Migraines became unpredictable after menopause. Conclusion?

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    I used to get migraines mostly near my period...hormonal.  I was hoping once I got into menopause they would stop, but they didn't.  Now I have been menopausal for the last 9 years and I still get them, but the difference is, I never know when I'll get one.  Before they were fairly predictable.  What conclusion can I draw from that? Dianne.


    Dear Dianne;

    It's just not possible to advise you to draw any conclusion from the information given and an online conversation only. This is a conversation that needs to be extended to include your doctor. There are, however some suggestions we can offer for that discussion and some information we ca share.

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    Menopause can bring about decreased Migraines, increased Migraines, different Migraine patterns, or make no difference at all. This varies greatly from one person to the next. The body doesn't stop producing hormones after menopause, so hormonal influences may or may not still be at play.

    Have you been able to identify triggers for any of your Migraines? Trigger identification and management is a vital component of managing Migraine disease. It could be very helpful to you to track your Migraines and see if you can identify any triggers -- Foods, bright light, loud sounds, weather changes, sleep problems, odors, etc. This way, you can eliminate some of the more common triggers rather than assuming your trigger is hormonal. It's also important to know that triggers can change with time. Things that weren't triggers for you before may now be triggers, and vice versa.

    One of the best tools for identifying triggers is a good Migraine diary. You can download a free diary workbook from our article Your Migraine and Headache Diary. Some of us have food triggers; some of us don't. It's advisable to determine if your daughter does, and an elimination diet is the best way to do that. For more information and a workbook on this, see Managing Migraine - Migraine Trigger Foods.

    We hope this is some help to you and that you find some answers to your Migraine issues.

    Good luck,
    John Claude Krusz and Teri Robert

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    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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    We hope you find this general medical and health information useful, but this Q & A is meant to support not replace the professional medical advice you receive from your doctor. For all personal medical and health matters, including decisions about diagnoses, medications and other treatment options, you should always consult your doctor. See full Disclaimer.

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    Last updated November 22, 2009.

Published On: November 22, 2009