Another recent study examined the relation
between the menstrual cycle and migraine characteristics.
Migraine headache was reported to be significantly
more severe, disabling, and frequent during the menstrual
intervals of the reproductive cycle than during
the midluteal or midcycle intervals.
Treatment options- an interesting information package regarding treatment protocals.
Those of us with menstrual related migraines so know what he is talking about. Most women are not pleased with the whole process as it is; PMS, bloating, mood swings and cramps. Not fun by any means and can be severe. You add in migraines to the mix and it is dibilitating quickly. Nausea, vomiting, severe migraines that sometimes are continuous for days and harder by far to treat.
Those of us with chronic migraines know migraines come mild, moderate, sever and crippling in regards to pain... and even sometimes without pain but many symptoms. These hormonally triggered ones come in severe and crippling. Such that it is pretty darn easy to tell all the times I have gone to the ER for a migraine I could not kill and was killing me, it was these ones.
Long before my migraines became chronic, they were exclusively these hormonal migraines, or pure menstrual migraines. And still I have a hard time managing them. They hit so fast, so painful and with other symptoms that make me feel like I have the flu. Without any treatment I used to have them so bad I could go from upright to excruciating pain in 2.5 seconds.
For me, things had improved when I was put on a triptan that was not in pill form, but rather something that got into me fast before I became too ill. Likewise, an anti-inflammatory that was rapid release, for the severe cramps but also for the migraine treatment before and after the hormonal cycle.
However, what is a girl to do without anti-inflammatories? The last time I slipped and used on (see my posts below) I was so sick I was vomiting blood (that sounds really bad... and I suppose it cant be good, but seriously was not as bad as it sounds). So, really, a no no now. Which means I end up juggling medication and often using too much just to get through it. So better off than with nothing, but this is a monthly battle and I need an effective strategy. I was thinking of doing the one where you take a triptan ahead of time and for a few days as a preventive strike, but will have to ask if the triptan I am using can be used so. The preferred one I have heard mention is Amerge... but unless I want continuous breathing problems not an option for me.