Hormone Therapy May Be OK for Women With Migraines

News Picture: Hormone Therapy May Be OK for Women With MigrainesBy Amy Norton
HealthDay Reporter

WEDNESDAY, Oct. 11, 2017 (HealthDay News) — Women who suffer from migraines may be able to safely use hormone therapy to treat menopause symptoms, a new study suggests.

The study of 85,000 U.S. women found no evidence that hormone therapy carried a particular risk of heart attack or stroke among those with a history of migraine headaches.

That possibility has been a concern, mainly based on studies of younger women with migraines. Those studies linked hormonal birth control pills to a small risk of stroke, particularly among women whose migraines feature “aura” symptoms — most often, visual disturbances such as seeing zigzag lines or bright flashes.

Less has been known about any risks of hormone replacement therapy, said Dr. Jelena Pavlovic, the lead researcher on the new study.

“It appears safe for women with migraines to use hormone therapy, in terms of their cardiovascular risk,” said Pavlovic, an assistant professor of neurology at Albert Einstein College of Medicine in New York City.

That said, she added, the general advice for women is to talk to their doctor about the benefits and risks of hormone therapy — and to start “low and slow.”

That’s the advice of groups such as the American College of Obstetricians and Gynecologists. They recommend that women only use hormone therapy at the lowest dose and for the shortest length of time needed to ease menopause symptoms such as hot flashes and night sweats.

Doctors have been cautious about menopausal hormone therapy ever since 2002, when results were reported from a large U.S. government study called the Women’s Health Initiative (WHI).

It found that women who were given menopausal hormone therapy — with estrogen and progestin, or estrogen alone — faced health risks. They included heightened odds of breast cancer, blood clots and stroke.

Since then, studies have suggested the situation is more nuanced. Hormone therapy seems safer, for example, for relatively younger women at the beginning of menopause. (Women in the WHI were, on average, in their early 60s.)

It’s remained unclear, Pavlovic said, whether women with migraines can safely go on hormone therapy.

It’s estimated that migraines affect 1 in every 4 women, she said.

For the new study, Pavlovic and her colleagues combed through data from the WHI.

They found that of more than 85,000 participants with no history of heart disease or stroke, 8,800 women had suffered from migraines. During the study period, just over 1,100 women overall developed heart disease, a stroke or blood clots in the legs or lungs.

The researchers found no evidence that women with migraines were more likely than others to suffer those complications. And migraine sufferers who were given hormone therapy faced no greater risks than those given a placebo.

Dr. Huma Sheikh is an assistant professor of neurology at Mount Sinai’s Icahn School of Medicine in New York City.

She said the new findings are “encouraging.”

At one time, Sheikh said, many doctors treating women with migraines would have considered hormones to be “off the table.”

“But now they’re becoming more open to it,” she said. That’s partly because hormones are prescribed at lower doses today versus years ago, Sheikh noted.

The current study has limitations, Pavlovic acknowledged. For one, it looked at women’s risk of cardiovascular problems overall, and not their risk of stroke specifically.

The researchers were also unable to look separately at women who had migraines with aura.

Sheikh said further studies are needed to validate these findings — and to sort out whether certain women with migraines might face risks from hormone therapy.

For now, she suggested first trying nonhormonal ways to manage menopausal symptoms.

If women do consider hormone therapy, Sheikh added, their overall health has to be taken into account — including whether they have risk factors for heart disease and stroke, such as high blood pressure and diabetes.

The findings were scheduled for presentation this week at the annual meeting of the North American Menopause Society, in Philadelphia. Studies presented at meetings are usually considered preliminary until published in a peer-reviewed journal.

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SOURCES: Jelena Pavlovic, M.D., Ph.D., assistant professor, neurology, Albert Einstein College of Medicine, New York City; Huma Sheikh, M.D., assistant professor, neurology, Icahn School of Medicine at Mount Sinai, New York City; Oct. 11, 2017, presentation, North American Menopause Society, annual meeting, Philadelphia

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    Almost 21 Million Worldwide Now Have Access to HIV Meds

    News Picture: Almost 21 Million Worldwide Now Have Access to HIV Meds

    Latest Sexual Health News

    TUESDAY, Nov. 21, 2017 (HealthDay News) — The number of people with HIV who take life-saving antiretroviral medications has increased by tens of millions worldwide in recent decades, a United Nations report says.

    The number rose from 685,000 in 2000 to 20.9 million as of June 2017, according to UNAIDS, the Joint United Nations Program on HIV and AIDS.

    “Many people do not remember that in 2000 there were only 90 people in South Africa on treatment,” Michel Sidibe, executive director of UNAIDS, said in an agency news release.

    “Today, South Africa has the biggest life-saving treatment program in the world, with more than 4 million people on treatment,” Sidibe said. “This is the kind of acceleration we need to encourage, sustain and replicate.”

    The new report also said that because more people with HIV are receiving treatment, more of them are alive and well.

    Research also shows that people with HIV who adhere to antiretroviral treatment are up to 97 percent less likely to transmit the AIDS-causing virus to others. And as treatment has become more available to pregnant women, there has been a sharp drop in the number of children born with HIV.

    However, a number of challenges remain, the report said. One is to provide antiretroviral treatment to over 17 million people with HIV who currently aren’t receiving it, including 919,000 children.

    Another challenge is to make HIV prevention a public health priority again, particularly in nations with rising HIV infection rates. In eastern Europe and central Asia, for example, the rate of new infections has risen 60 percent since 2010 and AIDS-related deaths have increased 27 percent, according to the new report.

    — Robert Preidt

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    Copyright © 2017 HealthDay. All rights reserved.

    SOURCE: UNAIDS, news release, Nov. 20, 2017

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      Train Boosts Youngsters’ Mind Well being, Too

      News Picture: Exercise Boosts Kids' Brain Health, TooBy Julie Davis
      HealthDay Reporter

      Newest Train & Health Information

      FRIDAY, Jan. 5, 2018 (HealthDay Information) — A scarcity of train places children in danger for very grownup issues, like weight problems and diabetes.

      Now there’s additionally analysis that hyperlinks train to their cognitive improvement and achievement at school. Seems that bodily exercise provides the younger mind wanted boosts, in keeping with a examine revealed in Monographs of the Society for Analysis in Baby Improvement.

      Lively youngsters do higher at school and on exams as a result of train appears to result in bigger mind volumes in areas related to reminiscence and pondering features, reminiscent of habits and decision-making. Lively children additionally seem to have higher focus and longer consideration spans — being match helps them keep centered to finish assignments, the examine authors reported.

      These findings look like true for youngsters with particular wants as effectively. Bodily exercise can profit youngsters with attention-deficit/hyperactivity dysfunction or an autism spectrum dysfunction.

      The Bodily Exercise Tips for People recommends 60 minutes of train for youngsters no less than 5 days of each week. With the calls for of faculty and homework, this day by day aim may be laborious to realize with out assist from Mother and Dad.

      Work along with your youngster to find the varieties of actions she or he would get pleasure from most. These may be organized, like becoming a member of a swimming membership or sports activities groups, or extra informal, like bike driving, leaping rope or just having enjoyable at an area park with pals earlier than beginning homework.

      It may well’t be mentioned sufficient that youngsters copy their dad and mom’ habits. In the event that they see you understanding and having an excellent time, they will be extra more likely to embrace train as a daily life-style behavior. Train as a household, and everybody will profit.

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        ____________________________________________________________________

        Copyright:

        Diagrams used in this presentation were taken from:
        Concise Histology by  Leslie P. Gartner and James L. Hiatt (July 2010) Elsevier
        Histology and Cell Biology, An introduction to Pathology by Albert L. Kierszenbaum and Laura L. Tres (2012) Elsevier
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        Meyer’s Histology: http://histology-online.com

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        Potentially lifesaving implantable cardioverter defibrillators underutilized in eligible patients

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