caa a22 4500 445356626 CHVBK 20180317142902.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1007/s10072-011-0538-z doi (NATIONALLICENCE)springer-10.1007/s10072-011-0538-z Oral contraceptives in migraine therapy [Elektronische Daten] [Gianni Allais, Ilaria Castagnoli Gabellari, Cristina De Lorenzo, Ornella Mana, Chiara Benedetto] Even if sometimes combined oral contraceptives (COCs) can initiate or aggravate headaches, in particular migraine, the headaches generally tend to improve after the first months of COC use. If migraine persists, in many patients the attacks are more likely to occur during the pill-free week, and an oral contraceptive-induced menstrual migraine (OCMM) occurs. In case of OCMM, some hormonal manipulations are available, by eliminating or reducing the hormone-free interval (HFI), in order to prevent this estrogen-withdrawal headache. It is possible to use a continuous COCs regimen, to shorten the HFI to less than the traditional 7days, to use a low-dose estrogen supplementation after the 21days of COCs or to prescribe a progestogen-only pill (POP). Interestingly, the use of a POP is a safe option also for women suffering from migraine with aura (in which COCs are absolutely contraindicated) and a recent trial suggests that its use can reduce the frequency of migraine attacks and the duration of aura symptoms too. Springer-Verlag, 2011 Combined oral contraceptives nationallicence Headache nationallicence Hormonal treatment nationallicence Migraine nationallicence Oral contraceptive- induced menstrual migraine nationallicence Progestogen-only pill nationallicence COCs : Combined oral contraceptives nationallicence HFI : Hormone-free interval nationallicence OCMM : Oral contraceptive-induced menstrual migraine nationallicence POP : Progestogen-only pill nationallicence Allais Gianni Department of Gynecology and Obstetrics, Women's Headache Center, University of Turin, Via Ventimiglia 3, 10126, Turin, Italy aut Castagnoli Gabellari Ilaria Department of Gynecology and Obstetrics, Women's Headache Center, University of Turin, Via Ventimiglia 3, 10126, Turin, Italy aut De Lorenzo Cristina Department of Gynecology and Obstetrics, Women's Headache Center, University of Turin, Via Ventimiglia 3, 10126, Turin, Italy aut Mana Ornella Department of Gynecology and Obstetrics, Women's Headache Center, University of Turin, Via Ventimiglia 3, 10126, Turin, Italy aut Benedetto Chiara Department of Gynecology and Obstetrics, Women's Headache Center, University of Turin, Via Ventimiglia 3, 10126, Turin, Italy aut Neurological Sciences Springer Milan 32(2011-05-01), 135-139 1590-1874 32<135 2011 32 10072 https://doi.org/10.1007/s10072-011-0538-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10072-011-0538-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Allais Gianni Department of Gynecology and Obstetrics, Women's Headache Center, University of Turin, Via Ventimiglia 3, 10126, Turin, Italy aut NATIONALLICENCE 700 1- Castagnoli Gabellari Ilaria Department of Gynecology and Obstetrics, Women's Headache Center, University of Turin, Via Ventimiglia 3, 10126, Turin, Italy aut NATIONALLICENCE 700 1- De Lorenzo Cristina Department of Gynecology and Obstetrics, Women's Headache Center, University of Turin, Via Ventimiglia 3, 10126, Turin, Italy aut NATIONALLICENCE 700 1- Mana Ornella Department of Gynecology and Obstetrics, Women's Headache Center, University of Turin, Via Ventimiglia 3, 10126, Turin, Italy aut NATIONALLICENCE 700 1- Benedetto Chiara Department of Gynecology and Obstetrics, Women's Headache Center, University of Turin, Via Ventimiglia 3, 10126, Turin, Italy aut NATIONALLICENCE 773 0- Neurological Sciences Springer Milan 32(2011-05-01), 135-139 1590-1874 32<135 2011 32 10072 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer