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IHS Diagnosis ICD-10
8.3.1 Exogenous hormone-induced headache [Y42.4] G44.418  

Diagnostic criteria:

  1. Headache or migraine fulfilling criteria C and D
  2. Regular use of exogenous hormones
  3. Headache or migraine develops or markedly worsens within 3 months of commencing exogenous hormones
  4. Headache or migraine resolves or reverts to its previous pattern within 3 months after total discontinuation of exogenous hormones

Comments:

Regular use of exogenous hormones, typically for contraception or hormone replacement therapy, can be associated with increase in frequency or new development of headache or migraine.

When a woman also experiences headache or migraine associated with exogenous oestrogen-withdrawal, both codes 8.3.1 Exogenous hormone-induced headache and 8.4.3 Oestrogen-withdrawal headache should be used.

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