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Brief CommunicationBrief Communication
Open Access

Association between sex hormones and migraine in young Saudi females

Lubna I. Al Asoom, Modhi S. Alajmi, Reem R. Alsudairi, Abeer A. AlShamlan, Amal A. Almomaten, Asma A. Alqarni, Manal H. Alshammari, Nazish Rafique, Rabia Latif, Ahmed A. Alsunni, Dana A. Almohazey, Hind S. Alsuwat, Sayed Abdul Azeez and Francis J. Borgio
Saudi Medical Journal July 2021, 42 (7) 793-797; DOI: https://doi.org/10.15537/smj.2021.42.7.20210110
Lubna I. Al Asoom
From the Department of Physiology (Al Asoom, Rafique, Latif, Alsunni); from the College of Medicine (Alajmi, Alsudairi, AlShamlan, Almomaten, Alqarni, Alshammari); from the Department of Stem Cell Research (Almohazey); and from the Department of Genetic Research (Alsuwat, AbdulAzeez, Borgio), Institute for Research and Medical Consultations, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
MBBS PhD
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  • For correspondence: [email protected]
Modhi S. Alajmi
From the Department of Physiology (Al Asoom, Rafique, Latif, Alsunni); from the College of Medicine (Alajmi, Alsudairi, AlShamlan, Almomaten, Alqarni, Alshammari); from the Department of Stem Cell Research (Almohazey); and from the Department of Genetic Research (Alsuwat, AbdulAzeez, Borgio), Institute for Research and Medical Consultations, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
MBBS
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Reem R. Alsudairi
From the Department of Physiology (Al Asoom, Rafique, Latif, Alsunni); from the College of Medicine (Alajmi, Alsudairi, AlShamlan, Almomaten, Alqarni, Alshammari); from the Department of Stem Cell Research (Almohazey); and from the Department of Genetic Research (Alsuwat, AbdulAzeez, Borgio), Institute for Research and Medical Consultations, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
MBBS
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Abeer A. AlShamlan
From the Department of Physiology (Al Asoom, Rafique, Latif, Alsunni); from the College of Medicine (Alajmi, Alsudairi, AlShamlan, Almomaten, Alqarni, Alshammari); from the Department of Stem Cell Research (Almohazey); and from the Department of Genetic Research (Alsuwat, AbdulAzeez, Borgio), Institute for Research and Medical Consultations, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
MBBS
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Amal A. Almomaten
From the Department of Physiology (Al Asoom, Rafique, Latif, Alsunni); from the College of Medicine (Alajmi, Alsudairi, AlShamlan, Almomaten, Alqarni, Alshammari); from the Department of Stem Cell Research (Almohazey); and from the Department of Genetic Research (Alsuwat, AbdulAzeez, Borgio), Institute for Research and Medical Consultations, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
MBBS
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Asma A. Alqarni
From the Department of Physiology (Al Asoom, Rafique, Latif, Alsunni); from the College of Medicine (Alajmi, Alsudairi, AlShamlan, Almomaten, Alqarni, Alshammari); from the Department of Stem Cell Research (Almohazey); and from the Department of Genetic Research (Alsuwat, AbdulAzeez, Borgio), Institute for Research and Medical Consultations, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
MBBS
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Manal H. Alshammari
From the Department of Physiology (Al Asoom, Rafique, Latif, Alsunni); from the College of Medicine (Alajmi, Alsudairi, AlShamlan, Almomaten, Alqarni, Alshammari); from the Department of Stem Cell Research (Almohazey); and from the Department of Genetic Research (Alsuwat, AbdulAzeez, Borgio), Institute for Research and Medical Consultations, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
MBBS
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Nazish Rafique
From the Department of Physiology (Al Asoom, Rafique, Latif, Alsunni); from the College of Medicine (Alajmi, Alsudairi, AlShamlan, Almomaten, Alqarni, Alshammari); from the Department of Stem Cell Research (Almohazey); and from the Department of Genetic Research (Alsuwat, AbdulAzeez, Borgio), Institute for Research and Medical Consultations, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
MBBS, PhD
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Rabia Latif
From the Department of Physiology (Al Asoom, Rafique, Latif, Alsunni); from the College of Medicine (Alajmi, Alsudairi, AlShamlan, Almomaten, Alqarni, Alshammari); from the Department of Stem Cell Research (Almohazey); and from the Department of Genetic Research (Alsuwat, AbdulAzeez, Borgio), Institute for Research and Medical Consultations, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
MBBS, PhD
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Ahmed A. Alsunni
From the Department of Physiology (Al Asoom, Rafique, Latif, Alsunni); from the College of Medicine (Alajmi, Alsudairi, AlShamlan, Almomaten, Alqarni, Alshammari); from the Department of Stem Cell Research (Almohazey); and from the Department of Genetic Research (Alsuwat, AbdulAzeez, Borgio), Institute for Research and Medical Consultations, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
MBBS, PhD
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Dana A. Almohazey
From the Department of Physiology (Al Asoom, Rafique, Latif, Alsunni); from the College of Medicine (Alajmi, Alsudairi, AlShamlan, Almomaten, Alqarni, Alshammari); from the Department of Stem Cell Research (Almohazey); and from the Department of Genetic Research (Alsuwat, AbdulAzeez, Borgio), Institute for Research and Medical Consultations, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
MSc, PhD
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Hind S. Alsuwat
From the Department of Physiology (Al Asoom, Rafique, Latif, Alsunni); from the College of Medicine (Alajmi, Alsudairi, AlShamlan, Almomaten, Alqarni, Alshammari); from the Department of Stem Cell Research (Almohazey); and from the Department of Genetic Research (Alsuwat, AbdulAzeez, Borgio), Institute for Research and Medical Consultations, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
BSc
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Sayed Abdul Azeez
From the Department of Physiology (Al Asoom, Rafique, Latif, Alsunni); from the College of Medicine (Alajmi, Alsudairi, AlShamlan, Almomaten, Alqarni, Alshammari); from the Department of Stem Cell Research (Almohazey); and from the Department of Genetic Research (Alsuwat, AbdulAzeez, Borgio), Institute for Research and Medical Consultations, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
MSc, PhD
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Francis J. Borgio
From the Department of Physiology (Al Asoom, Rafique, Latif, Alsunni); from the College of Medicine (Alajmi, Alsudairi, AlShamlan, Almomaten, Alqarni, Alshammari); from the Department of Stem Cell Research (Almohazey); and from the Department of Genetic Research (Alsuwat, AbdulAzeez, Borgio), Institute for Research and Medical Consultations, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
MSc, PhD
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    Figure 1

    - Linear regression lines demonstrating the correlation of BMI with (a) estrogen during the follicular phase, (b) progesterone during the follicular phase, and (c) Migraine pain intensity by the visual analog scale.

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    Table 1

    - Comparison of the general characteristics and the hormonal levels between the migraineurs of MM, NMM migraine types and the controls during the follicular and luteal phases using ANOVA and LSD post hoc test.

    CharacteristicsControl (n=21)MM (n=9)P-value1NMM (n=5)P-value2
    Mean±SDMean±SDMean±SD
    Age (years)21.83±2.0221.76±2.730.93622.36±4.480.596
    Body weight (Kg)56.59±10.9558.44±7.080.59665.55±15.68*0.027
    BMI21.78±4.2422.60±2.550.55225.77±6.53*0.013
    Follicular phase estrogen (pg/ml)11.96±4.688.88±5.560.37930.00±19.60**<0.001
    Luteal phase estrogen (pg/ml)25.18±13.1721.41±15.360.50639.79±11.45*0.037
    Follicular phase progesterone (ng/ml)2.90±1.112.82±1.640.9274.20±4.770.232
    Luteal phase progesterone (ng/ml)8.29±4.567.36±5.560.61910.63±2.450.299
    Follicular phase testosterone (ng/ml)0.91±0.281.00±0.320.5491.14±0.680.226
    Luteal phase testosterone (ng/ml)0.83±0.261.10±0.31*0.0230.60±0.220.089
    • MM - menstrually related, NMM - non-menstrual related, ANOVA - analysis of variance, LSD - least significant difference, BMI - body mass index, SD - standard deviation. P-value1 reflects the level of significance of LSD test comparing MM to the controls, P-value2 reflects the level of significance of LSD test comparing NMM to the controls. * p<0.05, ** p<0.001.

    • View popup
    Table 2

    - Comparison of the sex hormone levels during the actual attacks of follicular versus luteal onset. (using independent samples student t-test).

    Sex hormone levelsMigraineurs with follicular onset (n=9)Migraineurs with luteal onset (n=5)P-value
    Mean±SDMean±SD
    Follicular phase Estrogen (pg/ml)16.41±14.2316.41±21.561.000
    Luteal phase Estrogen (pg/ml)32.49±14.0713.96±7.88*0.036
    Follicular phase Progesterone (ng/ml)3.97±3.391.68±0.380.213
    Luteal phase Progesterone (ng/ml)9.93±4.565.21±2.490.087
    Follicular phase Testosterone (ng/ml)1.10±0.490.94±0.430.609
    Luteal phase Testosterone (ng/ml)0.96±0.350.96±0.350.964
    • SD - standard deviation.

    • * p<0.05,

    • ↵** p<0.001.

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Saudi Medical Journal: 42 (7)
Saudi Medical Journal
Vol. 42, Issue 7
1 Jul 2021
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Association between sex hormones and migraine in young Saudi females
Lubna I. Al Asoom, Modhi S. Alajmi, Reem R. Alsudairi, Abeer A. AlShamlan, Amal A. Almomaten, Asma A. Alqarni, Manal H. Alshammari, Nazish Rafique, Rabia Latif, Ahmed A. Alsunni, Dana A. Almohazey, Hind S. Alsuwat, Sayed Abdul Azeez, Francis J. Borgio
Saudi Medical Journal Jul 2021, 42 (7) 793-797; DOI: 10.15537/smj.2021.42.7.20210110

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Association between sex hormones and migraine in young Saudi females
Lubna I. Al Asoom, Modhi S. Alajmi, Reem R. Alsudairi, Abeer A. AlShamlan, Amal A. Almomaten, Asma A. Alqarni, Manal H. Alshammari, Nazish Rafique, Rabia Latif, Ahmed A. Alsunni, Dana A. Almohazey, Hind S. Alsuwat, Sayed Abdul Azeez, Francis J. Borgio
Saudi Medical Journal Jul 2021, 42 (7) 793-797; DOI: 10.15537/smj.2021.42.7.20210110
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Keywords

  • migraine
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  • estrogen
  • progesterone
  • testosterone

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