Excellent review article about migraine in men

This is an excellent review of the scientific literature about migraine in men. While the prevalence of migraine is lower in men, millions of men in the US have migraine. Men are less likely to seek help from their primary care provider and they are less likely to be properly diagnosed than women.

Men may be more likely to experience aura, but less likely to experience associated symptoms, such as nausea, vomiting, and sensitivity to light and sound. Migraines tend to increase in frequency and duration as men get older (> 40), whereas only the duration of migraine increases as women age.

Men may require higher doses of medications and some medications, such as gepants (Nurtec, Ubrelvy, etc) may not work very well for acute treatment in men, whereas triptans may work better in men than women. Some medications used for migraine may result in sexual dysfunction and ED, which is problematic.

Are you a man with migraine? What are some of the gender and sex-related issues that you have experienced with migraine.

https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-024-01936-7