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Migraine in women with chronic pelvic pain with and without endometriosis.

Abstract：

OBJECTIVE:To examine the prevalence of migraine in women with chronic pelvic pain with and without endometriosis. DESIGN:Prospective study of headache, pelvic pain, and quality of life before laparoscopic surgery for pelvic pain. Endometriosis was diagnosed pathologically. Headaches were classified as migraine or non-migraine using International Headache Society criteria. SETTING:Clinical research hospital. PATIENT(S):108 women in a clinical trial for chronic pelvic pain (NCT00001848). INTERVENTION(S):Laparoscopy to diagnose endometriosis, assessment by neurologist to assess headaches. MAIN OUTCOME MEASURE(S):Prevalence of migraine and other headaches in women with chronic pelvic pain with or without endometriosis. Headache frequency, severity and relationship to pelvic pain and endometriosis. RESULT(S):Lifetime prevalence of definite or possible migraine was 67% of women with chronic pelvic pain. An additional 8% met criteria for possible migraine. Migraine was no more likely in women with endometriosis than those without. Women with the most severe headaches had a lower quality of life compared with those with pelvic pain alone. CONCLUSION(S):Migraine headache is common in women with chronic pelvic pain, regardless of endometriosis, and contributes to disability in those with both conditions. The strong association suggests a common pathophysiology.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Karp BI,Sinaii N,Nieman LK,Silberstein SD,Stratton P

doi

10.1016/j.fertnstert.2010.11.037

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

895-9

issue

3

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(10)02839-6

journal_volume

95

pub_type

杂志文章

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