2:04 am - 04/23/2012

Period management with migraines?

First of all, I apologize in advance if parts of this post don't make sense. I've got massive brainfog right now, and it's making coherency difficult. If anything needs clarified in any way, please let me know!

A few months back, my doctor put me on the Pill (Lo-Ovral) to try and regulate my periods. It worked wonders - and without it, I tend to not bleed for months at a time, followed by at least two weeks of bleeding (or, in the case that led to me going on birth control, three months).

About a month ago I realized that the weird visual disturbances I've been having aren't a sign of a brain tumor or anything, just migraines (usually) without headache. And while it's nice to have that figured out, my understanding is that people with migraines shouldn't take the Pill due to greatly increased risk of stroke.

What alternatives are there for period management that aren't contradicted by migraines? Or am I completely wrong about not being able to use the Pill?

I don't know yet what's causing my irregular cycle, but I'll be addressing that next time I see my doctor, which is when I want to bring up the migraine thing and discuss alternatives. (She suspects ovarian cysts and had referred me to get an ultrasound, but that... hasn't happened yet. Long story.)



And if it's relevant... I've never had sex, and I'm gay, so having sex that could lead to pregnancy isn't in the cards, but I really like being on birth control regardless because I'm absolutely terrified of getting raped and ending up pregnant without access to abortion services. /: I don't know if that's at all rational, but...



The brainfog is making it hard to figure out what to search for and how to process the vast amount of information. I'm sorry if these are silly questions, but I can't figure this stuff out on my own right now.
chasingtides 23rd-Apr-2012 11:09 am (UTC)
Have you talked to your doctor?

The pill can increase stroke risk among migraineurs but it doesn't automatically mean a no go. I have terrible migraines that lay me down for days, but I've been on the pill in the past.

Also, have you talked to your doc to see if these visual disturbances are a side effect of the pill? Has a neurologist diagnosed them as migraines?
baxaronn 23rd-Apr-2012 01:12 pm (UTC)
I haven't talked to my doctor yet. I have an appointment at the end of the week, and I wanted to be prepared with some information so I can tell if she's feeding me BS. Which she probably won't, but... trust issues with doctors. /:

The visual disturbances started way before I started the Pill. I only connected them to migraines recently, but I'm pretty sure that's what they are. But I'll be bringing that up with my doctor too, so I'll find out for sure pretty soon.
chasingtides 24th-Apr-2012 01:53 am (UTC)
I wouldn't say they're migraines (and not something else) without a diagnosis. Particularly if you are not getting pain, you don't know that it's not something else.
kaberett 23rd-Apr-2012 11:24 am (UTC)
Regarding migraines - the recommendation in the UK is that people with migraines don't take hormonal birth control containing oestrogen, and especially that they don't if it worsens their symptoms, but anything that's progesterone-only is generally considered to be fine from the point of view of mgraines. This means that your options for hormonal methods include the mini-pill, the Mirena, the Depo shot and Implanon (but I might be forgetting some!).

Just as a heads-up: the spoiler tag mark-up isn't going to act as an effective trigger warning for everyone. Would you be able to stick in a plain-text trigger warning or an LJ-cut as well, maybe? Thank youuuuuu! :-)
baxaronn 23rd-Apr-2012 01:18 pm (UTC)
I put that paragraph under a cut instead. Thank you for letting me know!

And thank you for the information, as well. I was thinking that there was some simple difference between things that were okay and things that might not be, but I couldn't remember that it was estrogen so I had no idea what to search for...
archangelbeth 23rd-Apr-2012 01:33 pm (UTC)
Brainfog? That is a hypothyroid symptom... Other things as well, but please get your thyroid tested, and get the numbers -- your TSH should be between .4 and 4, and ideally no higher than around 2 or so. Don't go with, "oh, normal" until you see the numbers, as some labs/doctors use outdated ranges of "normal."

And yeah, Aura-migraine without pain sounds like what ou describe -- my spouse gets them. Progesterone-only methods are less of an increased risk (though apparently not zero increased risk; I looked it up recently), and IUDs migh be worth looking at.

Please forgive typos - I'm on my tablet and my glasses are off...

Good luck!
baxaronn 23rd-Apr-2012 01:40 pm (UTC)
I've had my thyroid tested, and I know that this particular kind of not being able to brain is med-related. But thank you for your concern. (:
yespleasespace 23rd-Apr-2012 02:52 pm (UTC)
I have migraine with aura, usually with no headache or only a mild headache. I also have very irregular cycles due to PCOS, and they were about as long as the ones you describe--three or four months. My neurologist told me that the combined pill or other estrogen-containing contraceptives are dangerous for people who have migraine with aura, due to the increased risk of stroke that you mentioned. I switched to a Mirena (progestin-only IUD), but I plan to try the progestin-only pill if for whatever reason the IUD doesn't work out. My doctor recommended the Mirena rather than a copper IUD because she felt that the hormones in it would help keep my ovaries "quiet" so my PCOS symptoms would be less likely to return. Also, the Mirena causes some people to stop having periods altogether while they have it. But from what I've been told, any non-hormonal or progestin-only option would be safer than the combined pill for someone with migraine with aura.
stormbringer986 23rd-Apr-2012 06:04 pm (UTC)
I get migraines without aura very frequently, and I've been using the Loestrin 24 pill for a while. I asked my gyn about the pill + migraines, and she said it's not a concern since I don't have the aura. I'm guessing there is something about the migraines with aura that makes the pill more of a risk, but I really can't offer any relevant information for that.

The best suggestion I can offer is to talk to your doctor about it, if that's possible, and see what they have to say. If your gyn can't offer you the information you're looking for, maybe see about going to talk to a neurologist about the headaches. They should be able to tell you whether or not it's actually migraines or something else.
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