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Tylanas

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Birth Control And Migraines
Posted: 11-14-07 13:06pm

I could stick this in either section but to be 100% honest, Birth Control gets more hits.

Three years ago, in my sophomore year of college, I developed Aura Migraines. That's a fairly normal age to develop them. I have textboox aura migraines; 30 minute auras and then bam, intense half-headed pain on the opposite side of the aura. I had three migraines in one year. You need 4 to be officially diagnosed.

That summer I got on Ortho Tricyclen Lo. Because I was not officially diagnosed, I didn't know you're not supposed to be on estrogen birth control when you have aura migraines because of the extreme risk of stroke O.o

Well, I went on Ortho-lo for two years. I didn't have a single migraine the entire time. Not one. This summer, I got off and decided to start depo because I had a habit of forgetting pills. I stopped the pills June or July. In September I learned that estrogen caused a high risk of stroke, and was glad I was off it.

I had Depo injected October 12th. November 12th, spotting began. Yesterday, the 13th I had heavier spotting and stronger cramps.

Last night I woke up at 2 am... and I was in the full Aural stage of a migraine. Thank goodness I was able to just go back to bed, but I was surprised to have one.

So here's the thing. Progesterone is supposed to PREVENT migraines. Estrogen is supposed to cause them. Yet apparently, the exact opposite happened to me. Estrogen completely prevented my migraines for 2 entire years! I get on progesterone and a month later (during my period nonetheless) I get a migraine.

So what's up here? I don't want to go back on estrogen because of the risk of stroke. I've had 4 migraines now so the upside is that I can finally be diagnosed and get medicine for it so I can prevent the pain during the aura phase.

But the estrogen seemed to be very effective against migraines... Unless it's common place to have 3 in one year and then none for 2? I think the placement of the estrogen and progesterone is just too convenient to be coincidence.
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anniek

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Posted: 11-14-07 18:38pm

I too deal with migrains. I'm not on any medication and have only had one Aura. But I still had problems on any BC I have been on. I've been on a few including the shot. (Which I'm sure you already know!) I'm sorry I feel so bad for you cause I totally know!! I just have learned what to do when I get one. I usually take a caffine pill and 2 naproxin 220mg and go lay down. My boss is pretty good about letting me go if I know I'm getting one. Sometimes about 4-6 hours later I have to take a couple ibuprofen to. After you talk to your dr about it let me know what he says!
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Tylanas

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Posted: 11-15-07 00:47am

I've discussed it with my mom (since I'm on her insurance). We've decided to wait until December when we'll have more time for an appointment... But she doesn't think anything can be done for me because I don't get them enough. She also says that the cause is too unknown for anything to be done.

I don't know if any of that is true; it seems pretty obvious to me that estrogen clearly prevented my aura migraines.
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Georgia59

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Posted: 11-17-07 00:05am

Some docs will prescribe estrogen birth control to help with migraines. I don't think progesterone is actually supposed to effect them at all, make them better or worse. I think if you get like 3 migraines per month, they'll treat you for it, so it might be worth getting checked out.

The birth control part is tricky though, because different doctors say different things. Yes, the estrogen ones are supposed to help with migraines, but they also increase your risk of blood clots and stroke. I dunno.
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Tylanas

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Posted: 11-17-07 13:52pm

I have read everywhere that you absolutely should not use estrogen when you have aura migraines because you could get blood clots and you know, die... So yeah it got rid of my migraines but at what risk?
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Carifairy

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Posted: 11-17-07 14:48pm

MANY women notice different things as far as BC is concerned.

For I would seriously recommend a NON hormonal IUD for BC, because BOTH estrogen and Progestin *can* cause problems in *some* women when they have migraines with aura.

Progestin is safer for women with migraines because Progestin does not have the high risks of blood clots, NOT because it actually prevents them.

MANY women do get worse on progestin only methods.

You can use her insurance without HER being there. You just need the card with YOUR name on it.

You should definitely be seen though.
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Tylanas

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Posted: 11-17-07 15:56pm

I have no problem with my mom being there because I'm very unclear as to how insurance works. I just want to discuss it with a doctor and get some straight answers you know?
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Carifairy

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Posted: 11-17-07 16:21pm

You should be seen SOONER.

When you are under a company benefit, and then insure your children, each person has their name on a card.

You can use it with or without your mom being there. You do need to be seen sooner rather than later.
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Tylanas

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Posted: 11-17-07 16:27pm

I know but how will the money work? I ended up having to co-pay for Depo when we thought it was all paid for.

It was SO much easier when we were under my dad's military insurance. You just go.
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Carifairy

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Posted: 11-17-07 16:31pm

Most EVERYTHING has a copay, honestly.

When you go to the doctor you pay your copay and then you are seen.

I have never heard of depo vists NOT requiring a copay, as my office does use a copay for depo injections.
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Tylanas

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Posted: 11-17-07 16:35pm

Like I said, I have no idea how to do this, so I'm just going to wait until Christmas break. It's the first one I've had in 2 years so I've heard that it's not a good enough "history" to get me diagnosed.
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anniek

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Posted: 11-17-07 17:29pm

I forgot to tell you. I went just about 3 years (only had one in those 3 years) without a migrain and they have now started again. I didn't have any change in Bc but thats why they took me off the depo thinking that may have triggered but I still have had a few since that. It's a no end situation for me. It's ok like I said before I have just learned to deal with it and i know what i need to do if I get one. Kinda sucks but I don't want to be diagnosed with migrains because of ins. My dr knows about them and is not going to do anything unless they get to be 3 in months time.
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Tylanas

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Posted: 11-17-07 21:40pm

Why in the world wouldn't you want to be diagnosed? I want it more than anything so I can finally get medication.

From what I read, you need to have had 5 normal migraines in a year or two aura migraines in a year to be diagnosed...
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Georgia59

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Posted: 11-18-07 01:09am

Eiri wrote:
I have read everywhere that you absolutely should not use estrogen when you have aura migraines because you could get blood clots and you know, die... So yeah it got rid of my migraines but at what risk?


I agree- but some doctors (that I've had) have no idea that there's even a higher risk. I told a doc about it once and she actually said "I've never heard that!"

Well, I didn't go back to her....

And some doc prescribe estrogen bcp's specifically for migraines. So I don't get it. It all just worries me, and I stay away from the stuff.
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anniek

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Posted: 11-19-07 20:10pm

I don't want to be diagnosed because I can handle them as of now. I know what to do to help get better and my husband and my boss are very good about knowing to let me go home and sleep. I take what i know to take and just let it pass. Sometimes you can have problems with ins if you are diagnosed but if they are to hard to handle then yes you should be so you can get the correct medication. Like I said my dr knows about them and know I monitor them. So I'm fine for now. If I have ones I can't handle then I will worry about be diagnosed then.
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Tylanas

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Posted: 11-19-07 23:04pm

I can't handle them right now either; but diagnosing them isn't going to make them happen more; it's simply confirming that you do indeed have migraines. You don't have to take action right away. Besides, it'll make you feel better to know for sure.

I don't think migraines make insurance rates go up....
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Tylanas

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Posted: 11-19-07 23:15pm

Oh by the way; last night I thought I was getting another migraine but it went away. It inspired me to write up my actual migraine history... And it turns out I was ON birth control when I got two of them!! Estrogen didn't do a thing to prevent it hahah!

See, I knew what events happened during the migraines; what classes I was attending, etc, so I looked back at my transcripts and this is when my migraines were: (Spring and Fall refer to school semesters, not actual seasons)

1st. Fall 2004 (No BC)
2nd. Spring 2006 (already on BCP!)
3rd. Spring 2006 (later on, still BCP)
4th. Fall 2007 (Depo)

So yeah, birth control played absolutely no role in my migraines it seems.
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Georgia59

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Posted: 11-20-07 18:21pm

lol

If you do see a doc, there are medications you can take to alleviate them. I was on imitrix for awhile, it worked wonders.
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anniek

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Posted: 11-20-07 20:27pm

No being diagnosed dosen't always make a difference in ins but it can later. Like I said I know I have migrains and so does my dr. I can handle them so I don't care for medication or extra doctoring. You know what I mean? Wink If you can't handle them you for sure need to talk to you dr there are medications you can take and they can talk to you about ways to watch out for them so they don't get too bad. Anyways.....Hope you are doing better with them and see you dr soon!
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Tylanas

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Posted: 11-20-07 20:49pm

Well it's the fact that if I do get one, I am unable to do function at all, so they are extremely debilitating. They may only come once a year, but I cannot function for the time I am actually "under". After-words I feel like I'm recovering from a fever for about 12 hours.
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