Quiz Form

Question Date: 09/10/2023

Question: Which statement is not true regarding menstrual migraine?

Options:

• Menstrual migraine is caused by estrogens
• Menstrual migraine attacks are more intense and refractory to treatment
• Menstrual migraine attacks are commonly nigraine without aura
• Triptans or Naproxen used perimenstrually may be useful

Correct Answer: Menstrual migraine is caused by estrogens

Explaination: Menstrual migraine attacks are due to estrogen withdrawal during menstruation. Although estrogens are neuroexcitatory, they appear to have a protective role in migraine. Perimenstrual migraine attacks are more severe and refractory to treatment than non menstrual attacks. These attacks are more commonly migraine without aura. Treatment strategies include using Naproxen 500 mg bid or naratriptan 2.5 mg bid starting two days before expected date of menstruation till day three for a period of 5 days.

Reference: Pavlovic J. Headache in Women. Continuum 2021 27(3Headache) 686-702.