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Author Topic: New here, nearly 57 with perimenopausal and migraine journey to hell!  (Read 8343 times)

Elizabethrose

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Hello everyone, I heard about this site on Radio 4 this morning and decided to investigate. My story is a long one so I hope you don't lose the will to live whilst reading it!
 
I was labelled perimenopausal 14 years ago at the age of 42, with the following symptoms; sudden development of severe pure menstrual migraine, menstrual cycle suddenly changing from 28 days to 20/21, very light periods lasting just a day or two, dry vagina, night sweats, the beginning of slight urinary leakage. My mother had gone through menopause at 45 and my granny at 39, so two doctors suggested that mine might be early too. Hah, that was not to be!

My menstrual cycles became more erratic; dancing around between 12 – 67 days, though the mode was probably 21 and the longest ones only during the past year.  All pattern was lost, I could have an 18 day cycle, followed by a 45, followed by a 21, followed by a 30 followed by a 17.  Bleeding has remained medium or light, never heavy and flooding or spotting. The only break -through bleeds I have ever experienced are very slight shows at ovulation with twinges, these I've had most of my life. The only certainty was that the pesky period would come.
 
The migraines have been my biggest problem, starting as pure menstrual migraines, i.e. around my period, and gradually becoming chronic, more than 15 days each month. The early years with these were horrendous and my GP tried every conceivable medication, natural remedy and alternative treatment. Worst month ever was 24 days in bed. In recent years, though very frequent, the pain has most definitely reduced and vomiting has stopped. I still do have my nightmare cycles, which tend to be the very short ones. The right medication for treating menstrual migraine has helped.

I have seen brilliant hormone, migraine and neurology specialists, Prof Anne Macgregor, Nick Panay and a number of others and have taken advice from other leaders in their fields. I have tried virtually everything possible to help resolve my problem. Essentially, I am, and have always been, exceptionally sensitive to hormone change. I had acutely regular 28 day cycles (up until 14 years ago!), obvious signs of ovulation, severe period pains and pms (though never mood swings), pregnant at first try with both children etc. knew I was pregnant within days of conception. I have learnt to read my body like a book as it reacts like litmus paper to change. I could never take the contraceptive pill: I tried a number of them with horrible side effects. A stint of HRT was a disaster, resulting in constant migraine and lots of other nasty side effects. It also was unable to suppress my natural cycle so I had two cycles going on each month. Any attempted manipulation of my hormone levels appears to cause problems.

Migraine specialists strongly advised against hysterectomy or oophorectomy, as it is believed it would exacerbate the migraine still further: neurologists suggested these procedures. Hormone specialists pushed me along that route with chemical hysterectomy - Gonadotropin analogue with add back oestrogen- to save my bones, but decided against it, as again they were concerned it would exacerbate the migraine. It has been strongly advised that I have to go into a natural menopause, which sadly is a hell of a time coming! It is felt that the migraine will improve once through, if the menopause comes naturally. This body just does not want to give up though!

It's been like living on a roller coaster with my oestrogen levels through the roof, sometimes for months at a time before plummeting suddenly and slapping me against a brick wall. All these highs and lows bring their own set of problems! I must be anovulatory much of the time now as my eggs are positive dinosaurs; therefore my oestrogen must be regularly unopposed. Latest scans show some thickening of the uterus, possibly polyps, which I'm waiting to have investigated and removed.

Normally, with the few long cycles I've had, the migraines have been easier but this cycle is an exception. I had a major crash of oestrogen on the 15th Dec and my period started on the 17th Dec and I haven't had a period since. It's 111 days today (whoop, whoop!) and whilst the first few months were plagued with very frequent migraines, things have slightly calmed over the past few weeks.

Hot flushes started, very suddenly, three weeks ago and I am getting them probably every 15/20 minutes. They seem to be gradually increasing in intensity. The night sweats that stopped about five years ago have also started again, waking me about 4/5 times a night. I'm pretty exhausted it has to be said but these new signs of change are making me want to dance the fandango (naked with this heat!) because I see it as just one step closer to this wretched thing ending! Call me strange (or stupid) but I remain ever positive that each period will be my last.

I thank goodness that I am a glass half full sort of person as this really has been a roller coaster to hell. It will be truly wonderful to get my life back, though ha ha, knowing my sensitivity to hormone change I'll grow a full beard and develop male pattern baldness. (My hair has definitely thinned already, though I had really thick hair, thank God!).

I have researched the perimenopause, menopause and menstrual migraine extensively over the years using medic friends to access lots of inaccessible info and yet there is so little comprehensive detail available worldwide. Few wide ranging studies have been done but I've thoroughly studied those that have. What is clear is that everyone is different, so when I've read about ‘the average experience' in studies and ‘what to expect' and it has differed so dramatically to my own experience, it's easy to feel occasionally despondent and adrift. It would be great to read that other people have or are going through this anomaly too. (Not that I would wish my experience on anyone, honestly!)
We all of us experience this period of change differently so trying sometimes to reassure yourself that what you are experiencing is normal, is tricky and frustrating. Some of my migraine symptoms are so bizarre that I have questioned my sanity: this is when the reassurance of a specialist is such a relief. (“Oh no, that's quite common actually”). It is great to find this website and to have access to other people who are experiencing similar problems and gaining support from each other. I am the only one of all of my friends still not through. I look forward to speaking with you all.

« Last Edit: September 06, 2016, 07:49:00 AM by Elizabethrose »
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dazned

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Re: New here, nearly 57 with perimenopausal and migraine journey to hell!
« Reply #1 on: April 06, 2016, 12:23:28 PM »

 :welcomemm:

Good to have you onboard.
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Elizabethrose

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Re: New here, nearly 57 with perimenopausal and migraine journey to hell!
« Reply #2 on: April 06, 2016, 01:33:32 PM »

Thank you Dazned, so good to hear from someone :D
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Dancinggirl

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Re: New here, nearly 57 with perimenopausal and migraine journey to hell!
« Reply #3 on: April 06, 2016, 02:46:39 PM »

Hi and welcome Elizabethrose - I am now 60, my peri meno stage started in my mid 30s and, like you, horrible headaches, flushes, night sweats and erratic bleeds were the symptoms of my hormonal upheaval.  I have used HRT on and off over the last 25 years - I tried to come off 3 times - the longest time for 3 years - but life is still better with some HRT. I am on one pump of Oestrogel daily with 12 days of Utrogestan (bio identical progesterone) each month and this gives me a monthly withdrawal bleed.  I find my headaches are at their worst when either on too much oestrogen or on none at all - so now I am on a very low dose that seems to keep the headaches away most of the time. It is trial and error and finding the balance that works for you.
If you are 56 now then you must be nearing the end of the peri stage so I do hope things settle for you soon. If the womb lining is building up, then you are still making some oestrogen yourself - has a Mirena every been tried?  You mention that you "tried a stint of HRT" - what did you try and for how long? There are many options and HRT is a trial and error process. Have the doctors not suggested an AD/SRRI that might help?
 Do browse around the site and keep posting.  Dg x
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Elizabethrose

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Re: New here, nearly 57 with perimenopausal and migraine journey to hell!
« Reply #4 on: April 06, 2016, 04:14:48 PM »

Thanks for your kind response Dancinggirl and for all the detail. Sadly everything that has been tried, in whatever dosage, has just exacerbated the migraine, even minute doses, and it was decided that any hormone manipulation should probably best be avoided. I am at my best when my hormones are flatlining. I am most definitely still making oestrogen myself, my last oestrogen high was through Nov and Dec before it crashed on 15th Dec and a period followed. However I am 111 days into this cycle and menopausal symptoms have kicked in hard and fast so I am really hoping that I may be reaching the end soon. Here's hoping anyway!!
I'm really glad you have found something that works for you, HRT has been a Godsend to so many of my pals too, and I know that sometimes some juggling is required to find the perfect fit. I feel utterly wretched when on any hormonal treatment so I'm now trying to get there cold turkey. I never did try an AD/SRRI, hah it was probably one of the few routes I didn't, that and botox injections.
I will browse the site, I wish I'd found it earlier. I find I can manage my situation better when I can understand exactly what's going on with my body, so the more information the better.
Thanks so much to you, I hope you continue to stay well.
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Mary G

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Re: New here, nearly 57 with perimenopausal and migraine journey to hell!
« Reply #5 on: April 06, 2016, 06:30:28 PM »

Elizabethrose, welcome to MM!

I can relate to everything you have said but I have not have the same severity of symptoms.  I suffer with silent migraines which consist of migraine aura (scintillating scotoma) blind spots followed by 25 minutes of zig zaggy shimmering, visual disturbance without headache and it's horrible.  I had the first silent migraine in June 2004 aged 43 (I'm now 54) exactly 30 years to the month after my very first period.  While I was still menstrating, the migraines always came before a period.  This was the beginning of peri menopause and at the time, I had a Mirena coil for contraception purposes which contains a synethetic progesterone.  To cut a very long story short, my migraines are caused by synthetic progesterone, nothing else, and it took me years to find the trigger.

I now have to avoid all types of synthetic progesterone but I need oestrogen and lots of it to feel good and to keep the migraines away.  I use Utrogestan which is a micronised progesterone but I can only use it in very small doses otherwise I get a migraine.  I have read that synthetic progesterone changes the way the brain receptors work and while I was still producing my own hormones, I could use the Mirena coil and take the pill (which I was on for years in my 20s) without getting a migraine because my own hormones suppressed the synthetic ones but the problem only emerged when stopped producing enough of my own oestrogen.

I also consulted Professor Anne MacGregor and Professor John Studd.  Professor MacGregor suggested I take high dose aspirin everyday while on the Utrogestan and Professor Studd put me on 3 pumps of Oestrogel (I have since reduced to 2 pumps) everyday, 100mg Utrogestan (vaginally) for 7 days each month and a small bead of testosterone and that seems to work, so far.  I also take magnesium and 50mg DHEA everyday and that has helped because I do feel better for taking it and my digestive system works much better.

Do you know if your migraines are triggered by progesterone or oestrogen?  Is there any merit in your getting rid of all your own hormones via a full hysterectomy and then just taking the ones your need, if any?  Also, have you considered consulting Professor Studd?  I know Dr. Panay trained under him but it might be worth getting a second opinion. 

 
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Elizabethrose

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Re: New here, nearly 57 with perimenopausal and migraine journey to hell!
« Reply #6 on: April 06, 2016, 07:09:28 PM »

Hello Mary, thank you for your kind response.

I'm sorry to hear about your silent migraine, what an absolute bore for you. My mother had silent migraine immediately post menopause but they gradually disappeared, presumably when the hormones levelled out. I get all sorts of auras with every migraine but visual auras only occasionally. I remember my first, I was travelling to work in central London when the man in from of me suddenly lost his head. Literally, couldn't see it, but just his head. I was totally freaked out! After a very short period of time every thing started swirling and I realised what was happening. I feel bad for you. However, you seem to have sorted your problems brilliantly so well done to you. I've never heard of DHEA, just googled it. Fascinating stuff, I'll read up a little more about it. My goodness if something works for you, stick with it.

I've had to keep a detailed diary of my periods and symptoms for years because of the meds I've been prescribed, they paint a very clear picture. Any hormone introduction exacerbates my problems, it's almost instantaneous. I've got past the stage where I'm chasing a solution, I've tried many many things over the years and had many nightmare experiences as a result. I'm now resolved to play the waiting game and I feel sure things will improve. Hah, ever the optimist! I take each day as it comes now, if it's good, great  - if it's not then I nestle down and wait for the next one. It is a huge bore when I miss events etc but I try to 'save up' my med days for special events etc.

Good luck to you, I hope you continue to stay well and keep the dreaded migs at bay! All good wishes.

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Mary G

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Re: New here, nearly 57 with perimenopausal and migraine journey to hell!
« Reply #7 on: April 06, 2016, 07:52:45 PM »

Elizabethrose, thanks for replying.  I can really relate to your episode on the train with the man's head cut off, that sounds just like my blind spots.

I can understand why you just want to sit it out now but hopefully things will start to subside now that you are well past menopause. 

I will carry on with my current regime which will hopefully keep the dreaded migraines away, I just wish I could have found the trigger a bit sooner.  I always hope that at least I might be able to help someone else who reads my posts on here.

All the best.
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bramble

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Re: New here, nearly 57 with perimenopausal and migraine journey to hell!
« Reply #8 on: April 06, 2016, 08:24:22 PM »

Have you tried Clonidine for the hot flushes - my friend has had good results with it and as it is non-hrt, may help.

Bramble
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Elizabethrose

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Re: New here, nearly 57 with perimenopausal and migraine journey to hell!
« Reply #9 on: April 06, 2016, 08:37:43 PM »

Elizabethrose, thanks for replying.  I can really relate to your episode on the train with the man's head cut off, that sounds just like my blind spots.

I can understand why you just want to sit it out now but hopefully things will start to subside now that you are well past menopause. 

I will carry on with my current regime which will hopefully keep the dreaded migraines away, I just wish I could have found the trigger a bit sooner.  I always hope that at least I might be able to help someone else who reads my posts on here.

All the best.

Hi again Mary

Oh I haven't hit menopause yet, only 111 days since my last period, however, that is a lifetime for me!! I'm ever hopeful though, as I say the hot flushes have kicked in big time which is new to me. I feel like my oestrogen has levelled out too so fingers crossed!!

The hope to help others from your experience is utterly brilliant and to be admired. I'm sure these sorts of sites benefit hugely from those women who've been through and out the other side or have lessons to be learnt. I've spent years questioning what is happening to me, especially as I have differed from the norm. There's loads of info out there detailing what usually happens in perimenopause but little that explains other possibilities and experiences. Well done to you, if I can be of help to others I'd be delighted.

Lovely to speak with you.
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Elizabethrose

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Re: New here, nearly 57 with perimenopausal and migraine journey to hell!
« Reply #10 on: April 06, 2016, 08:49:48 PM »

Have you tried Clonidine for the hot flushes - my friend has had good results with it and as it is non-hrt, may help.

Bramble

Hi Bramble, thank you so much for your response.

My goodness, I'm fairly overwhelmed by the amount of responses I've received, how brilliant! No I haven't tried Clonidine, I don't know anything about it but shall look now and investigate. To be honest, the hot flushes have only just hit me, about 3 weeks ago now, and I'm still celebrating the possibility that things may be finally moving on for me. Hah, I'm sure there aren't many people celebrating the start of hot flushes but for me everything new heralds the possibly of an ending.

They are coming in fast and furious and each few days seem to be building in intensity. Haha, every one is laughing at me as I'm fanning myself frantically with any available object. I've taken to flinging a shawl around my shoulders which I can whip off quickly as they build. Oh what joy!

The night sweats are the tricky thing as they wake me with such intensity that I'm left wide awake half the night. The duvet is off and on constantly, I'm a real delight to sleep with at the moment!

Thank you for your hot tip I shall check it out.

All good wishes to you.
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Dancinggirl

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Re: New here, nearly 57 with perimenopausal and migraine journey to hell!
« Reply #11 on: April 06, 2016, 09:19:08 PM »

Elizabethrose - I have been seeing a lovely specialist gynae privately, who is based in Norwich, and he recommends Citalopram as a good SRRI to try to relieve meno symptoms if HRT is not an option.  His wife has had breast cancer so can't have HRT and he says she and many of his patients, who for one reason or another can't use HRt, have found this very helpful.   I would definitely consider trying either Citalopram or other AD/ SRRIs to see if this works. If you look under TREATMENTS at the top of this page there is some info about non HRT treatments - though it doesn't mention Citalopram it does mention Clonidine that Bramble has mentioned - I think it is a bit of trial and error with these treatments as well but might well be worth trying. Headaches/migraines can be so debilitating and you must be desperate to get your life back on track.  Keep us posted.  DG x
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Elizabethrose

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Re: New here, nearly 57 with perimenopausal and migraine journey to hell!
« Reply #12 on: April 06, 2016, 09:36:46 PM »

Thank you again Dancinggirl, how kind you are. I shall look into it. I know that this route was discussed at some point on my 'journey' but never tried for whatever reason. I have tried a lot, it all becomes a blur sometimes!

I really do feel positive about moving forwards, even though I still have frequent migraines, the change in intensity is really dramatic. They were once truly horrific and even when bad now, they are nothing like they were. When I look back I don't quite know how I managed. I think humans have an ability to manage whatever hits us, you find a way to get by. I feel confident that once my periods finally stop and the hormones start to flatline, that all will improve. And as another hot flush hits me.......it's just another step closer!!

Thank you.
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Dancinggirl

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Re: New here, nearly 57 with perimenopausal and migraine journey to hell!
« Reply #13 on: April 07, 2016, 11:01:36 AM »

Elizabthrose - the reason I suggest you try the AD/SRRI option is because you are now getting so many flushes and other meno symptoms and these can really wear you down.  Sadly nobody can tell you how long these meno symptoms will last or whether they will actually subside completely.  You may be lucky and only get flushes for a couple of years but the average is about 5-7 years I believe!!! The headaches may be reduced now but they might be reduced further (or even stopped)  with ADs/SRRIs???? I think it is worth discussing this with a specialist - life is short and if you can get your life back on track sooner - that would be great?
I do love your positivity though  - so brave.  Dg x
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Elizabethrose

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Re: New here, nearly 57 with perimenopausal and migraine journey to hell!
« Reply #14 on: April 07, 2016, 02:42:44 PM »

Elizabthrose - the reason I suggest you try the AD/SRRI option is because you are now getting so many flushes and other meno symptoms and these can really wear you down.  Sadly nobody can tell you how long these meno symptoms will last or whether they will actually subside completely.  You may be lucky and only get flushes for a couple of years but the average is about 5-7 years I believe!!! The headaches may be reduced now but they might be reduced further (or even stopped)  with ADs/SRRIs???? I think it is worth discussing this with a specialist - life is short and if you can get your life back on track sooner - that would be great?
I do love your positivity though  - so brave.  Dg x

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