Alamaat

Mahwari ki migraine

Har maheene mahwari ke saath laut aane wali migraine ka aik naam hai. Mahwari ki migraine kise kehte hain, yeh perimenopause mein kyun barh sakti hai aur aksar baad mein halki par jati hai, aur hidayat kya ginwati hain.

Is safhe par
  1. Lafz aur hidayat
  2. Yeh kya hai
  3. Yeh kaisa mehsoos ho sakta hai
  4. Yeh kyun hota hai
  5. Hidayat mein kya likha hai
  6. Ilaaj ke baare mein hidayat kya kehti hain
  7. Doctor ko kab dikhayen
  8. Doctor se poochne ke sawal
  9. Deen aur ghar wale
  10. Is par nazar rakhein
  11. Aam sawal
  12. Milte julte mauzuaat
  13. Hawale

Wohi chand din, har maheene. Aap unhi ke hisaab se mansooba banati hain: is hafte ke aakhir mein kuch tay nahin, parde khinche hue. Jab migraine har baar mahwari ke saath laut kar aaye, to is ka aik naam hai.

Lafz aur hidayat

English
Menstrual migraine
In naamon se bhi dhoonda jata hai
menstrually related migraine, menstrual-related migraine, pure menstrual migraine, period migraine, perimenstrual migraine, oestrogen withdrawal migraine
Urdu
ماہواری کی مائیگرین
Roman Urdu
mahwari ki migraine
  • NICE ki sar dard ki guideline, CG150, doctoron se kehti hai ke mahwari se juri migraine ki tashkhees kam az kam do mahwari ke chakkaron tak rakhi gai sar dard ki diary se karein.
  • NHS ki website kehti hai ke mahwari se zara pehle ya us ke dauran aane wale migraine ke douron ko mahwari ki migraine kehte hain, aur yeh doosre waqton ke douron se aksar lambe aur zyada shadeed hote hain.
  • Women's Health Concern ki migraine aur HRT ki fact sheet (September 2026) kehti hai ke menopause se pehle ke saalon mein migraine aksar barh jati hai, aur is ki buniyadi wajah estrogen ka oopar neeche hona batati hai.
  • UK Medical Eligibility Criteria for Contraceptive Use, aura wali migraine ki surat mein, mushtarka goli, patch aur ring ko category 4 mein rakhte hain, yani sehat ke liye na-qabil-e-qubool khatra.

Yeh kya hai

International Headache Society, jis ki darja bandi doctor sar dardon ke naam rakhne ke liye istemal karte hain, do qismein batati hai. Khalis mahwari ki migraine (pure menstrual migraine) mein daure sirf mahwari shuru hone se do din pehle se us ke teesre din tak aate hain, har teen mein se kam az kam do chakkaron mein, aur kisi aur waqt nahin. Mahwari se juri migraine (menstrually related migraine) mein daure isi muddat mein bhi aate hain aur doosre waqton mein bhi. Khalis mahwari ki migraine kam paai jane wali qism hai, aik chhoti aqliyat. Society ke mutabiq mahwari ke daure zyada tar aura ke baghair wali migraine ke hote hain.

The Lancet Neurology mein 2021 ka aik review, Vetvik aur MacGregor ka, mahwari ki migraine ko aam aabadi mein migraine wali taqreeban 20 se 25 feesad auraton mein batata hai.

Pakistan mein 2017 mein shaya hone wale aik mulk geer ghar ghar survey mein paya gaya ke 26.9 feesad auraton ko pichhle aik saal mein migraine hui thi, aur migraine sab se zyada 40 se 49 saal ki umar ke darmiyan thi. Yahan mahwari se is ke taalluq par hamein bohat kam tehqeeq mili.

Yeh kaisa mehsoos ho sakta hai

Cleveland Clinic, Amriki hospital, is ki jo alamaat batata hai woh NHS ke migraine wale safhe se milti hain: sar ki aksar aik taraf dard, matli, aur roshni aur awaaz bohat chubhna.

Farq waqt ka hai, aur bhaari pan ka. NHS kehta hai ke mahwari ki migraine ke daure doosre waqton ke migraine ke douron se aksar lambe aur zyada shadeed hote hain.

Yeh kyun hota hai

International Headache Society kehti hai ke is baat ka kuch saboot hai ke kam az kam kuch auraton mein daure mahwari se theek pehle estrogen ke girne se aate hain, agarchay us waqt ki doosri tabdiliyan bhi kirdar ada kar sakti hain.

Perimenopause ise aur barha sakta hai. Women's Health Concern, jo British Menopause Society ka mareezon ke liye hissa hai, kehta hai ke menopause se pehle ke saalon mein migraine aksar barh jati hai, daure zyada baar aate hain, zyada der rehte hain, aur mahwari se chand din pehle ya us ke dauran shuru hone ka imkaan zyada hota hai. Is ki buniyadi wajah, woh kehta hai, estrogen ka oopar neeche hona hai, aur jaldi jaldi aane wali mahwari ka matlab hai zyada migraine. British Menopause Society aur European Menopause and Andropause Society (EMAS) bhi ise oopar neeche hote estrogen se jodti hain, aur EMAS mazeed kehti hai ke hormone hi wahid wajah nahin.

Menopause ke baad yeh aksar halki par jati hai. Women's Health Concern kehta hai ke bohat si auraton ko mahwari band hone par migraine behtar milti hai, agarchay fauran nahin, aur aura wali migraine ke behtar hone ka imkaan kam hai. Bugge aur doosron ki 2025 ki aik Norway ki tehqeeq ne, migraine wali 4,825 auraton mein, paya ke 46.3 feesad ko menopause ke baad bhi migraine thi. Yani aksar, hamesha nahin.

Hidayat mein kya likha hai

  • NICE ki sar dard ki guideline, CG150, doctoron se kehti hai ke jab daure zyada tar mahwari ke aaghaz ke aas paas, teen mein se kam az kam do chakkaron mein aayen to mahwari se juri migraine ka shak karein, aur is ki tashkhees kam az kam do chakkaron tak rakhi gai sar dard ki diary se karein.
  • The Migraine Trust, Britain ki migraine ki khairati tanzeem, kehti hai ke is ka koi test nahin hai.
  • International Headache Society likhti hai ke bohat si auratein apne douron aur mahwari ke taalluq ko zaroorat se zyada batati hain. Tareekhein likh li jayen to pattern jaisa bhi ho, saamne aa jata hai. Dekhein trigger ka record rakhna.

Ilaaj ke baare mein hidayat kya kehti hain

Daure ke liye, British Association for the Study of Headache (BASH), jo sar dard ke maahireen ka Bartanvi group hai, kehti hai ke mahwari ke daure ka ilaaj migraine ke kisi bhi doosre daure ki tarah kiya jata hai.

Jin douron ka pehle se andaza ho aur jinhein mamool ka ilaaj qaabu na kare, un ke liye NICE CG150 doctoron se kehti hai ke jin dinon daure ki tawaqqo ho, un mein triptan (migraine ki dawa) par ghaur karein. NICE batati hai ke yeh off-label hai. BASH bhi yehi mukhtasar muddat ki rok tham ginwati hai.

Aura ke saath, mushtarka goli (combined pill), patch aur ring ka jawab badal jata hai. UKMEC, Britain ke manay hamal ke miyaar, inhein category 4 mein rakhte hain: sehat ke liye na-qabil-e-qubool khatra. NICE doctoron se kehti hai ke manay hamal ke liye inhein mamool ke taur par pesh na karein. NHS kehta hai ke goli shayad munasib na ho. Women's Health Concern kehta hai ke un ki sifarish nahin ki jati.

Perimenopause mein aik aur raasta hai, aur woh HRT nahin hai. British Menopause Society aur Women's Health Concern ise hormone cycle control kehte hain: hormone wala manay hamal, jo ande daniyon ko khamosh karne aur hormone ki satah ko aik jaisa rakhne ke liye istemal hota hai, chahe aap ko manay hamal ki zaroorat na ho. Aura ke baghair, British Menopause Society mushtarka manay hamal (combined contraception) ka naam leti hai. Aura ke saath, woh sirf progestogen wali goli ka naam leti hai jo ovulation (ande ka nikalna) rokti hai, aur hot flush (achanak garmi lagna) ke liye zaroorat ho to jild ke zariye estrogen ke saath, aur is istemal ko off licence kehti hai. Kam darje ke saboot par, International Menopause Society kehti hai ke mushtarka goliyan aura ke baghair wali auraton ki madad kar sakti hain kyunke woh ovulation rokti hain, magar jin auraton ko khoon ki naliyon ke doosre khatre hon unhein un se bachna chahiye.

HRT (hormone ki dawa) alag sawal hai. Women's Health Concern kehta hai ke perimenopause mein bohat jaldi shuru ki gai HRT migraine badtar kar sakti hai. Woh kehta hai ke aura se HRT ka raasta band nahin hota, aur aura ke saath behtar hai ke jild ke zariye estrogen se shuru kiya jaye, is sab se kam dose par jo hot flush sambhal le. International Menopause Society aik ehtiyat jorti hai: aura ke saath, goliyon ki shakal mein estrogen HRT mein faalij ka kuch izafi khatra ho sakta hai. Mazeed sar dard aur migraine mein.

Doctor ko kab dikhayen

NHS kehta hai ke GP se milein agar aap ko baqaidgi se mahwari se pehle ya us ke dauran migraine hoti hai. Apni diary saath le jayen.

HRT par hon aur aura barh jaye ya pehli baar aaye, to Women's Health Concern kehta hai ke jis ne HRT likhi hai us se poochein. Kisi bhi sar dard ki fauri aur emergency alamaat ke liye dekhein sar dard aur migraine.

Doctor se poochne ke sawal

  1. Mujhe lagta hai ke meri migraine mahwari ke saath aati hai. Kya hum do chakkaron ki diary se ise parakh sakte hain?
  2. Kya mere douron ke saath aura aati hai, aur kya is se yeh farq parta hai ke kaun sa manay hamal ya HRT mere liye theek hai?
  3. Mahwari ke dinon mein meri mamool ki migraine ka ilaaj kaafi nahin hota. Kya mukhtasar muddat ki rok tham mere liye aik option hai?
  4. Kya is marhale par HRT ke bajaye mere hormone ke chakkar ko aik jaisa rakhna mere liye behtar rahega?
  5. Agar baad mein HRT mere liye theek ho, to kya goliyon ke bajaye patch ya gel mere liye behtar rahega?

Deen aur ghar wale

Bohat se gharon mein mahwari par baat karna mushkil hai, is liye is ke saath aane wali migraine ko thakan keh diya jata hai, ya aurat hone ka hissa. Ise naam dena, aur is ke saath tareekhein rakhna, aap ko aur aap ke doctor ko kaam karne ke liye kuch deta hai.

Is par nazar rakhein

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Aam sawal

Kya menopause ke baad meri migraine ruk jaye gi?
Aksar halki par jati hai, magar har aurat ki nahin, aur fauran nahin. Women's Health Concern kehta hai ke bohat si auraton ko menopause ke baad migraine behtar milti hai kyunke hormone ki wajah kam ho jati hai, ke is mein kuch saal lag sakte hain, aur ke aura wali migraine ke behtar hone ka imkaan kam hai. (Hawala: Women's Health Concern, Fact sheet: Migraine and HRT (reviewed September 2026))
Agar mujhe aura wali migraine ho to kya main mushtarka goli le sakti hoon?
UK Medical Eligibility Criteria for Contraceptive Use, aura wali migraine ki surat mein, mushtarka goli, patch aur ring ko category 4 mein rakhte hain, jis ka matlab hai sehat ke liye na-qabil-e-qubool khatra. Aap ka doctor aap ko doosre tareekon ke baare mein bata sakta hai. (Hawala: Faculty of Sexual and Reproductive Healthcare, UK Medical Eligibility Criteria for Contraceptive Use (UKMEC), summary table (April 2016, amended September 2019; archived copy))
Kya hormone cycle control aur HRT aik hi cheez hain?
Nahin. Women's Health Concern kehta hai ke HRT aur hormone wala manay hamal alag hain aur aik doosre ki jagah nahin le sakte. Cycle control ande daniyon ko khamosh karta hai taake hormone ki satah zyada aik jaisi rahe. HRT us estrogen mein izafa karti hai jo ande daniyan abhi bana rahi hain. (Hawala: Women's Health Concern, Fact sheet: Migraine and HRT (reviewed September 2026))

Milte julte mauzuaat

Hawale

  1. International Headache Society, The International Classification of Headache Disorders, 3rd edition (ICHD-3), Cephalalgia 2018;38(1):1-211Hissa: A1.1.1 Pure menstrual migraine without aura; A1.1.2 Menstrually-related migraine without aura; A1.1.3 comments · 18 October 2026 ko khola gaya
  2. Vetvik KG, MacGregor EA. Menstrual migraine: a distinct disorder needing greater recognition. Lancet Neurol 2021;20(4):304-315Hissa: Abstract · 18 October 2026 ko khola gaya
  3. Herekar AA, Ahmad A, Uqaili UL et al. Primary headache disorders in the adult general population of Pakistan: a cross sectional nationwide prevalence survey. J Headache Pain 2017;18(1):28Hissa: Abstract; Results · 18 October 2026 ko khola gaya
  4. NICE CG150, Headaches in over 12s: diagnosis and management (last updated 3 June 2025)Hissa: 1.2.5; 1.2.6; 1.3.30; 1.3.31 · 18 October 2026 ko khola gaya
  5. The Migraine Trust, Menstrual migraine (reviewed May 2025)Hissa: Diagnosis · 18 October 2026 ko khola gaya
  6. NHS website, Migraine (reviewed 10 March 2026)Hissa: Symptoms of migraine; Menstrual migraines; See a GP if · 18 October 2026 ko khola gaya
  7. Cleveland Clinic, Menstrual Migraines (Hormone Headaches) (last updated 19 March 2024)Hissa: Symptoms · 18 October 2026 ko khola gaya
  8. Women's Health Concern, Fact sheet: Migraine and HRT (reviewed September 2026)Hissa: Key points; perimenopause; after menopause; hormone cycle control; HRT and aura · 18 October 2026 ko khola gaya
  9. British Menopause Society, Tool for Clinicians: Migraine and HRT (reviewed April 2026)Hissa: Introduction; early perimenopause, menstrual cycle suppression · 18 October 2026 ko khola gaya
  10. European Menopause and Andropause Society, Menopause Essentials 2026: Migraine (July 2026)Hissa: Migraine and perimenopause · 18 October 2026 ko khola gaya
  11. Bugge NS, Vetvik KG, Alstadhaug KB, Braaten T. Migraine through puberty and menopausal transition: data from the Norwegian Women and Health study (NOWAC). J Headache Pain 2025;26(1):145Hissa: Abstract · 18 October 2026 ko khola gaya
  12. British Association for the Study of Headache, National Headache Management System for Adults 2019 (archived copy; a new edition is due February 2027)Hissa: Menstrual migraine: acute treatment; short-term prevention · 18 October 2026 ko khola gaya
  13. Panay N et al. The International Menopause Society recommendations and key messages on women's midlife health and menopause. Climacteric 2025;28(6):634-656Hissa: Migraine · 18 October 2026 ko khola gaya
  14. Faculty of Sexual and Reproductive Healthcare, UK Medical Eligibility Criteria for Contraceptive Use (UKMEC), summary table (April 2016, amended September 2019; archived copy)Hissa: Combined hormonal contraception: migraine with aura; category definitions · 18 October 2026 ko khola gaya
  15. NHS website, Combined pillHissa: Who can use the pill · 18 October 2026 ko khola gaya