The Efficacy and Safety of Acupuncture for Prophylaxis of Menstrually Related Migraine

Prior treatment

• receipt of preventive treatment for headache within 1 month prior to the screening visit;
• afraid of needles or received acupuncture treatment within 3 months;

Other illness

• presence of secondary headache disorders, facial neuralgia, or cranial neuralgia;
• combined with serious primary diseases such as cardiovascular, hepatic, renal, gastrointestinal, or hematological disorders that may interfere with the treatment protocol, or comorbid neurological conditions such as epilepsy, parkinson's disease, or other central nervous system disorders;
• headache symptoms caused by other conditions, such as moderate to severe head or neck trauma, perimenstrual infections, intracranial tumors, intracranial infections, endocrine or metabolic disorders;
• unwillingness to undergo the study intervention or failure to sign the informed consent.

Other

• irregular menstrual cycles, defined as cycle length outside the range of 28±7 days or menstruation duration \<3 days or \>7 days;

• meet the diagnostic criteria for MRM according to the ICHD-3, with a documented history of MRM for at least 12 months;
• have a confirmed diagnosis of migraine by a neurologist;
• aged 18-45 years;
• have regular menstrual cycles (28 ± 7 days) with menstruation lasting 3-7 days;
• have experienced ≥3 headache days during each menstrual cycle (days -2 to +3) and ≥5 total headache days per cycle over the past 3 months and baseline period; migraine attacks must last 4-72 hours without acute medication, or at least 2 hours when treated;
• have completed a headache diary during the screening period (covering at least one full menstrual cycle), demonstrating good compliance;
• headache diary data during screening period must meet the ICHD-3 criteria for MRM and fulfill criteria (4) and (5);
• voluntarily sign the informed consent.