WOMENS-HEALTH Messages for April, 1997: Re: Migrains

Re: Migrains

From: Debra (anonymous@obgyn.net)
Mon, 21 Apr 1997 09:45:51 -0500 (CDT)

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At Fri, 18 Apr 1997, Kelly wrote: >
>At Fri, 18 Apr 1997, Debra wrote:
>>
>>My migraines are directly related to my cycle. I've been to many
>>different GYN's and Neurologists. I have yet to find an solution to the
>>pain. I've tried imetrix, cafregot... the list goes on. I've have all
>>the test including an MRI. When not on the pill, I experienced dots and
>>lines in my vision along with my headaches, so I went back on. When on
>>the pill I still get headaches on my "off" days. My latest attempt from
>>a GYN was to put me on Depo Prevera. This helped only about 10% more
>>than the pill, however, I've been a little depressed (no up or high
>>days), irritable, and I have absolutly no sex drive. My search has
>>lasted over 8 years. I'm very frustrated. I feel like no doctor wants
>>to deal with me the GYN's send me to the Neurologist and vice versa.
>>What do I do next? Someone else must have the same problem.
>
>Debra
>
>Menstrual migraines can be very difficult to deal with. If you do well
>while on the pill, one option is to have you use the active pills for
>several consecutive cycles -- you take 84 or 126 days (4 or 6 packs
>worth) of the active pills, then stop for a week to get a period, than
>resume the cycle. This way you may only have the hormonal shifts that
>trigger your migraines every few months rather than every month.
>Another option is a 3 to 6 month trial of a GnRH agonist (Lupron,
>Synarel), a medication which shuts down your hormones, putting you in a
>temporary menopausal state. I had one patient in whom I tried this --
>her headaches resolved completely. When I tried to give her back either
>a little estrogen or progesterone, the migraines returned. After much
>discussion wiht me and a gyn endocrinologist I had her see, she decided
>to have a hysterectomy with removal of her ovaries. That was 3 years
>ago and she is a new woman. I must emphasize that this is a pretty
>drastic approach and should not be considered until all other avenues
>have been persued. You should definitely NOT have your ovaries removed
>without the trial of Lupron first -- it's kind of a "practice run".
>Talk to your doctor about these options. Good luck.
>
>--
>Kelly Shanahan, MD
>S. Lake Tahoe, CA
>

Thanks, for the info. It's amazing the ammount of support and replys I have gotten through this in contrast to all the times I've been to the doctor. Does Lupron have any of the same side effect of Depo? I'm only 25 and plan on having children so I don't think i'll consider the hyst. yet. Also my mother had a hyst. and still had migraines. I don't know if hers were related to her cycle though (she still had them after menopause though) and she died 2 years ago at age 47 of breast cancer so I cant ask. Again thank you

--
debra

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