WOMENS-HEALTH Messages for September, 2000: Re: The pill & Migraines without the headache

Re: The pill & Migraines without the headache

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 2 Sep 2000 13:29:22 -0500 (CDT)

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In reply to: Susan: "The pill & Migraines without the headache"

At Sat, 2 Sep 2000, Susan wrote: >
>I am a 42 year old woman who was on OrthTricyclen for many years with no
>complaints. Last year I started seeing a ring of dancing shimmering
>lights around the periphery of my vision for 10 minute periods. An MRI,
>Echo, & neck vein check showed nothing and since I also went off the
>pill in case it was a stroke related problem the symptoms stopped 3
>weeks after pill discontinuation. I went back on the pill and 9 months
>later the visions resumed. An Opthmologist pronounced the visions to be
>"migraine without the headache" and once again they stopped within 3
>weeks of quitting the pill.
>
>Planned Parenthood has suggested I might try Micronor but I am
>uncomfortable with what I have read about the side effects (particulary
>hairloss, acne or hirsutism) and the long period of time for BC effect
>to kick in. According to Medscape a Progesterone only pill is also
>contraindicated in case of migraine.
>
>I have had an IUD and will probably go that route if there is no other
>pill alternative but I am definitely not looking forward to the IUD
>insertion experience or the heavier periods and cramping. Is it
>possible that other lower dosed pills are worth trying and since my
>migraines without the headcahes don't hurt should I just risk seeing
>dancing lights since ther duration is brief and does not seem to
>interfere too much, except for reading text on a computer monitor.
>
>Thanks,
>
>--
>Susan
>

Susan

I would suggest a lower, monophasic, 20 mcg estrogen pill, such as mircette. It is possible that the monophasic nature may give less side effects, and it is a wise choice to reduce the amount of estrogen. IUD is also a very good choice. Good Luck

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: Debbie: "Cycle is all messed up, what causes this?"
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In reply to: Susan: "The pill & Migraines without the headache"

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