Diagnosis and Treatment of Headache. Perimenopausal or Menopausal Migraine Algorithm.

[Attempt treatment with Migraine Prophylactic Treatment Algorithm]

[Refer to Estrogen-Containing Contraceptives Migraine Algorithm]

[Return to Migraine Treatment Algorithm]

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Source: Institute for Clinical Systems Improvement (ICSI). Diagnosis and treatment of headache. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2007 Jan. 72 p. Diagnosis and Treatment of Headache Perimenopausal or Menopausal Migraine Algorithm Perimenopausal or menopausal with active migraine history and is a potential candidate for HT. A HT: newer terminology for HRT. In this guideline, HT indicates treatment with one of several available estrogens, with or without progestin. The patient would enter this algorithm from box 54 of the Migraine Treatment Algorithm. Patient is willing to start HT? A Attempt treatment with Migraine Prophylactic Treatment Algorithm Hormone therapy. *Oral or transdermal estrogen. *Progestin if indicated. *Estrogen-containing contraceptives. Refer to Estrogen-Containing Contraceptives Migraine Algorithm. A Continue therapy Successful? Successful? A Consider changing delivery system or formulation of estrogen and progestin. A Continue with therapy and follow-up Successful? *Specialty consultation. *Return to Migraine Treatment Algorithm. A = Annotation All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.