Posted By CCF Neurology MD - AY on September 06, 1998 at 17:57:03:
In Reply to: HYSTERECTOMY LEAD TO MIGRAINES posted by MICHELE J. on August 13, 1998 at 01:10:53:
I"M A 28yr old female had a hysterectomy 10 months ago
3 weeks after i started having severe headaches this went on for almost 5 wks before i went to the doctor. Ive been to 2 neurologists been diagnosed w/migraines I HAVE TRIED IMITREX TEGRETOL MIDRIN AND A HOST OF OTHERS I AM CURRENTLY ON HRT TAKING ESRTS.TEST (ERROR) ESTRATEST AND AM TAKING PAMELOR,AND EGSIC FOR THE PAIN HOWEVER I STILL GET 2 TO 3 MIGRAINS A WK I CANT SLEEP I'M GETTING DEPRESSED I HAVE ALSO TRIED VARIOUS HORMONES (FOR THE MOOD SWINGS HOT FLASHES NO SEX DRIVE)NATURAL AND OTHERWISE. I JUST DONT KNOW WHAT ELSE TO TRY I HAD A cat SCAN AND A SPINAL TAP EVERYTHING WAS NORMAL EXCEPT MY ICP WAS HIGH 200 AND SOMETHING.COULD ALL OF THIS BE RELATED TO MY SURGERY? THE 2 DOCTORS DONT SEEM TO THINK SO
IM AT MY WITS END ANY INSIGHT WOULD BE HELPFUL. THANK YOU
MICHELE J .
Thanks for your questions. It is difficult to comment whether your headaches
are indeed migrainous in nature, since there wasn't a detailed description
of your headache symptoms. It is known, however, that migraines attacks
can be related to hormonal fluctuations, hence the occurrence of migraines
during the peri-menstrual period in some women. I am assuming that you
probably had a complete hysterectomy, that is the ovaries were also extracted.
Assuming the diagnosis of migraine is a correct one, your physician might
consider the usage of a prophylactic medication such as beta-blocking
agents or calcium-channel blockers to decrease the frequency of the migraine
attacks. Furthermore, imitrex, when given in full therapeutic dosage, is
effective in the majority of patients.
If you live in the Cleveland area, and would like a second opinion, the
Headache Center at the Cleveland Clinic has a group of neurologists
(Drs. Gretter, Kunkel, and Yuska-Mays) that are specialized in headaches.
If you wish an appointment at the Department of Neurology at the Cleveland
Clinic, please call 1-800-CCF-CARE, or 1-216-444-5559.
I hope this information is helpful.
This information is provided for general medical education purposes only.
Please consult your doctor regarding diagnostic and treatment options.
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