HELP my migraines

[migrainemom29]

I am a 46 year old female whos had migraines all my life. They run on my dads side of the family. They started in high school and I have been able to manage them but lately they have become debilitating. I changed birth control pills in October 2007 from Orthonovum to Yaz. I had been on Orthonovum for 20 plus years. The YAZ helped the PMS symptoms I was having really well but I would get terrible headaches at the beginning or end of my cycle. I have tried a number of migraine medicines over the years and found relief with Maxault, Relpax and even Excedrin Migraine however, the last 3-4 months, those drugs don't seem to help anymore. I got my tubes tied in December 2007 but continued taking the Yaz until Jan 18th 2008. I had my period Jan 21st-26th and got a bad headache the last day of my cycle. I am anxious to see what the month of February will be like with no BC pills in my system. l also suffer from allergies and sinus problems and I assume all that plays a part in my migraines. My question is what should my next step be? See my family doctor and ask for a daily medication to prevent them? See a Neurologist? Any advise is appreciated.
Deborah B.

[migrainemom29]

Thanks for the reply. I'll see if i can get an appointment.

[BhumikaMD]

Hi,

You should consult a neurologist and rule out sinusitis and vision problems.

If you have them treated your symptoms will also respond.

You would need to take appropriate prescribed medications and get relevant investigations done.

Your headache could be due to the allergies and sinusitis also.

Do let us know what the neurologist tells you.

Till then try some steam inhalation, saline nasal drops and antihistamine medications.

Keep us posted.

Regards.