title: Migraine and Hormones.
abstract: This article discusses the role that hormones play in adolescent girls and young women with headaches, which are very common in adolescent girls, in particular, migraine. In many cases, migraine onset may occur shortly around the time of menarche, prevalence of recurrent migraine in this population approaches 15%, and typically the symptoms continue through adulthood. Hormonal changes associated with puberty and the menstrual cycle may significantly influence migraine in young women. This article reviews the following topics: management of menstrually related headaches, changes in ovarian hormones and their relationship to migraine, and oral contraceptives and pregnancy effects on migraine.
authors.affiliation: Departments of Pediatrics and Neurology, Nationwide Children's Hospital, The Ohio State University, Columbus, OH. Electronic address: Ann.pakalnis@nationwidechildrens.org.
authors.forename: Ann
authors.initials: A
authors.lastname: Pakalnis
mesh_terms: D000293:Adolescent; D002648:Child; D003276:Contraceptives, Oral / Q000009:adverse effects; D005260:Female; D012739:Gonadal Steroid Hormones / Q000378:metabolism*; D006801:Humans; D008597:Menstrual Cycle / Q000502:physiology*; D008881:Migraine Disorders / Q000453:epidemiology / Q000378:metabolism* / Q000503:physiopathology*; D011247:Pregnancy
chemical_list: D003276:Contraceptives, Oral; D012739:Gonadal Steroid Hormones