Natural micronized USP progesterone with other natural herbs for migraine prevention?

Full Question:

What do you think of using natural micronized USP progesterone with other natural herbs for prevention or as part of a plan to reduce migraines that are menstrual? I am 42 and have had some perimenopause symptoms. Although they have not been verified by a Dr., I know I have been having these since the early 30's. I have had migraines since I was eleven and they got worse after having kids and within the past 4 years they have gotten worse. I have a neurologist (had) and am trying to find a specialist in my area for migraines. I was put on everything for these and nothing worked. The side effects were always worse than the migraine. I am someone who doesn't want to take all kinds of medications and would prefer alternative methods. I am taking QC10 and am contemplating 5HTP.......I am not sure if that would interact with my antidepressants. In other words, I haven't been able to find much relief or anyone around here that knows anything about migraines. I have to work and when I get a migraine, I go to work and suffer. I also take Zomig for the migraines. I get 6 a month and usually I can use all 6.

This month so far with the progesterone, I have had one biggy and nothing seemed to work but I usually have residuals of the migraine for the duration of the menses and this time I do not. Is this a risky thing I am doing here messing with my hormones? I got the information about FemCreme from a nutrition book. It's made by Pure Essences laboratories. Thank you, Marianne.

Answer:

Dear Marianne;

Progesterone, like all sex hormones, can play a role in Migraines. We have seen 100 mg doses, (given at bedtime as an oral dose -Prometrium) help sleep and help Migraines. Of course, there are many other hormonal strategies and especially for perimenstrual increases of Migraine.

On the herbs -- "natural" or not, they act as drugs in the body and can have side effects and interactions with other drugs. Any of them that you think of trying should be discussed with your doctor in advance.

I'd seek out a Migraine and headache expert but don't expect her/him to be facile with hormonal therapy.

Good luck,
John Claude Krusz and Teri Robert

About Ask the Clinician:

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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