Hot Topics

Hot Topics in Neurology: Pills, Pregnancy and Patches: The Relationship Between Hormones and Migraine

Wednesday, June 7, 2023

2:00 PM – 4:00 PM MST

Location:CC: Baron Shaughnessy

Audience:

Adult Neurologist, Child Neurologist, Resident, Fellow, Nurses with interest in topic

Learning Level:

Basic (Resident, New Information), Intermediate (Practicing Physician), Advanced (Special Interest, Higher Level Discussion)

Learning Format:

Audience response system, Lecture/plenary method, Question and answer sessions

CanMEDs Roles:

Medical Expert, Scholar Communicator, Collaborator, Health Advocate, Professional

Co-Chair(s)

AL

Ana Marissa Lagman-Bartolome
FA

Farnaz Amoozegar

Speaker(s)

TR

Thilinie Rajapakse
MK

Michael Knash

Migraine disproportionately affects women three times more than men, with 18% of women and 6% of men affected by this disabling condition. Migraine is influenced by several factors, including fluctuating hormones through the life of women. These hormonal influences have impact at menarche, menstruation, pregnancy, and menopause. For the past few years, there have been updates on the effect of hormones in migraine. It is time to focus on this topic as the management of women with migraine is challenging with peak incidence during their reproductive years. Migraine is considered one of the most disabling conditions globally and an invisible epidemic especially in women with migraine.

This course will provide an understanding on the role of hormones in migraine, evolution of migraine in women, as well as an updated practical approach to evaluation management of migraine in women. This course is a case-based presentation of a female with migraine with and without aura from adolescence, following the evolution of her migraine throughout the different stages of her life from menarche, to pregnancy, and menopause. Issues of discussion will include stroke risk in migraine with aura, OCP use, and recent data and guidelines on management of migraine during pregnancy, lactation, and menopause.

Learning Objectives:

Provide an overview of the evolution of migraine in women
Develop an approach in evaluation and management of migraine in different stages of life of women
Review the role of hormones in evolution of migraine
Appraise the current evidence on hormones, migraine aura and stroke risk
Discuss updates in menstrual migraine treatment and management of migraine during pregnancy, lactation and menopause

Presentations:

2:00 PM – 2:10 PM MST

Why women suffer more migraine than men: Role of Hormones in Migraine
Speaker: Farnaz Amoozegar
Speaker: Ana Marissa Lagman-Bartolome
2:20 PM – 2:40 PM MST

Migraine in Teens: Menarche and Menstrual Migraine
Speaker: Thilinie Rajapakse
2:40 PM – 3:00 PM MST

Hormones, Migraine and Stroke: What’s new?
Speaker: Ana Marissa Lagman-Bartolome
3:00 PM – 3:20 PM MST

More than a headache: Migraine in Pregnancy and Lactation
Speaker: Michael Knash
3:20 PM – 3:40 PM MST

Understanding and Treating Migraine in Menopause
Speaker: Farnaz Amoozegar
3:40 PM – 4:00 PM MST

Panel Discussion: Question and Answer
Speaker: Farnaz Amoozegar
Speaker: Michael Knash
Speaker: Ana Marissa Lagman-Bartolome
Speaker: Thilinie Rajapakse