This is wrong. The risk is for women who have migraines with aura, and only with estrogen-containing contraception. 1. If you have serious migraines but no aura, there is no increased risk. 2. If the birth control does not contain estrogen, there is no increased risk. Options include progesterone-only pills, DepoProvera shots, and Nexplanon subdermal implants, among others. |
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PS: also copper IUDs
There are a lot of birth control options for women with all kinds of migraines. It is worth discussing in detail with a provider trained to assess and prescribe, but the advice that you should "not take birth control" is really not helpful. |
| I take birth control pills continuously and don’t get periods at all anymore. It won’t help OP for a vacation that was last month, but something for OP to consider. |
| Taking Ibuprofen has drastically reduced my menstrual flow. On my heaviest days I take 400 mg of Ibuprofen every 3-4 hours and one dose between 400-800 mg before bedtime. |
Another teacher. For two years, I wore a tampon and a maternity pad with a freaking adult diaper (Depends) two days a week. Once I bled through that and my AP has to cover my class so I could run to Rite Aid for a pair of sweatpants, I had a long overdue conversation with my gynecologist. The solution for me was an ablation. |
Wins the prize for most creative solution I had not ever heard of before! |
Even some neurologists consider this outdated thinking. My neuro had no issue with me taking combination birth control pills despite migraine with aura. He said newer studies have shown that the current lower dosages of estrogen may not carry the same risk and the risk is still low. I took them for 5 years with zero issues. |
Orgasms also relieve cramps better than any painkiller, and the pain relief lasts a few hours. |
I’m confused by this post and the previous lost mentioning ibuprofen. Ibuprofen notoriously slows clotting and increases bleeding. Most doctors will encourage you don’t take it before surgery or another procedure that causes bleeding. Did you try this experiment on your own or were you instructed to take it to lessen bleeding? |
My teen daughter was missing 2-3 days of scroll each month throwing up when her period started until they put her on birth control. It’s low dose and considered safe for her migraines. It has eliminated her migraines and vomiting altogether and she only needs a pantyliner for one day most months. |
Sure, you can take the risk (and the data is mixed), but the guidelines haven't changed yet. Just know that taking estrogen with a history of migraine without aura is STILL recommended against by the American Academy of Neurology, the American College of Obstetrics and Gynecology, the American Academy of Pediatrics, and the International Headache Society.
So, the major guidelines still recommend against estrogen in those with history of migraine with aura, but that's not the whole story. Also, pregnancy has a higher added risk of stroke than what *might* be conferred by today's lower dose combination OCPs, so, there's that. Regardless, everyone agrees it's not an issue for "serious migraines" without aura. That's clear. From above link,
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This is a known use. It's an anti-inflammatory, and that effect more than counterbalances the clotting issue, at least to some extent and for many women. Cleveland Clinic article on this: https://health.clevelandclinic.org/can-high-doses-of-ibuprofen-delay-or-halt-your-period/ |
https://www.cosmopolitan.com/sex-love/a30611276/ibuprofen-reduce-menstrual-flow/ |
Menstruation is an inflammatory process. |
| I would strongly consider going on continuous BC pills. I take Yaz continuously without issue and don’t have to worry about a period. It’s fantastic and my hormones stay level all the time. Something to consider. |