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WHEN MIGRAINE BEGINS
Migraine most frequently begins during the years between adolescence and the early twenties, although it is not uncommon for migraine to develop in childhood or after the age of forty. One of the interesting features of migraine is that some individuals may experience various nonheadache symptoms years before the actual headaches begin. For example, episodes of recurring vomiting in childhood, particularly at moments of excitement or anticipation, unexplained abdominal pain, and a tendency toward developing motion sickness are present in many people who go on to develop a more typical form of migraine later in their lives.
Migraine occurs more often in women than in men, and the peak years for migraine seem to be during the twenties and thirties. Some investigators believe that women are just more likely to seek medical care for their headaches than are men, thus biasing the statistics toward women. This does not seem likely to us. While the actual female-to-male ratio is difficult to determine, more women than men do suffer from migraine. No evidence of which we are aware suggests that this difference reflects a greater tendency for women to seek medical help.
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