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Published Online First: 11 January 2006. doi:10.1136/jnnp.2005.081158
Journal of Neurology, Neurosurgery, and Psychiatry 2006;77:690-692
Copyright © 2006 by the BMJ Publishing Group Ltd.
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SHORT REPORT

Cluster headache in women: relation with menstruation, use of oral contraceptives, pregnancy, and menopause

J A van Vliet1, I Favier2, F M Helmerhorst3, J Haan2,4, M D Ferrari2

1 Department of Neurology, Medical Centre Haaglanden, The Hague, Netherlands
2 Department of Neurology, Leiden University Medical Centre, Leiden, Netherlands
3 Department of Gynaecology, Leiden University Medical Centre
4 Department of Neurology, Rijnland Hospital, Leiderdorp, Netherlands

Correspondence to:
Correspondence to:
Dr I Favier
Department of Neurology, K5-Q, PO Box 9600, 2300 RC Leiden, Netherlands; i.favier{at}lumc.nl


ABSTRACT
In contrast with migraine, little is known about the relation between cluster headache and menstrual cycle, oral contraceptives, pregnancy, and menopause. A population based questionnaire study was performed among 224 female cluster headache patients, and the possible effect of hormonal influences on cluster headache attacks studied. For control data, a similar but adjusted questionnaire was sent to healthy volunteers and migraine patients. It was found that menstruation, use of oral contraceptives, pregnancy, and menopause had a much smaller influence on cluster headache attacks than in migraine. Cluster headache can, however, have a large impact on individual women, for example to refrain from having children.

Keywords: cluster headache; menstruation; oral contraceptives; pregnancy; menopause




eLetters:

Read all eLetters

Cluster headache: Key pathophysiological issues
Vinod K Gupta
JNNP Online, 2 Mar 2006 [Full text]

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