Impact of sex hormonal changes on tension-type headache and migraine: a cross-sectional population-based survey in 2,600 women

Sex hormones have some implications on headaches. The objective of the study was to investigate the effects of hormonal changes comparatively on tension-type headache (TTH) and migraine, in a population-based sample. A nationwide face-to-face prevalence study was conducted using a structured electronic questionnaire. 54.3 % of the migraineurs reported that the probability of experiencing headache during menstruation was high, whereas 3.9 % had headache only during menstruation. Forward logistic regression analysis revealed that menstruation was a significant trigger for migraine in comparison to TTH. On the other hand, nearly double the number of TTH sufferers reported “pure menstrual headache” compared to migraineurs (p = 0.02). Menstrual headaches caused significantly higher MIDAS grades. One-third of the definite migraineurs reported improvement during pregnancy and oral contraceptives significantly worsened migraine. Menopause had a slight improving effect on migraine compared to TTH. Sex hormonal changes have major impacts particularly on migraine; however, the effects of hormonal fluctuations on TTH should not be underestimated.

Electronic supplementary material

The online version of this article (doi:10.1007/s10194-012-0475-0) contains supplementary material, which is available to authorized users.     

Regular abdominal pain and fever in each menstruation onset: an unusual menses-associated familial Mediterrenean fever attacks and a favor result on colchicine treatment

We present a 38-year-old woman suffering from regular abdominal pain and fever only in each menstruation onset for 7 years. The clinical symptoms, along with inflammatory findings during painful attacks, the beneficial effect of colchicine and genetic mutation (M694 V and M680I) supported the diagnosis of familial Mediterranean fever (FMF). A literature review indicated that FMF attacks occurring only during menstruation are rarely seen. This clinical picture may be confused with gynecological disorders especially in the people of Mediterranean origin.     

武警女兵新兵774例月经变化情况的调查研究

 目的了解武警女兵新兵入伍后的月经情况及影响月经的各种因素,以便制定相应的防治措施,为保障女兵身心健康及正常训练,提供有效参考数据.方法调查某地区新入伍女兵774例,并以地方新入学女大学生310例为对照组.观察女兵和女生入伍(入学)1～12个月的月经变化情况.结果女兵入伍后3个月时,月经异常发生率为56.3%,女生为17.4%,两组间差异非常显著.在入伍(入学)3个月时的月经异常者中,精神紧张、疲劳及适应能力差的百分率均高于月经正常者,女兵组比女生组更为明显,两组间差异非常显著.在入伍(入学)12个月时,月经异常者大多数恢复正常,月经异常率两组相似.结论女兵入伍后,月经异常发生率明显增高,其原因除受环境改变及生活习惯改变等影响外,精神紧张、心理压力及体能消耗是本组女兵月经异常的主要因素.     

子宫内膜息肉行宫腔镜联合天然孕激素治疗的效果观察

目的 探讨子宫内膜息肉行宫腔镜手术后再联合天然孕激素治疗的效果.方法 选取合肥市第三人民医院2019年3月—2020年3月收治的70例子宫内膜息肉患者.按收治患者时间顺序分对照组和观察组,各35例.对照组行宫腔镜下子宫内膜息肉切除术,观察组行宫腔镜下子宫内膜息肉切除术后联合应用天然孕激素治疗.2组术后均予抗生素预防感染...     

穴位注射治疗月经过少临床观察

目的观察采用黄芪、丹参注射液穴位注射治疗月经过少的临床疗效。方法 72例患者随机分为穴位注射组和针刺组,各36例。两组取穴均为气海、关元、子宫、次髎等,比较穴位注射和针刺两种疗法对月经过少患者各个治疗阶段月经量的影响,从而分析两种疗法对月经过少的不同疗效。结果穴位注射组和针刺组总有效率分别是100%和91.7%,两者差异有统计学意义（P〈0.05）;治疗1个月后和治疗2个月后对经量的改善程度均是穴位注射组优于针刺组。结论穴位注射和针刺两种疗法均可有效治疗月经过少,但穴位注射疗法不仅起效较快,而且总体疗效优于单纯针刺法。     

雷火灸治疗人工流产术后月经过少疗效观察

目的:观察雷火灸治疗人工流产术后月经过少的临床疗效.方法:将74例人工流产术后月经过少患者随机分为两组,每组37例.对照组予以常规激素序贯疗法;观察组予雷火灸治疗.疗程为3个月经周期.观察治疗前后中医证候评分、月经量、子宫内膜厚度及性激素指标水平,比较临床疗效.结果:观察组和对照组总有效率分别为91.4％和73.5％,...