Improvement of migraine with change from combined hormonal contraceptives to progestin-only contraception with desogestrel: How strong is the effect of taking women off combined contraceptives?
J Obstet Gynaecol
; 37(3): 338-341, 2017 Apr.
Article
em En
| MEDLINE
| ID: mdl-28129717
ABSTRACT
Migraine is a disabling headache disorder, which affects up to 17% of the female population. Oestrogen withdrawal during the menstrual cycle or the hormone-free interval in users of combined hormonal contraceptives (CHC) plays a pivotal role. Two diary-based studies demonstrated a positive impact of the progestin-only pill (POP) desogestrel 75 µg on the frequency of the migraine attacks and pain intensity. In both studies, CHC users as well as nonusers were included, which makes it difficult to distinguish between the effect of taking women off the CHC and the benefit of the POP itself. With the present study, we compared the therapeutic effect of the POP desogestrel 75 µg on migraine in current CHC users and nonusers. We found a positive influence of desogestrel on migraine not only in women who switched from CHCs to desogestrel, but also in those who had not used hormones over 6 months before starting it. Our findings need to be confirmed in prospectively conducted studies with larger sample size.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Progestinas
/
Desogestrel
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Anticoncepcionais Orais Combinados
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Transtornos de Enxaqueca
Tipo de estudo:
Observational_studies
Limite:
Adult
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Female
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Humans
Idioma:
En
Revista:
J Obstet Gynaecol
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Suíça