Thursday, January 03, 2008

Why Women Have More Migraines: The Role of Hormones

Your head is throbbing severely, probably only on one side. Any light or sound only makes it worse, and you may be feeling nauseated. The excruciating pain is almost unbearable. The slightest movement only intensifies the pain. Maybe you are having visual symptoms such as flashing lights or an aura, as well. You are having a migraine headache. Although you feel like it's the end of the world, and no one can understand what you are going through. You are not alone.

Twenty-eight million Americans suffer from migraine headaches.

There is no cure for migraines. However, there is hope for effective relief and a significant reduction in the severity and number of migraine headaches you suffer. The first step is getting an accurate diagnosis from your physician. Unfortunately, only about half of migraine sufferers are diagnosed, and even less receive proper treatment according to the American Migraine Study II.

Who gets migraines? Boys experience more migraines than girls prior to puberty, however, after age 11 girls begin to experience the majority of migraine headaches.

The increase in the incidence of migraine in girls over boys continues to rise until adulthood when women experience migraine headaches 3 to 1 over men.

Why do so many more women than men suffer from migraine headaches? While it is improbable that sex hormones can completely explain the difference, there is significant evidence that there may be a connection between migraines and fluctuations in estrogen levels in women. The problem appears to be the response of the central nervous system to normal hormonal fluctuations. Women who suffer from migraines should understand that hormonal fluctuations are normal.

Will oral contraceptives (OCs) help women with migraines? Or will migraines become worse? Most women who have had previous migraines will not see a significant change in their headache pattern after beginning oral contraceptives; however, they may see an increase in the severity of migraines during the pill-free week. Women who use oral contraceptives may be surprised to learn that OCs may actually be a trigger for migraine. Some women may find their migraines are alleviated after starting oral contraceptives, while others find their migraine attacks are getting worse premenstrually.

Are there any risks for women who use OCs and suffer from migraine headaches? This a subject of much discussion because of the increased risk of stroke in women who use oral contraceptives. The risk of stoke in migraine patients appears to be higher in women who use OCs, have high blood pressure, and/or smoke. This is particularly true with the older high-dose oral contraceptives. The best advice for women who have migraines and want to use oral contraceptives is to use the lowest effective dose of estrogen because the risk appears to be estrogen-related, rather than progestin-related.

For more information, visit healthcentral.com

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