WOMENS-HEALTH Messages for September, 2001: Re: post OCP and Migraine with Aura (lost in the bombing, maybe?)

Re: post OCP and Migraine with Aura (lost in the bombing, maybe?)

From: AMS (anonymous@obgyn.net)
Thu, 13 Sep 2001 16:46:15 -0500 (CDT)

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In reply to: Lynn D. Montgomery, MD: "Re: post OCP and Migraine with Aura (lost in the bombing, maybe?)"

Am I sure - fairly, both mother and sister had extensive neurological workup for the same phenomenon - little cross hatches like the lense of a slr camera in one eye, lasts about 2o -30 minutes, goes away. Have been having them since early thirties, had the headache only twice. ED husband does not think they are TIA's (and if something weird happens that he's not comfortable with, I become a guinea pig). I decided to bypass this particular workup since mom and sister both were diagnosed with migraine equivalents and describe the exact same thing as I experience (and mine respond to migraine triggers - chocolate, red wine and nitrates.) Thanks for both your answer and your concern. This page is greatly appreciated. At Wed, 12 Sep 2001, Lynn D. Montgomery, MD wrote: >
>At Wed, 12 Sep 2001, AMS wrote:
>>
>>Could someone please comment on the current thinking regarding the use
>>of OCP in older women with occasional (1-2 times yearly) migraine
>>equivalents (the aura usually without the headache, from start to finish
>>usually 20 - 40 minutes) with high normal blood pressure, ok (not great)
>>lipid profile, taking an aspirin a day. I am specifically interested in
>>the relative risk of ischemic stroke. Also, any relationship with ERT
>>and migraine aura? (hysterectomy, bilateral oopherectomy coming soon.)
>>Thank you.
>
>The causation of migraines is somewhat varied like many of the other
>potential side-effects of the birth control pill. However, given your
>history (i.e. borderline blood pressure, lipid profile and "older
>woman") I would be a little hesitant to prescribe oral contraceptives.
>Now estrogen replacement with the appropriate blood pressure management
>would be a different story. Additionally, are you absolutely sure that
>the "aura" you are experiencing is not a transient ischemic attack
>(mini-stroke)...
>Lynn
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
>**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.
>
>**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>

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In reply to: Lynn D. Montgomery, MD: "Re: post OCP and Migraine with Aura (lost in the bombing, maybe?)"

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