- Attacks, in a menstruating woman1, fulfilling criteria for 1.2 Migraine with aura and criterion B below
- Occurring exclusively on day 1 ± 2 (ie, days −2 to +3)2 of menstruation1 in at least two out of three menstrual cycles and at no other times of the cycle3.
- For the purposes of ICHD-3, menstruation is considered to be endometrial bleeding resulting either from the normal menstrual cycle or from the withdrawal of exogenous progestogens, as in the use of combined oral contraceptives or cyclical hormone replacement therapy.
- The first day of menstruation is day 1 and the preceding day is day −1; there is no day 0.
- For research purposes a prospective diary is recommended, but this is not mandatory for clinical diagnosis of A188.8.131.52 Pure menstrual migraine with aura.