Last Edited : 2/4/2004 1:47:55 AM GMT
Last Edited : 2/14/2004 1:09:04 AM GMT
Last Edited : 2/27/2004 5:54:15 PM GMT
Just thought I would write a little bit about Mirena (the intrauterine device that contains a progesterone-type hormone). It is supposed to makes one's periods lighter, but can make them heavier at first. I had one for a while and found this to be true. The headaches associated with menses have to do with the drop in estrogen levels just before one's period starts, so you would not really expect a device with progesterone in it to be helpful for such headaches -- and in fact one of the side effects of the device is headache (also swelling, breast tenderness, acne.) I found this to be true as well. In fact I had to have the Mirena removed due to its exacerbation of my migraines. My GYN tried giving me an estrogen patch right before my period (to avoid that drop in estrogen levels) but my cycles were not regular enough to do that effectively. Also, there is some literature to suggest that Maxalt may be a little more effective for menstrual migraines than Imitrex or Zomig. The Nuva Ring sounds like it may be the best approach to menstrual migraines (in a person who needs birth control) because it provides a constant level of estrogen, avoiding the big drop before the onset of menses (or at least blunting it). Of course it might not be right for everyone -- e.g., someone with endometriosis, fibroids, or a stong family history of breast cancer. Maybe this helps a little. (P.S. The Mirena device is not really a coil it is more T-shaped).
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