A migraine is a severe headache that is often accompanied by nausea, vomiting, and sensitivity to light. This may take hours or days. Migraines are different for everyone. For many people, they develop in stages. Migraines often begin with a dull ache and develop into throbbing pain. It usually worsens during physical activity. The pain may move from one side of the head to the other, maybe in the front of the head, or feel as if it affects the entire head. About 80% of people experience nausea with headaches and about half experience vomiting. You may also be pale and clammy or feel weak. Most migraine headaches last about 4 hours, but severe ones can last more than 3 days. There are usually two to four headaches per month. For some people, migraines can occur every few days, while for others they happen once or twice a year. Migraine affects women more often than men. Women usually have more frequent attacks and the attacks last longer. In addition, women are more likely to suffer from migraine with aura. This is due to hormonal differences as well as cyclic hormonal fluctuations. Some people suggest a protective effect of testosterone in men. This sexual predisposition is further enhanced by the use of contraceptives. Social factors may also play a role in developing and underdeveloped countries due to gender bias and discrimination; and their impact on diet, working conditions, and sleep. This understanding can be valuable when planning therapeutic strategies for women.
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