Abstract
The higher prevalence of migraine in women is recognized by many studies, and clinical experience. Hormonal changes are attributed to this higher prevalence, and the impact of these fluctuations are seen throughout the stages in a women’s life. Headache occurrence and treatment varies throughout the reproductive years, through menses, pregnancy, and lactation. Selection of contraceptive methods will also be influenced by the patient’s headache history. The onset of menopause may bring some decrease in the number of headaches, but the challenges of hormone replacement therapy will further complicate headache management. The treatment of the female with migraine requires continuity of care and an acknowledgment of the many factors involved in this patient.
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