Menopause Migraine Headache
Menopause migraine headache syndrome has a unique feature to it. Women with menstrual migraine are about the only women on the face of the earth who pray for menopause! This goes double for menopause and migraine headache.
Why is this? Because over 70% of women will see an improvement in their migraines after menopause, thus practically eradicating the menopause migraine headache syndrome for them.
The other 30% will stay the same or may even get a little worse. A very small subset of women have a new onset of migraine after menopause.
Estrogen fluctuation is the second most common cause of migraine behind stress. The worse times of life for estrogen fluctuation are during the teenage years and during perimenopause. In both cases, cycle may be irregular cause bigger peaks and valleys of estrogen levels.
It is the rise and fall of the hormone that causes nerve tissue in your brain to become excited and causes blood vessels to expand.
Between the two, you have one bad headache!
These headaches are generally more disabling than non-hormone migraines, and may be associated with full nausea and vomiting.
Treatment may involve daily medication, until the hormone levels become more consistent or cease entirely.
Manipulation of hormone levels through 90 day birth control pills may also be of help the pain of hormone headaches. Some patients will take hormones at a very low dose just during the menstrual week to alleviate the pain at bit. This is appropriate of course, only if your OB/GYN physician approves of it, and you are at low risk for stroke.
This is very effective for menopause migraine headache, if you are perimenopausal and can take birth control pills. But what if you can't take hormones or do not want hormones for menopause migraine syndrome? There are other alternatives and some herbs are quite sucessful in treating hot flashes and irritability. If the hormones come under better control, then the headaches may settle down. You can get more information about herbal remedies for hot flashes and decide if this is a good option for you.
One of the newer triptans on the market Frova is poised to receive the indication to treat menstrually related migraines.
The treatment will differ a little from use of other
Frova is best used by taking one tablet twice a day for two days at the onset of menstrual migraine. Due to the long acting properties of this drug, it prevents recurring headache during this time. What if you are post-menopausal and still having headaches? Well you need to be seen by a headache specialist. If the headaches are severe there are
daily medications that
might be your best option. And yes.. for menopause migraine headache syndrome you CAN take a triptan like Imitrex, if over the age of 50 and your neurologist clears it.