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Tension-Type Headache and Women: Do Sex Hormones Influence Tension-Type Headache?

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Abstract

Most of the world’s population has suffered from a tension-type headache (TTH) at some point in their lives. The pathophysiology of this disease is not well understood, but TTH shares many features with migraine, leading to the belief that TTH and migraine may be on different ends of the same disease spectrum. There are many shared triggers between migraine and TTH, menstruation being one of them. Does menses being a trigger for TTH make TTH more like migraine, or does the role of sex hormones in TTH give us insight into the unique pathophysiology of this disease? This article will review TTH, concentrating on the role of sex hormones as a trigger for TTH.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Headache Classification Subcommittee of the International Headache Society: The International Classification of Headache Disorders: 2nd edition. Cephalalgia 2004, 24(Suppl 1):9–160.

    Google Scholar 

  2. Solomon GD: Chronic tension-type headache: advice for the viselike-headache patient. Cleve Clin J Med 2002, 69:167–172.

    Article  PubMed  Google Scholar 

  3. Rasmussen BK, Jensen R, Schroll M, Olesen J: Epidemiology of headache in a general population: a prevalence study. J Clin Epidemiol 1991, 44:1147–1157.

    Article  CAS  PubMed  Google Scholar 

  4. •• Stovner LJ, Hagen K, Jensen R, et al.: The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia 2007, 27:193–210. This article is a good overview of headache burden .

    Article  PubMed  Google Scholar 

  5. Rasmussen BK, Jensen R, Olesen J: Epidemiology of tension-type headache in a general population. In Tension-type Headache: Classification, Mechanisms, and Treatment. Edited by Olesen J, Schoenen J. New York: Raven Press; 1993:9–13.

  6. Lyngberg AC, Rasmussen BK, Jørgensen T, Jensen R: Has the prevalence of migraine and tension-type headache changed over a 12 year period? A Danish population survey. Eur J Epidemiol 2005, 20:243–249.

    Article  PubMed  Google Scholar 

  7. Zivadinov R, Willheim K, Sepic-Grahovac D, et al.: Migraine and tension-type headache in Croatia: a population-based survey of precipitating factors. Cephalalgia 2003, 23:336–343.

    Article  CAS  PubMed  Google Scholar 

  8. •• Bendtsen L, Jensen R: Tension-type headaches. Neurol Clin 2009, 27:525–535. This article is an outstanding overview of tension-type headache .

    Article  Google Scholar 

  9. Andlin-Sobocki P, Jönsson B, Wittchen HU, Olesen J: Cost of disorders of the brain in Europe. Eur J Neurol 2005, 12:1–27.

    Article  PubMed  Google Scholar 

  10. Jensen R: Pathophysiological mechanisms of tension-type headache: a review of epidemiological and experimental studies. Cephalalgia 1999, 19:602–621.

    Article  CAS  PubMed  Google Scholar 

  11. Ashina M, Stallknecht B, Bendtsen L, et al.: In vivo evidence of altered skeletal muscle blood flow in chronic tension-type headache. Brain 2002, 125:320–326.

    Article  CAS  PubMed  Google Scholar 

  12. Mørk H, Ashina M, Bendtsen L, et al.: Possible mechanisms of pain perception in patients with episodic tension-type headache. A new experimental model of myofascial pain. Cephalalgia 2004, 24:466–475.

    Google Scholar 

  13. Silberstein SD: Endocrinology of the female life cycle. In Sex Hormones and Headaches. Edited by Silberstein SD. Philadelphia: Current Medicine Group; 2008:45–59.

  14. Silberstein SD: The role of sex hormones in headache. Neurology 1992, 42(3 Suppl 2):37–42.

    CAS  PubMed  Google Scholar 

  15. Spierings EL, Ranke AH, Honkoop PC: Precipitating and aggrevating factors of migraine versus tension-type headache. Headache 2001, 41:554–558.

    Article  CAS  PubMed  Google Scholar 

  16. • Aegidius K, Zwart JA, Hagen K, Stovner L: The effect of pregnancy and parity on headache prevalence: the Head-HUNT study. Headache 2009, 49:851–859. This is one of the few articles examining the effect of pregnancy on headache .

    Article  PubMed  Google Scholar 

  17. Silberstein SD: Sex hormones and headache. Rev Neurol (Paris) 2000, 156(Suppl 4):4 S30–4 S41.

    Google Scholar 

  18. Marcus DA: Sex hormones and chronic headache in women. Expert Opin Pharmacother 2001, 2:1839–1848.

    Article  CAS  PubMed  Google Scholar 

  19. • Arjona A, Rubi-Callejoin J, Guardado-Santervas P, et al.: Menstrual tension-type headache: evidence for its existence. Headache 2007, 47:100–103. This is one of the few articles discussing menstrual cycle and tension headaches .

    Article  PubMed  Google Scholar 

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No potential conflicts of interest related to this article were reported.

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Authors and Affiliations

  1. Department of Neurology, Georgetown University Hospital, Headache Center, 3800 Reservoir Road Northwest, PHC-7, Washington, DC, 20007, USA

    Jessica Ailani

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  1. Jessica Ailani
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Correspondence to Jessica Ailani.

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Ailani, J. Tension-Type Headache and Women: Do Sex Hormones Influence Tension-Type Headache?. Curr Pain Headache Rep 14, 436–440 (2010). https://doi.org/10.1007/s11916-010-0144-4

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  • DOI: https://doi.org/10.1007/s11916-010-0144-4

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