经期前头晕头痛,可能是经前期综合征(PMS or PMMD)的表现。所谓经前期综合征,是指周期性发作的一系列躯体及行为的异常,在经前或经期出现。发病原因可能是由经期体内激素水平改变所致,发病率据报道可高达80%。[2]经前期综合征的表现可以包括全身各个部分的不适,随着月经的结束这些不适也渐渐缓解。最常见的三种表现是腹胀、乳房胀痛和头痛,而以头部不适为主诉的患者可占所有经前期综合征患者的50%以上。[3]显然,例假前头晕的这些女同胞不可能都患上癌。
[2] Budeiri DJ et.al Clinical trials of treatments of premenstrual syndrome: entry criteria and scales for measuring treatment outcomes. Br J Obstet Gynaecol. 1994 Aug;101(8):689-95.
[3] Freeman EW. Premenstrual syndrome and premenstrual dysphoric disorder: definitions and diagnosis. Psychoneuroendocrinology. 2003 Aug;28 Suppl 3:25-37.
[4] Walboomers JM et.al Human papillomavirus is a necessary cause of invasive cervical cancer worldwide. J Pathol. 1999 Sep;189(1):12-9.
[5] Horn LC et.al Histopathology of endometrial hyperplasia and endometrial carcinoma: an update. Ann Diagn Pathol. 2007 Aug;11(4):297-311.
[6] Wren BG. The origin of breast cancer. Menopause. 2007 Nov-Dec;14(6):1060-8.
[7] Wheeler CM. Advances in primary and secondary interventions for cervical cancer: human papillomavirus prophylactic vaccines and testing. Nat Clin Pract Oncol. 2007 Apr;4(4):224-35.