I have been on oral contraceptives for over 15 years with problems starting the past two years. I get a migraine when I'm on the sugar pills. I also got migraines at other times, but very infrequently. It is awful and lasts for a few days, and is quite debilitating. I went off the pill for one month and no migraines at all. But, because I was taking the pill for endometriosis and my period was VERY bad that month, I decided to go back on the pill (and visit my doctor). Since restarting the pill, I've had a migraine constantly for the past 2 and 1/2 weeks. I don't understand why going BACK on a pill would cause this. My doctor recommended I do the pill and have no break between periods, but I can't even get past the first two and 1/2 weeks. I had to stop the pill today, because I just can't take it. I wonder if taking a progesterone only pill would help the endometriosis and not be a migraine trigger. Jackie.
Unfortunately, progesterone alone is not considered as good as estradiol for endometriosis. I've heard of things like this (increased Migraines) after re-starting the OC. Often they soften up after a few weeks, so you may just be in the Migraine window. Sounds like you do have Migraines when the estradiol dose is stopped. Estrogen without a break can be a useful treatment for peri-menstrual Migraines (and endometriosis). The other option is to seek out a Migraine specialist and have her/him talk to your gynecologist. If you need help locating a specialist, there's a link below to our listing of patient recommended specialists.
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Published On: October 07, 2008