Elsevier

The Lancet

Volume 351, Issue 9109, 11 April 1998, Page 1106
The Lancet

Research Letters
Motion sickness, migraine, and menstruation in mariners

https://doi.org/10.1016/S0140-6736(05)79388-0Get rights and content

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    Moreover, many migrainous women experience menstrual migraine, a type of migraine prevalent at the time of menses and for some exclusively occurring in conjunction with menses [50]. This comorbidity may suggest a shared biological mechanism of migraine, motion sickness, and menstrual cycle, as first proposed by Grunfeld, Price, Goadsby, and Gresty [18]. Note that many symptoms of VIMS, such as nausea, vomiting, and headaches, are shared between dysmenorrhea (i.e. menstrual pain; [8,40]) and VIMS.

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    Besides, an interesting parallel between motion sickness and the olfactory system may be underlined. On one hand, it is granted that women are more sensitive to motion sickness than men [7,18,19]; in particular, it has been shown that the MSS fluctuates across menstrual cycle [10,11] as a consequence of hormonal variation [2]. On the other hand, women demonstrate better olfactory abilities than men [1].

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    Because of resource limitations, stage of the menstrual cycle was not objectively confirmed by examination of circulating hormone levels or variations in temperature in the present study; thus, individual differences in cycle length may have resulted in a misclassification of women into a particular phase. The classification procedure employed here, however, approximates those employed by other investigations reporting an effect of the menstrual cycle on motion sickness (Grunfeld & Gresty, 1998; Grunfeld, Price, Goadsby, & Gresty, 1998) and PONV symptoms (Honkavaara et al., 1991; Honkavaara et al., 1996; Ramsay et al., 1994). Thus, it seems unlikely that differences in symptom reports were obscured by the present method of categorization.

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