{"id":19140,"date":"2016-06-06T16:52:33","date_gmt":"2016-06-06T20:52:33","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=19140"},"modified":"2016-06-06T16:52:33","modified_gmt":"2016-06-06T20:52:33","slug":"are-drops-in-estrogen-levels-more-rapid-in-women-with-migraine","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2016\/06\/are-drops-in-estrogen-levels-more-rapid-in-women-with-migraine\/","title":{"rendered":"Are drops in estrogen levels more rapid in women with migraine?"},"content":{"rendered":"<p>From the American Academy of Neurology media release:<\/p>\n<blockquote><p><img loading=\"lazy\" class=\"alignright size-full wp-image-9609\" src=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/01\/menopause_woman.jpg\" alt=\"menopause woman\" width=\"300\" height=\"209\" \/><strong>Researchers have long known that sex hormones such as estrogen play a role in migraine<\/strong>. But there&#8217;s been little research on how that works. Do women with migraine have higher estrogen levels in general? Higher levels at the peak of the monthly cycle?<\/p>\n<p>Research published in the June 1, 2016, online issue of <em>Neurology<\/em>\u00ae, the medical journal of the American Academy of Neurology, shows that, <strong>for women with a history of migraine, estrogen levels may drop more rapidly in the days just before menstruation than they do for women who do not have migraine history<\/strong>. For other hormone patterns, there were no differences between women with migraine and women who did not have migraine.<\/p>\n<p>The study also showed that the <strong>women with a migraine history had a faster rate of estrogen decline regardless of whether they had a migraine during that cycle<\/strong>.<\/p>\n<p>&#8220;These results suggest that a &#8216;two-hit&#8217; process may link estrogen withdrawal to menstrual migraine. <strong>More rapid estrogen decline may make women vulnerable to common triggers for migraine attacks such as stress, lack of sleep, foods and wine<\/strong>,&#8221; said study author Jelena Pavlovi, MD, PhD, of Albert Einstein College of Medicine\/Montefiore Medical Center in Bronx, NY, and a member of the American Academy of Neurology.<\/p>\n<p>For the study, researchers reviewed migraine history, daily headache diaries and hormone data for 114 women with a history of migraine and 223 women without a history of migraine. The women were an average 47 years old. The investigators measured hormone levels from daily urine samples for one monthly cycle; the participants&#8217; peak hormone levels, average daily levels and day-to-day rates of decline were calculated over the five days following each hormone peak in their cycles.<\/p>\n<p>In the two days after the peak estrogen level in the luteal phase of the cycle, which is the time after ovulation and before menstruation, the <strong>estrogen levels in the women with migraine dropped by 40 percent compared to 30 percent for women without migraine<\/strong>. The rate dropped 34 picrograms per milligram of creatinine (pg\/mgCr) in women with migraine, compared to 23 pg\/mgCr in women without migraine.<\/p>\n<p>&#8220;Future studies should focus on the relationship between headaches and daily hormone changes and explore the possible underpinnings of these results,&#8221; said Pavlovi?.<\/p>\n<p>While the study&#8217;s size and amount of hormone data are strengths, <strong>limitations include proportionately more Chinese and Japanese women in the group of women without migraine and more white and black women in the migraine group<\/strong>. The level of sex hormones may differ according to racial and ethnic differences.<\/p><\/blockquote>\n<p>&nbsp;<\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the American Academy of Neurology media release: Researchers have long known that sex hormones such as estrogen play a role in migraine. But there&#8217;s been little research on how&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2016\/06\/are-drops-in-estrogen-levels-more-rapid-in-women-with-migraine\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[361,10],"tags":[42,391,390,36],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/19140"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=19140"}],"version-history":[{"count":1,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/19140\/revisions"}],"predecessor-version":[{"id":19142,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/19140\/revisions\/19142"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=19140"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=19140"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=19140"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}