Prenatal oestrogen-testosterone balance as a risk factor of migraine in adults

Abstract Background Migraine is a common neurological disease with extremely debilitating, but fully reversible symptoms. Women suffer from migraine more often than men. It was assumed that fluctuation of oestrogen level during menstrual cycle is one of many factors responsible for more frequent mig...

Full description

Bibliographic Details
Main Authors: Magdalena Kobus, Aneta Sitek, Bogusław Antoszewski, Jacek Rożniecki, Jacek Pełka, Elżbieta Żądzińska
Format: Article
Language:English
Published: BMC 2021-10-01
Series:The Journal of Headache and Pain
Subjects:
Online Access:https://doi.org/10.1186/s10194-021-01326-3
_version_ 1818730559274221568
author Magdalena Kobus
Aneta Sitek
Bogusław Antoszewski
Jacek Rożniecki
Jacek Pełka
Elżbieta Żądzińska
author_facet Magdalena Kobus
Aneta Sitek
Bogusław Antoszewski
Jacek Rożniecki
Jacek Pełka
Elżbieta Żądzińska
author_sort Magdalena Kobus
collection DOAJ
description Abstract Background Migraine is a common neurological disease with extremely debilitating, but fully reversible symptoms. Women suffer from migraine more often than men. It was assumed that fluctuation of oestrogen level during menstrual cycle is one of many factors responsible for more frequent migraine attacks. The second-to-fourth digit ratio (2D:4D) is considered as an indicator of prenatal sex steroids. Balance of prenatal androgens (testosterone) and oestrogen has been studied in numerous diseases that are affected by hormones. However, the relationship between migraine and the sex steroids balance in prenatal development is still unexplained. The aim of this paper is to provide an evidence of relationship between prenatal oestrogen and testosterone exposure following 2D:4D digit ratio, and migraine prevalence in adults. Methods We examined a group of 151 adults (33 males, 118 females) with migraine and a control group of 111 adults (45 males, 66 females). 2D:4D digit ratio of both hands was measured using sliding Vernier calliper. Results Significant differences were found in the right hand. Female migraineurs had lower value of 2D:4D ratio than the control group and the right 2D:4D was lower than left 2D:4D (Δ2D:4D), suggesting prenatal testosterone dominance. The opposite relationship was observed in males. Male migraineurs had higher value of 2D:4D ratio and Δ2D:4D was greater than the control group, suggesting prenatal oestrogen dominance. Conclusions Our results suggest that depending on sex, different proportion of prenatal sex steroids might be a risk factor of migraine in adults. Women with migraine were presumably exposed in prenatal life to higher testosterone levels relative to oestrogen, while men with migraine were probably exposed in prenatal life to higher levels of oestrogen relative to testosterone.
first_indexed 2024-12-17T23:03:42Z
format Article
id doaj.art-8390a626b53141c18cea760b46839d8c
institution Directory Open Access Journal
issn 1129-2369
1129-2377
language English
last_indexed 2024-12-17T23:03:42Z
publishDate 2021-10-01
publisher BMC
record_format Article
series The Journal of Headache and Pain
spelling doaj.art-8390a626b53141c18cea760b46839d8c2022-12-21T21:29:20ZengBMCThe Journal of Headache and Pain1129-23691129-23772021-10-012211810.1186/s10194-021-01326-3Prenatal oestrogen-testosterone balance as a risk factor of migraine in adultsMagdalena Kobus0Aneta Sitek1Bogusław Antoszewski2Jacek Rożniecki3Jacek Pełka4Elżbieta Żądzińska5Department of Anthropology, Faculty of Biology and Environmental Protection, University of LodzDepartment of Anthropology, Faculty of Biology and Environmental Protection, University of LodzDepartment of Plastic, Reconstructive and Aesthetic Surgery, Institute of Surgery, Medical University of LodzDepartment of Neurology, Stroke and Neurorehabilitation, Medical University of LodzDepartment of Neurology, Norbert Barlicki Memory University Teaching HospitalDepartment of Anthropology, Faculty of Biology and Environmental Protection, University of LodzAbstract Background Migraine is a common neurological disease with extremely debilitating, but fully reversible symptoms. Women suffer from migraine more often than men. It was assumed that fluctuation of oestrogen level during menstrual cycle is one of many factors responsible for more frequent migraine attacks. The second-to-fourth digit ratio (2D:4D) is considered as an indicator of prenatal sex steroids. Balance of prenatal androgens (testosterone) and oestrogen has been studied in numerous diseases that are affected by hormones. However, the relationship between migraine and the sex steroids balance in prenatal development is still unexplained. The aim of this paper is to provide an evidence of relationship between prenatal oestrogen and testosterone exposure following 2D:4D digit ratio, and migraine prevalence in adults. Methods We examined a group of 151 adults (33 males, 118 females) with migraine and a control group of 111 adults (45 males, 66 females). 2D:4D digit ratio of both hands was measured using sliding Vernier calliper. Results Significant differences were found in the right hand. Female migraineurs had lower value of 2D:4D ratio than the control group and the right 2D:4D was lower than left 2D:4D (Δ2D:4D), suggesting prenatal testosterone dominance. The opposite relationship was observed in males. Male migraineurs had higher value of 2D:4D ratio and Δ2D:4D was greater than the control group, suggesting prenatal oestrogen dominance. Conclusions Our results suggest that depending on sex, different proportion of prenatal sex steroids might be a risk factor of migraine in adults. Women with migraine were presumably exposed in prenatal life to higher testosterone levels relative to oestrogen, while men with migraine were probably exposed in prenatal life to higher levels of oestrogen relative to testosterone.https://doi.org/10.1186/s10194-021-01326-3MigraineSex hormonesSex steroidsDigit ratio2D:4DPrenatal
spellingShingle Magdalena Kobus
Aneta Sitek
Bogusław Antoszewski
Jacek Rożniecki
Jacek Pełka
Elżbieta Żądzińska
Prenatal oestrogen-testosterone balance as a risk factor of migraine in adults
The Journal of Headache and Pain
Migraine
Sex hormones
Sex steroids
Digit ratio
2D:4D
Prenatal
title Prenatal oestrogen-testosterone balance as a risk factor of migraine in adults
title_full Prenatal oestrogen-testosterone balance as a risk factor of migraine in adults
title_fullStr Prenatal oestrogen-testosterone balance as a risk factor of migraine in adults
title_full_unstemmed Prenatal oestrogen-testosterone balance as a risk factor of migraine in adults
title_short Prenatal oestrogen-testosterone balance as a risk factor of migraine in adults
title_sort prenatal oestrogen testosterone balance as a risk factor of migraine in adults
topic Migraine
Sex hormones
Sex steroids
Digit ratio
2D:4D
Prenatal
url https://doi.org/10.1186/s10194-021-01326-3
work_keys_str_mv AT magdalenakobus prenataloestrogentestosteronebalanceasariskfactorofmigraineinadults
AT anetasitek prenataloestrogentestosteronebalanceasariskfactorofmigraineinadults
AT bogusławantoszewski prenataloestrogentestosteronebalanceasariskfactorofmigraineinadults
AT jacekrozniecki prenataloestrogentestosteronebalanceasariskfactorofmigraineinadults
AT jacekpełka prenataloestrogentestosteronebalanceasariskfactorofmigraineinadults
AT elzbietazadzinska prenataloestrogentestosteronebalanceasariskfactorofmigraineinadults