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Treatment and Consideration of Women’s Issues in Headache

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The Cleveland Clinic Manual of Headache Therapy

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Abstract

At menarche, the incidence of migraine in girls increases. Migraine also changes at other key times in a women’s life: during menses, with the use of oral contraceptive therapy, and with pregnancy, lactation, and menopause. Each of these hormonal milieus is discussed in this chapter with relation to headache.

This chapter includes sections on diagnosis of menstrual migraine, followed by discussion of acute, preventive, and mini-prevention strategies. The impact and controversies of contraception in female migraineurs are considered, with a special discussion on stroke risk. An extensive section is included on migraine during pregnancy and lactation, with emphasis on practical treatments. The chapter ends with clinical pearls on treatment during perimenopause and menopause.

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Author information

Authors and Affiliations

  1. Headache Center, Neurological Center for Pain, Neurological Institute, Cleveland Clinic, 9500 Euclid Ave, C21, Cleveland, OH, 44195, USA

    Jennifer S. Kriegler MD

Authors
  1. Jennifer S. Kriegler MD
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Correspondence to Jennifer S. Kriegler MD .

Editor information

Editors and Affiliations

  1. Cleveland Clinic Headache Center, Cleveland, Ohio, USA

    Stewart J. Tepper

  2. Cleveland Clinic Headache Center, Cleveland, Ohio, USA

    Deborah E. Tepper

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© 2014 Springer International Publishing Switzerland

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Kriegler, J. (2014). Treatment and Consideration of Women’s Issues in Headache. In: Tepper, S., Tepper, D. (eds) The Cleveland Clinic Manual of Headache Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-04072-1_21

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  • DOI: https://doi.org/10.1007/978-3-319-04072-1_21

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-04071-4

  • Online ISBN: 978-3-319-04072-1

  • eBook Packages: MedicineMedicine (R0)

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