Hormonal Migraine Seasons in a Woman’s Life

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Key Questions
  • What is the connection between migraine and female hormones like estrogen?
  • What is the difference between hormonal migraine and migraine?
  • Is hormonal migraine found only in women or can men be diagnosed with it, as well?
  • How do you know if you might have abnormal hormone balance or function?
  • What is the best way to treat migraine in puberty and adolescence?
  • Are there any over-the-counter medications that have been found to be helpful in treating hormonal migraine?
  • Are there certain forms of birth control that can aid in treating hormonal migraine?
  • Are there any therapies or treatments that are safe to use during pregnancy?
  • If a medication is safe to use during pregnancy, is it also safe to use while breastfeeding?
  • Is there a difference between menstrual, perimenopausal, and menopausal migraine?
  • When entering perimenopause, what are some strategies to use in treating migraine?
  • Is it true that migraine attacks are likely to lessen after menopause?
  • If a woman has had a total hysterectomy, is she still susceptible to hormone-induced migraine attacks?
Interview Notes
Jessica Ailani

Jessica Ailani, MD

Director and Headache Specialist
MedStar Georgetown Headache Center

Dr. Jessica Ailani is board-certified in neurology, with added certifications in neurology and headache. She is an associate professor of neurology at MedStar’s Georgetown University Hospital, and director of the MedStar Georgetown Headache Center. She is a specialist in headache and women’s health, and is dedicated to patient education. Dr. Ailani is also a member of several professional societies, including the American Headache Society and the American Academy of Neurology.

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