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I'm 46. I've find a good balance for my chronic migraine with daily Qulipta, continuous combination oral birth control, and a multivitamin w feverfew. This is working well for me
However, recently I was diagnosed with stage 2 hypertension and started Losartin. It seems to be controlling it. My gynecologist, who prescribes my birth control though is no longer willing to prescribe bc pills because of the added stroke risk.

Menstrual migraines were by far my worst and most relentless… read more

January 26, 2025
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Caroline, it sounds like you're navigating a complex situation with your migraines and hypertension. Based on my knowledge base, here are some potential options to discuss with your healthcare providers:

1. Progesterone-Only Options: Progesterone-only birth control (like the mini-pill or Depo-Provera shot) may be safer for Show Full Answer

Caroline, it sounds like you're navigating a complex situation with your migraines and hypertension. Based on my knowledge base, here are some potential options to discuss with your healthcare providers:

1. Progesterone-Only Options: Progesterone-only birth control (like the mini-pill or Depo-Provera shot) may be safer for those with hypertension and migraines, as they avoid estrogen, which increases stroke risk.

2. IUDs: Hormonal IUDs like Mirena or Liletta release low levels of progesterone and have been reported by some to not worsen migraines.

3. Skipping Placebo Pills: If you can continue any form of hormonal treatment, skipping placebo pills to avoid menstruation might help reduce menstrual migraines.

4. Non-Hormonal Preventive Options: Consider preventive medications like CGRP inhibitors (e.g., Aimovig) or Botox, which can complement your current regimen.

5. Lifestyle Adjustments: Tracking triggers, maintaining hydration, and managing stress can also help reduce migraine frequency.

It's great that you have a headache specialist appointment in June, but in the meantime, consider discussing these options with your gynecologist or neurologist.

January 26, 2025

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