Overcoming Monthly Menstrual Migraine

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Key Questions
  • How is menstrual migraine different from migraine in general?
  • What is the connection between a woman’s menstrual cycle and migraine?
  • How does migraine change throughout a woman’s lifespan?
  • What treatments and/or lifestyle modifications are recommended for hormonal and menstrual migraine?
  • Is testing of hormone levels helpful in migraine management?
  • Does migraine become less severe with age?
  • How does treatment change during perimenopause and menopause?
  • Is it best to consult a gynecologist or a headache specialist for hormonal and menstrual migraine?
  • Are there any nonmedical options for treating hormonal and menstrual migraine?
  • Can hormonal or menstrual migraine mask any other conditions?
Interview Notes

Christine Lay, MD, FAHS

Professor of Neurology, Deborah Ivy Christiani Brill Chair
University of Toronto

Dr. Christine Lay is a professor of neurology and the founding director of the headache program at the University of Toronto, where she holds the Deborah Ivy Christiani Brill chair for neurology research. She completed her residency at the Mayo Clinic and her headache fellowship at Albert Einstein College of Medicine in New York.

In addition to directing and growing the headache program at the University of Toronto and heading a very busy patient practice, she is actively involved in research and teaching. She directs the Canadian Headache Society fellowship program in Toronto; she is actively engaged in advocacy and education, serving as the chair of the American Migraine Foundation; and she is a board member of the American Headache Society and the Canadian Headache Society.

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