Menstrual cycle and gynecologic pathology in menstrual-related migraine

E. A. Kiryanova, Г. Р. Табеева
In: Neurology, Neuropsychiatry, Psychosomatics · 2021 · vol. 13(4) , pp. 12–17 · doi:10.14412/2074-2711-2021-4-12-17 · W3194913171
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Abstract

Migraine is the first most frequent cause of disability among women of reproductive age globally, and up to 60% of patients note the association of headache attacks with menstruation. Objective : to determine the features of menstrual cycle and gynecologic pathology in women with menstrual-related migraine (MRM). Patients and methods . A prospective comparative study included 69 women of reproductive age with a migraine diagnosis who did not receive hormonal contraception. Depending on the association of migraine attacks with menstruation (according to headache diaries), the patients were divided into two groups: the 1 st group consisted of 44 patients with MRM; group 2 — 25 patients with non-menstrual migraine (without the association of attacks with menstruation). Results and discussion . Patients with MRM had heavier menstrual bleeding, longer menstruations (more than six days), abnormal menstrual cycle length and regularity, dysmenorrhea. In addition, the obtained data indicate a comorbid estrogen-associated gynecological pathology (endometriosis, adenomyosis, endometrial polyps, myoma) in MRM. Conclusion . Presumably, the hypothalamic-pituitary-ovarian axis dysfunction plays the leading role in the MRM. It presents with menstrual cycle abnormalities and increased presence of estrogen-associated gynecological pathology, which should be considered during patient evaluation and suggesting recommendations.

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endometriosisadenomyosisdysmenorrhea

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