title: Headaches in middle-aged women during menopausal transition: a headache clinic-based study.
abstract: Middle-aged women are frequent visitors in headache clinics. We investigated the differences in headache characteristics of middle-aged women (aged 40-54 years) according to their menopausal status. In total, 229 women were divided into the following three groups: premenopausal (n = 78), perimenopausal (n = 69), and postmenopausal (n = 82). The prevalence of tension-type headaches was higher in the peri- and postmenopausal groups than in the premenopausal group (p < 0.05), whereas the prevalence of migraines was similar across the three groups. The proportion of patients with a short duration of headache history (<6 months) was significantly higher in the perimenopausal group (40.6%) than in the premenopausal (12.8%) or postmenopausal (17.1%) groups (p < 0.01). Analysis of headaches in perimenopausal patients who did not receive exogenous hormone treatment (n = 61) showed that current headaches were reported as new-onset headaches by 47.5% of subjects, as aggravations of prior headaches by 34.4% of subjects, or as unchanged from prior headaches in 18.0% of subjects. This study shows that the prevalence of tension-type headaches is different between menopausal periods, whereas the prevalence of migraines is not changed. Perimenopausal women tended to experience relatively more tension-type headaches and visited the hospital mainly due to new-onset headaches or aggravated headaches.
authors: Department of Neurology, Korea University Medical Center, Korea University School of Medicine, Seoul, Korea.
authors: Kyungmi
authors: K
authors: Oh
authors: Ki-Young
authors: KY
authors: Jung
authors: Jeong-Yoon
authors: JY
authors: Choi
authors: Woo-Keun
authors: WK
authors: Seo
authors: Kun-Woo
authors: KW
authors: Park
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D015914:Estrogen Replacement Therapy / Q000706:statistics & numerical data; D005260:Female; D020773:Headache Disorders / Q000453:epidemiology*; D006801:Humans; D008593:Menopause; D008875:Middle Aged; D008881:Migraine Disorders / Q000453:epidemiology*; D047648:Perimenopause; D017698:Postmenopause; D017697:Premenopause; D015995:Prevalence; D018781:Tension-Type Headache / Q000453:epidemiology*