How to Best Manage Menstrual Migraine

July 30, 2009 by dean · Leave a Comment 

Given that hormonal patterns and fluctuations of menstrual migraine sufferers are no different to women who do not experience headache it is not surprising that, after an extensive review of hormonal treatments, it was concluded that hormonal treatment should not be the first choice of treatment. The common goal of this approach is to minimise fluctuation in oestrogen levels, however evidence regarding the effectiveness of this approach is lacking …. clearly a different approach is needed.



(Davies PT, Eccles N, Steiner TJ, Leathard H, Rose F. Plasma estrpgen, progesterone and sex hormone binding globulin levels in the pathogenesis of migraine. Cephalalgia 1989;9143[abstract]

Epstein MT, Hockaday JM, Hockaday TD. Migraine and reproductive hormones throughout the menstrual cycle. Lancet 1975;1(1706):543-548

Loder E et al. Hormonal management of migraine associated with menses and the menopause: a clinical review. Headache 2007 Feb;47(2):239-40)

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About dean
Consultant Headache & Migraine Physiotherapist; International Teacher; Director, The Headache Clinic & Watson Headache Institute; PhD Candidate Murdoch University, Western Australia; Adjunct Lecturer, Masters Program, Physiotherapy School, University of South Australia; MAppSc(Res) GradDipAdvManipTher Experienced health practitioners trained in the Watson Headache Approach perform the examination and treatment techniques developed by Dean Watson. These techniques are based on his extensive experience of 7000 headache patients (21,000 hours) over 21 years and are now taught internationally. For your nearest practitioner who has completed training in the ‘Watson Headache Approach’ please refer to the ‘Practitioner Directory’.

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