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Warning: This exercise is not a means of diagnosing your headaches. The exercise is provided only to encourage you to carefully consider the features of your own headaches using a characterization of migraine for comparison. An accurate diagnosis of your headache problem requires a thorough medical evaluation by a trained professional. There is no acceptable substitute.
The natural history of a disease is the expected course the disease will take when a medical cure is unavailable. Since migraine is treatable but not curable, its natural history is important. The course of migraine may follow many patterns, but most of you who have migraine will experience attacks at varying intervals throughout most of your lifetime. Although there are many exceptions, middle age often brings a welcome decrease in both the severity and frequency of migraine headaches.
While many women experience a dramatic improvement in their attacks as they enter and complete their menopausal years, some unfortunate people suffer a dramatic worsening of attacks during or after the menopause. In some of these women, hormones given for the symptoms of menopause seem to trigger the headaches. In a few cases, the hormones seem to help.

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