11/5/07 #3 - Migraine pattern changing. Perimenopause? Preventives?

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  • Full Question:
    I've been having migraines for many years now and have had a couple of bouts of treatment with Inderal which has reduced them. I'm now 45 1/2 and have noticed the past couple of months the pattern has changed from having at least one on and off migraine for a couple of days per week to fortnight (which can be controlled through analgesics). However, now the pattern has changed to nearly a week of on and off migraines a few days before my menstrual period.

    • Could this be a sign of upcoming peri/menopause? (I'm going to ask for blood tests to see if I am going into menopause)
    • If this is part of peri/menopause how would that alter the types of preventatives prescribed?

    Thanks, DJ.
     

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    Answer:

     

    Dear D.J.;

     

    Your story is very compatible with the pattern one can see in the perimenopausal state in women. You should get a free estradiol and free testosterone level done (best between 8-10AM). The choice of preventative medication is not significantly altered by this pattern of migraine. What is important is: how much disability do you experience?

     

    I would consult with a Migraine and headache expert for preventive treatments, of which there are many. There's a link to our directory of recommended specialists below if you need it.

     

    Good luck,
    John Claude Krusz and Teri Robert

     

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    Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert.

     

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    © Teri Robert and J.C. Krusz, 2007.

Published On: November 06, 2007