Ask the Nurse

I have chronic migraines that are much more intense and frequent from ovulation to starting my period. I am on an estradiol patch, but it doesn't seem to be enough. Can this help with migraines?

Hormonal related migraines or “menstrual migraine” can sometimes be adequately treated with hormone therapy. For reproductive age women this is treated with a continuous birth control pill, patch or ring to prevent hormone fluctuations. On continuous treatment there is no withdraw bleed and an active hormone is delivered in a continuous fashion. This provides a steady level of hormone from day to day.

If your migraines do not improve after 3-6 months, then it is best to be re-evaluated by your doctor. There are non-hormonal options for migraine as well. For more information regarding migraines and hormones, please visit the following columns:

All My Best,
Speaking of Women’s Health Nurse

July 28, 2019 at 9:17pm