I have suffered from menstrual migraines since the birth of my son 12 years ago. Approximately 7-10 days prior to my period, I get low level migraines. They increase in intensity as I near my period, yet some days I experience low level (2/10) for a few days then nothing fo ra day or two, then back to it. Usually 1-2 big migraines (7-8/10) occur.
I am working with a doctor using low levels of bioidentical progesterone cream. 5-10 mg/day days 1-13 and 10-20mg days 14-27 of my cycle. I am also exhibiting signs of hyothyroidism (weight gain, fatigue, edema, etc), yet TSH=2.73, Free T-3=3.5, and Free T4=1.27. I am treating (subclinical) with 1/2 grain of Armour Thyroid and have felt much better - less fatigue. I have been under quite a bit of stress at work (took on large workload) and through a divorce recently. I have reduced a good majority of the stress, now job and settling into my "new" single mom role. I also attend a yoga class and excercise daily for 30 minutes (running/light weights/pilates).
I am also following an insulin resistant diet. Good carbs, linking protein with carbs/veggies. I am vegetarian (no beef, chicken or pork), but I do eat fish. I also supplement with Omega3 and 6. I am also taking a multivitamin with an additional multi-B. Magnesium, vitamin C also daily.
My doctor and I are at a loss when it comes to treatment of the the migraines. Is it possibly due to adrenal stress? Should I take an adrenal support formula? hdrocortisone? I am a bit stumped as far as where to go next. I know balancing the endocrine system is delicate to say the least, so I don't want to do more harm than good. Blood and saliva tests indicate slightly elevated DHEAs, morning cortisol was 7 (low) indicating difficulty sleeping, noon cortisol was 5 (normal), afteronnon and evening levels were in the low normal range.
I have difficulty sleeping through the night, wakening at 2-3 am and then really having to work at getting back to sleep.I have tried a bedtime snack of almond butter on whole wheat crackers and milk to determine if it could be a drop in blood glucose. This has helped some.Fasting insulin was 6 and fasting glucose was 86.
My doc ran a full serum panel (CBC, lipids, etc.) and my results fall within "normal" ranges. LDL and HDL were normal. Testosterone was a bit on the high side of normal.Estrodial was normal.