Second Nature Care Blog

Estrogen Levels Effecting Migraine

[fa icon="calendar'] Mar 30, 2017 5:00:00 AM / by Isadora Guggenheim


 
Estrogen levels and migraine management.
 
In female patients, the onset of menses is typically associated with decreasing estrogen levels and a worsening effect on migraine frequency.  Migraines without aura tend to improve with the hyperestrogening state of pregnancy due to the lack of hormonal fluctuations as compared with the migraines with aura. Evidence supports the safety and efficacy of the triptans in the short-term management and prevention of MM (menstrual migraines). All of the triptans have the same pharmacological action and hormone therapy for perimenstrual migraine includes estrogens, estrogens with progesterone or testosterone, synthetic androgens, or estrogen modulators. Other treatment options for women with  postpartum depression and MM may include the use of SSRI's, antidepressants or mood stabilizers. The transdermal hormone administration provides a more favorable influence on migraines than orally ingested estrogen metabolized by the liver. Metoprolol is among the β-blockers with level A evidence for prevention of MM.
 
For migraines we offer a variety of I.V. Nutrient Therapies as a stand alone treatment and in complimentary conjunction to our Ozone Therapies. While you're dripping your pain away we can construct a treatment protocol to address your gut dysbiosis, food allergies and elevated heavy metals.

We can individualize your treatment further by adding in specific injectable homeopathics. Tell us how you are feeling and we can address your symptoms. Are your headaches affected by weather changes, tension in your neck, low blood sugar, food allergies or sensitivities, constipation or something else? Do you have any preliminary symptoms that tell you you're about to have a migraine headache?

We also offer Ozone treatments to aid in difficult menstruation. For cramps we use advanced ozone injections into the abdomen for immediate pain relief, natural pain relief formulas and dietary strategies to prevent the formation of adhesions and inflammation. 

We can help you re-establish order in your biochemistry to reduce the frequency of headaches. We offer full testing in CT. to find the root cause of your headache.

Click here for our menu of services - http://www.secondnaturecare.com/transformational-health-i.v.-therapies All I.V. therapies are MD ordered in NYS.

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Take this quiz using the information above!

1. The onset of menses in female patients causes estrogen levels to __________ and migraine frequency to __________.
Increase; improve
Decrease; improve
Decrease; worsen
 
2. True or False. Unlike migraines with aura, migraines without aura usually improve during the hyperestrogenic state that accompanies pregnancy.
True
 
3. Which of the following statements is/are TRUE regarding treatment of migraine in female patients?
All triptans may be used for short-term prevention of migraine attacks related to menstruation (MMs)
Postpartum depression accompanied by MM may be managed with SSRIs
All of the above
 
4. True or False. Orally ingested estrogen has a more favorable effect on migraine than transdermal hormone administration.
True
 
5. Which of the following β-blockers has the strongest evidence of effectiveness for preventing migraine attacks related to menstruation (MMs)?
Atenolol
Nadolol
 
 
Answer Key:
1.  D. Decrease; worsen
2. A. True
3. D. All of the above
4. B. False
5. Metoprolol
 
 
 

For complete information, see:

Warnock JK, Cohen LJ, Blumenthal H, Hammond JE. Hormone-related migraine headaches and mood disorders: treatment with estrogen stabilization. Pharmacotherapy. 2017;37(1):120-128.

Isadora Guggenheim

Written by Isadora Guggenheim

Isadora Guggenheim, ND, FNP, RN, MS, CNS, LMT, owner of Second Nature Naturopathic Care, LLC
For all appointments: Tel: 845 358-8385 Fax: 845 358-2963 drguggenheim@msn.com