0 In Medical/ Pain Management

Bad Headaches and Migraines

You may be surprised that we have included headaches in this National Pain series, but they are really common in women with pelvic pain, especially at period time. It’s always best to talk about your headaches with your doctor first, but once they are happy that there is no serious illness present, we suggest you try one of these treatments.

None of these treatments suit everyone, so you may need to try more than one to find something that suits you best. It is worth the effort, though. Your headaches are unlikely to go away by themselves and life is better without headaches.

Headaches with periods

A headache that comes each month with a period often improves with one of these options:

A mirena iucd in the uterus

A diclofenac 100mg suppository

A ‘triptan’ nasal spray available from your doctor, or,

An estrogen hormone patch used at period time

A low grade headache for several days each month. Sometimes they may be severe, while at other times just a nuisance. It is definitely worthwhile trying a preventer medication taken every day. Helpful medications in young women include:

Amitriptyline 5-25mg 3 hours before bed each day

Cyproheptadine (Periacten), 2 to 4mg each night

Other medications from your doctor

Try each one for 2-3 months and keep a headache diary, so you can decide if it has helped.

Content provided by Dr Susan Evans, Gynecologist, Laparoscopic Surgeon, & Specialist Pain Medicine Physician (https://www.drsusanevans.com.au/). Permission has been granted to publish this content on www.theendolifestyle.com.


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