QUOTE (horsinaround @ Apr 12 2007, 11:10 AM)

Unfortunately I can't take any hormone replacements or be on the pill because it gives me horrible migraines. The one small blessing that I have about perimenopause heading toward menipause is that my migraines have really slowed down. I used to get them all of the time- now I get them a few times a year. My mom and sister completely stopped having migraines when they went through menopause. So there is at least one thing to be thankful for. Besides, when they tried any form of the pill for me for PMS, and they tried pretty much all of them when I was younger, my PMS was every day of every month. I was a monster. Gee - that's what I am now too! What a coinkydink!
I wanted to add another perspective on migraines and hormones.
I used to get migraines with birth control pills. It seems like I tried every different pill. The doctors always wanted me on the low dose pill.
Since I started estradiol and progesterone for peri (a year ago) I have noticed that what causes migraines for me now is dropping estrogen levels, too low estrogen levels, and progesterone withdrawal. If I get a migraine now it is always during my cycle when I know my estrogen is the lowest or when I am trying to go off my progesterone. Even though I take estradiol every day it is not always easy to know when I should be taking more so sometimes I wind up with a migraine.
The most amazing thing though now is that when I do get a migraine, as soon as I start getting the aura I can dose with extra estradiol on my neck and temples and my migraine will go away faster and better than with any migraine medication or pain medication. The first few times I tried this it was like a miracle happened; my day was not ruined and I felt normal again very quickly. I do not even need pain medication anymore for my migraines. In the past I have had migraines with effects that lasted a week.
There have been a couple of occasions when the estradiol did not help the migraine. Those times were always the day after I was discontinuing my progesterone. I was able then to dose with progesterone and clear up my migraine. Now I am careful to try and taper my progesterone off to lessen my chance of a progesterone withdrawal migraine.
Getting back to the birth control pills. I now think that my migraines then were caused by the low dose pills (I should have been on a higher dose) plus my estrogen dropping on the week without pills. My estrogen probably dropped too low triggering a migraine. Also, discontinuing the progestin component part of the pill could have triggered the migraines as well.
Looking back on the years off birth control pills I remember getting migraines around my period. Now I believe that if I had a tube of estradiol back then I could have controlled my migraines. I feel a little sad for all the times I was sick when now I know that it did not have to be like that.
I first learned about estrogen and migraines from the book “Natural Hormone Balance for Women” by Uzzi Reiss. I cannot recall if he goes into the progesterone withdrawal migraine thing or not but the information about estrogen and migraines was so helpful to me.
In addition to helping with migraines, estradiol also helps my anxiety during my period. If I am having depression or anxiety and realize that it is happening I can usually feel much better with just an extra application of estradiol. Crying during that time is a clear sign to me that I need another dose. The amazing thing is that it works. I can go from feeling so depressed, crying in bed to feeling normal and able to go on with my day. The first time I tried extra estradiol and it worked it was so amazing. Now I have my hormones under better control and I do not mess up as much with my dosing but it still happens occasionally. My husband has strict instructions to tell me to use more estrogen anytime he sees me crying for no apparent reason. Sometimes I need the extra help because when I fall in that dark hole it is hard to remember that it is so easy to get out just if I remember what to do.
Kathy