than in men. Varies according to sexual age being menarche often the beginning of the same, as well as the exclusive presentation or facilitated by the menstrual period, postmenopause or the real challenge, pregnancy. When women of different ages and types of headache consult, it is the expertise and the appropriate initial clinical orientation that can achieve a timely and accurate diagnosis. Migraine is a headache in the emergency services, not only because of the complexity of its management in pregnant patients, but because of the few therapeutic options available that are more safe for the fetus than for the mother. The doctor is forced to make sound therapeutic decisions, generating improvement of the clinical picture and confidence in his patient. We tackled the migraine headache in women during the different ages in which the fluctuation of sex hormones generates this disorder, from the physiopathological points of view, diagnostic approach and main therapeutic options studied until now. Abbreviations: MG, migraine (s); ACV, stroke.

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