The three primary headaches tension type headache migraine and cluster headache occur in both genders but all seem to have a sex specific prevalence these gender differences suggest that both male and female sex hormones could have an influence on the course of primary headaches this review aims to summarise the most relevant and recent literature on this topic. A variety of evidence suggests a link between migraine and the female sex hormones women with migraine outnumber men by at least a 21 ratio and definite patterns of development and attacks are noted at menarche and throughout the period of menses related to trimester of pregnancy and again at menopause although it may also regress. Having steady estrogen levels may improve headaches while experiencing estrogen levels that dip or change can make headaches worse though fluctuating hormone levels can influence headache patterns youre not completely at the mercy of your hormones your doctor can help you treat or prevent hormone related headaches. Migraine headaches sex hormones linked the rate of migraine headaches among the sex change patients was similar to the rate of migraines among dutch women. Little research has examined the role of sex hormones in primary headaches in the elderly and men according to a literature review published in the journal of headache and pain pubmed was
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