Premenstrual syndrome, premenstrual dysphoric disorder, and coping strategies in women with menstrual migraine - Scorecard - MDSpire

Premenstrual syndrome, premenstrual dysphoric disorder, and coping strategies in women with menstrual migraine

  • By

  • Alshimaa S. Othman

  • Mona Hussein

  • Alaa Elmazny

  • Salsabil Abo Al-Azayem

  • Azza Elashiry

  • Mennat-Allah Tarek

  • Heba Qassim Shamardal

  • Sara El-Sayed Abd El-Ghani

  • Mohamed Wagdy

  • Eman Hany Elsebaie

  • Doaa Lotfy Abd El Baky

  • Rehab Magdy

  • May 29, 2026

  • 0 min

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Clinical Scorecard: Coping Mechanisms and Severity of Premenstrual Syndrome and Dysphoric Disorder in Women Experiencing Menstrual Migraine

At a Glance

CategoryDetail
ConditionPremenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) in Women with Menstrual Migraine
Key MechanismsCoping strategies impact headache severity and PMS symptom burden.
Target PopulationWomen aged 18 to 45 years with a confirmed diagnosis of migraine.
Care SettingHeadache clinics in Egypt.

Key Highlights

  • Women with menstrual migraine (MM) have higher PSST and HIT-6 scores compared to non-MM.
  • PMDD diagnosed in 5.6% of women with MM and 1.9% without MM.
  • Higher PSST scores and lower awareness and acceptance coping strategies correlate with increased headache burden.

Guideline-Based Recommendations

Diagnosis

  • Use the International Classification of Headache Disorders, 3rd edition (ICHD-3) for migraine classification.
  • Assess PMS and PMDD using the Premenstrual Symptoms Screening Tool (PSST).

Management

  • Evaluate coping strategies using the Premenstrual Coping Measure (PMCM).

Monitoring & Follow-up

  • Regularly assess headache impact using the Headache Impact Test-6 (HIT-6).

Risks

  • Increased headache burden associated with PMDD and maladaptive coping strategies.

Patient & Prescribing Data

Women with menstrual migraine and premenstrual symptoms.

Coping strategies may influence perceived headache severity.

Clinical Best Practices

  • Encourage the use of adaptive coping strategies to manage PMS symptoms.
  • Monitor headache impact regularly to adjust management plans.

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