The good news is that there is actually a lot out there that you can try for this specific issue. You just need to find a neuro (or OB) who is well versed in this area. It could be well worth it to make an appointment with a headache specialist if you don't get results from the above docs.
Certain types of birth control generally help and certain types generally make it worse. So the short answer to your question is yes, it is worth it to pursue birth control. Just make sure that you are receiving the appropriate prescript
ion. There are specific prescript
ion NSAIDS that are particularly helpful with menstral related pain (you can use these in appropriate quantities and frequencies).
Feverfew, Black cohash, Dong qai (spelling?) when taken daily can also help. These are herbal supplements and need a couple of months to kick in. Talk to your doctor first (they can potentially have interactions with your existing meds).
There are many, many other things you can do. A headache specialist will be able to help.
Best of luck!
Post Edited (EvilFluorescents) : 3/4/2011 1:35:50 PM (GMT-7)